Focused Care At Lamesa

Penalties

• Nov 22, 2023 — Fine ($10,692)

Inspection findings

1. Apr 14, 2026 Health · 1 finding
   • Not serious Scope/severity D Complaint

     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 May 1, 2026 · CMS health inspection

2. Jan 7, 2026 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0803 Nutrition and Dietary Deficiencies

     Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

     Corrected Feb 13, 2026 · CMS health inspection

3. May 13, 2025 Health · 6 findings
   • Not serious Scope/severity D

     F0578 Resident Rights Deficiencies

     Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

     Corrected Jun 4, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0585 Resident Rights Deficiencies

     Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

     Corrected Jun 4, 2025 · CMS health inspection

   • Not serious Scope/severity D

     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 4, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jun 4, 2025 · CMS health inspection

   • Not serious Scope/severity C

     K0211 Egress Deficiencies

     Keep aisles, corridors, and exits free of obstruction in case of emergency.

     Corrected May 14, 2025 · CMS fire safety

   • Not serious Scope/severity C

     K0521 Services Deficiencies

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

     Corrected May 14, 2025 · CMS fire safety

4. Oct 23, 2024 Health · 1 finding
   • Not serious Scope/severity F Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Oct 28, 2024 · CMS health inspection

5. Mar 28, 2024 Health · 8 findings
   • Not serious Scope/severity F

     F0625 Resident Rights Deficiencies

     Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

     Corrected May 12, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     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 May 12, 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 May 12, 2024 · CMS health inspection

   • Not serious Scope/severity F 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 May 12, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected May 12, 2024 · CMS health inspection

   • Not serious Scope/severity F Complaint

     F0908 Environmental Deficiencies

     Keep all essential equipment working safely.

     Corrected May 12, 2024 · CMS health inspection

   • Not serious Scope/severity C

     K0211 Egress Deficiencies

     Keep aisles, corridors, and exits free of obstruction in case of emergency.

     Corrected May 12, 2024 · CMS fire safety

   • Not serious Scope/severity C

     K0521 Services Deficiencies

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

     Corrected May 12, 2024 · CMS fire safety

6. Nov 22, 2023 Health · 2 findings
   • Serious Scope/severity J Complaint

     F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

     Corrected Nov 30, 2023 · CMS health inspection

   • Serious Scope/severity J Complaint

     F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

     Corrected Nov 30, 2023 · CMS health inspection

7. Feb 28, 2023 Health · 3 findings
   • Not serious Scope/severity E

     F0679 Quality of Life and Care Deficiencies

     Provide activities to meet all resident's needs.

     Corrected Mar 7, 2023 · CMS health inspection

   • Not serious Scope/severity C

     K0211 Egress Deficiencies

     Keep aisles, corridors, and exits free of obstruction in case of emergency.

     Corrected Feb 28, 2023 · CMS fire safety

   • Not serious Scope/severity C

     K0521 Services Deficiencies

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

     Corrected Feb 28, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• CHUMLEY, RICHARD — managing control - governing body, NOT APPLICABLE, since 11/05/2011
• CHUMLEY, RICHARD — operational/managerial control, NOT APPLICABLE, since 11/05/2011
• CONLEY, SHAWN — operational/managerial control, NOT APPLICABLE, since 11/01/2017
• CONLEY, SHAWN — adp of the snf, NOT APPLICABLE, since 11/01/2017
• LEACH, CHRISTOPHER — operational/managerial control, NOT APPLICABLE, since 10/01/2021
• LEACH, CHRISTOPHER — adp of the snf, NOT APPLICABLE, since 10/01/2021
• MCGILL, MITCHELL — adp of the snf, NOT APPLICABLE, since 10/01/2023
• MCGILL, MITCHELL — operational/managerial control, NOT APPLICABLE, since 10/01/2023
• MCKENZIE, MARK — adp of the snf, NOT APPLICABLE, since 11/01/2017
• MCKENZIE, MARK — operational/managerial control, NOT APPLICABLE, since 11/01/2017
• METCALF, EDDIE — operational/managerial control, NOT APPLICABLE, since 08/19/2019
• METCALF, EDDIE — managing control - governing body, NOT APPLICABLE, since 08/19/2019
• PENN, TRACY — operational/managerial control, NOT APPLICABLE, since 02/01/2023
• PENN, TRACY — adp of the snf, NOT APPLICABLE, since 02/01/2023
• RAYVON, HALEY — adp of the snf, NOT APPLICABLE, since 08/09/2020
• RAYVON, HALEY — operational/managerial control, NOT APPLICABLE, since 08/09/2020
• REED, ALEXA — operational/managerial control, NOT APPLICABLE, since 11/14/2023
• REED, ALEXA — managing control - governing body, NOT APPLICABLE, since 11/14/2023
• REINART, JANET — managing control - governing body, NOT APPLICABLE, since 08/17/2020
• REINART, JANET — operational/managerial control, NOT APPLICABLE, since 08/17/2020
• SPURLOCK, WALTER — operational/managerial control, NOT APPLICABLE, since 09/12/2019
• SPURLOCK, WALTER — managing control - governing body, NOT APPLICABLE, since 09/12/2019
• STRUBBE, LORETTA — adp of the snf, NOT APPLICABLE, since 07/01/2018
• STRUBBE, LORETTA — operational/managerial control, NOT APPLICABLE, since 07/01/2018
• FOCUSED POST — operational/managerial control, NOT APPLICABLE, since 11/01/2017
• FOCUSED POST — adp of the snf, NOT APPLICABLE, since 03/10/2025
• 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 02/19/2025
• FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC — adp of the snf, NOT APPLICABLE, since 03/10/2025
• FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC — operational/managerial control, NOT APPLICABLE, since 11/01/2017
• FPACP LAMESA LLC — adp of the snf, NOT APPLICABLE, since 02/13/2025
• FPACP LAMESA LLC — operational/managerial control, NOT APPLICABLE, since 11/01/2017
• STRATFORD HOSPITAL DISTRICT — 5% or greater direct ownership interest, 100%, since 11/27/2016
• STRATFORD HOSPITAL DISTRICT — operational/managerial control, NOT APPLICABLE, since 11/01/2017