Focused Care At Crane

Penalties

• Apr 25, 2024 — Fine ($42,357)
• Apr 25, 2024 — Payment Denial · payment denial 24 days

Inspection findings

1. Jun 26, 2025 Health · 7 findings
   • Not serious Scope/severity D

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Jul 16, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Jun 28, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0692 Quality of Life and Care Deficiencies

     Provide enough food/fluids to maintain a resident's health.

     Corrected Jul 16, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0761 Pharmacy Service Deficiencies

     Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

     Corrected Jun 28, 2025 · CMS health inspection

   • Not serious Scope/severity F

     F0868 Administration Deficiencies

     Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

     Corrected Jul 8, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jun 27, 2025 · CMS health inspection

   • Not serious Scope/severity F

     K0321 Smoke Deficiencies

     Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

     Corrected Aug 27, 2025 · CMS fire safety

2. Jun 25, 2024 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Respond appropriately to all alleged violations.

     Corrected Jul 10, 2024 · CMS health inspection

3. May 17, 2024 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0580 Resident Rights Deficiencies

     Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

     Corrected May 20, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected May 20, 2024 · CMS health inspection

4. Apr 25, 2024 Fire Safety · 26 findings
   • Not serious Scope/severity F

     E0004 Emergency Preparedness Deficiencies

     Develop and maintain an Emergency Preparedness Program (EP).

     Corrected May 13, 2024 · CMS fire safety

   • Not serious Scope/severity F

     E0015 Emergency Preparedness Deficiencies

     Address subsistence needs for staff and patients.

     Corrected May 27, 2024 · CMS fire safety

   • Not serious Scope/severity F

     E0026 Emergency Preparedness Deficiencies

     Establish roles under a Waiver declared by secretary.

     Corrected May 27, 2024 · CMS fire safety

   • Not serious Scope/severity F

     E0039 Emergency Preparedness Deficiencies

     Conduct testing and exercise requirements.

     Corrected May 8, 2024 · CMS fire safety

   • Not serious Scope/severity F

     E0041 Emergency Preparedness Deficiencies

     Implement emergency and standby power systems.

     Corrected May 21, 2024 · CMS fire safety

   • Not serious Scope/severity E Complaint

     F0561 Resident Rights Deficiencies

     Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

     Corrected Jun 7, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0584 Resident Rights Deficiencies

     Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

     Corrected Jun 7, 2024 · CMS health inspection

   • Serious Scope/severity K Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Jun 7, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0690 Quality of Life and Care Deficiencies

     Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

     Corrected Jun 7, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0700 Quality of Life and Care Deficiencies

     Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

     Corrected Jun 7, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0730 Nursing and Physician Services Deficiencies

     Observe each nurse aide's job performance and give regular training.

     Corrected Jun 7, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0758 Pharmacy Service Deficiencies

     Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

     Corrected Jun 7, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0761 Pharmacy Service Deficiencies

     Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

     Corrected Jun 7, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Jun 7, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0842 Resident Assessment and Care Planning Deficiencies

     Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

     Corrected Jun 7, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0849 Administration Deficiencies

     Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

     Corrected Jun 7, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0947 Nursing and Physician Services Deficiencies

     Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

     Corrected Jun 7, 2024 · CMS health inspection

   • Not serious Scope/severity F

     K0281 Egress Deficiencies

     Install proper backup exit lighting.

     Corrected May 30, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0341 Smoke Deficiencies

     Install a fire alarm system that can be heard throughout the facility.

     Corrected Apr 30, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0344 Smoke Deficiencies

     Have an alternate power supply for its alarm system.

     Corrected Jun 17, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0345 Smoke Deficiencies

     Have approved installation, maintenance and testing program for fire alarm systems.

     Corrected Jun 17, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0521 Services Deficiencies

     Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

     Corrected Jun 11, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected May 8, 2024 · CMS fire safety

   • Not serious Scope/severity D

     K0761 Miscellaneous Deficiencies

     To conduct inspection, testing and maintenance of fire doors by qualified individuals.

     Corrected May 22, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     Corrected May 28, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0920 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure proper usage of power strips and extension cords.

     Corrected May 16, 2024 · CMS fire safety

5. Feb 24, 2023 Health · 14 findings
   • Not serious Scope/severity E

     F0584 Resident Rights Deficiencies

     Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

     Corrected Feb 28, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0603 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

     Corrected Feb 28, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0644 Resident Assessment and Care Planning Deficiencies

     Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

     Corrected Feb 28, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0655 Resident Assessment and Care Planning Deficiencies

     Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

     Corrected Feb 28, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     Corrected Mar 1, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Feb 28, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0761 Pharmacy Service Deficiencies

     Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

     Corrected Feb 28, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Mar 28, 2023 · CMS health inspection

   • Not serious Scope/severity F

     F0814 Nutrition and Dietary Deficiencies

     Dispose of garbage and refuse properly.

     Corrected Mar 28, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0842 Resident Assessment and Care Planning Deficiencies

     Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

     Corrected Mar 15, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Mar 30, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0921 Environmental Deficiencies

     Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

     Corrected Feb 28, 2023 · CMS health inspection

   • Not serious Scope/severity C

     K0355 Smoke Deficiencies

     Properly select, install, inspect, or maintain portable fire extinguishes.

     Corrected Mar 28, 2023 · CMS fire safety

   • Not serious Scope/severity C

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected Mar 28, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• BEHRENS, PADEN — managing control - governing body, NOT APPLICABLE, since 11/14/2023
• CONLEY, SHAWN — adp of the snf, NOT APPLICABLE, since 11/01/2017
• CONLEY, SHAWN — operational/managerial control, NOT APPLICABLE, since 11/01/2017
• DERRICK, MICHELE — managing control - governing body, NOT APPLICABLE, since 11/13/2007
• JOLLIFF, SUSAN — managing control - governing body, NOT APPLICABLE, since 11/10/2015
• JONES, TIMOTHY — operational/managerial control, NOT APPLICABLE, since 06/01/2014
• JONES, TIMOTHY — corporate officer, NOT APPLICABLE, since 06/01/2014
• JONES, TIMOTHY — managing control - governing body, NOT APPLICABLE, since 06/01/2014
• JONES, TIMOTHY — corporate director, NOT APPLICABLE, since 06/01/2014
• KELTZ, TERRY — managing control - governing body, NOT APPLICABLE, since 11/15/2013
• MCKENZIE, MARK — operational/managerial control, NOT APPLICABLE, since 11/01/2017
• MCKENZIE, MARK — managing control - governing body, NOT APPLICABLE, since 11/01/2017
• MCKENZIE, MARK — adp of the snf, NOT APPLICABLE, since 11/01/2017
• MOSELEY, ARTHUR — managing control - governing body, NOT APPLICABLE, since 11/08/2016
• ORTEGA, SCOTTY — adp of the snf, NOT APPLICABLE, since 11/01/2017
• RICE, HOLLI — adp of the snf, NOT APPLICABLE, since 09/01/2018
• RICE, HOLLI — operational/managerial control, NOT APPLICABLE, since 09/01/2018
• RUBIO, ORLANDO — managing control - governing body, NOT APPLICABLE, since 11/09/2021
• SHETTER, ASHLEY — adp of the snf, NOT APPLICABLE, since 02/01/2024
• SHETTER, ASHLEY — operational/managerial control, NOT APPLICABLE, since 02/01/2024
• STRUBBE, LORETTA — operational/managerial control, NOT APPLICABLE, since 11/01/2017
• STRUBBE, LORETTA — adp of the snf, NOT APPLICABLE, since 11/01/2017
• TORRES, BRIDGET — operational/managerial control, NOT APPLICABLE, since 10/31/2023
• TORRES, BRIDGET — adp of the snf, NOT APPLICABLE, since 10/31/2023
• YOUNG, ROD — managing control - governing body, NOT APPLICABLE, since 11/09/2010
• FOCUSED POST — adp of the snf, NOT APPLICABLE, since 07/28/2025
• FOCUSED POST — operational/managerial control, NOT APPLICABLE, since 11/01/2017
• FOCUSED POST ACUTE CARE PARTNERS II LLC — operational/managerial control, NOT APPLICABLE, since 11/01/2017
• FOCUSED POST ACUTE CARE PARTNERS II LLC — adp of the snf, NOT APPLICABLE, since 07/28/2025
• FOCUSED POST ACUTE CARE PARTNERS LLC — adp of the snf, NOT APPLICABLE, since 11/01/2017
• FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC — operational/managerial control, NOT APPLICABLE, since 11/01/2017
• FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC — adp of the snf, NOT APPLICABLE, since 07/28/2025
• FPACP CRANE LLC — operational/managerial control, NOT APPLICABLE, since 11/01/2017
• FPACP CRANE LLC — adp of the snf, NOT APPLICABLE, since 07/28/2025
• MCCULLOCH COUNTY HOSPITAL DISTRICT — operational/managerial control, NOT APPLICABLE, since 06/01/2014
• MCCULLOCH COUNTY HOSPITAL DISTRICT — direct ownership interest, NOT APPLICABLE, since 06/01/2014