Focused Care At Odessa

Inspection findings

1. May 27, 2026 Health · 2 findings
   • 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 Jun 19, 2026 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0908 Environmental Deficiencies

     Keep all essential equipment working safely.

     Corrected Jun 19, 2026 · CMS health inspection

2. Jan 8, 2026 Health · 8 findings
   • Not serious Scope/severity D

     F0552 Resident Rights Deficiencies

     Ensure that residents are fully informed and understand their health status, care and treatments.

     Corrected Jan 9, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0583 Resident Rights Deficiencies

     Keep residents' personal and medical records private and confidential.

     Corrected Jan 9, 2026 · CMS health inspection

   • 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 Jan 9, 2026 · CMS health inspection

   • Not serious Scope/severity D 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 Jan 9, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0726 Nursing and Physician Services Deficiencies

     Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

     Corrected Jan 9, 2026 · 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 Jan 9, 2026 · CMS health inspection

   • Not serious Scope/severity E

     K0222 Egress Deficiencies

     Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

     Corrected Mar 27, 2026 · 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 Mar 12, 2026 · CMS fire safety

3. Dec 4, 2025 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0940 Administration Deficiencies

     Develop, implement, and/or maintain an effective training program for all new and existing staff members.

     Corrected Jan 19, 2026 · CMS health inspection

4. Nov 18, 2025 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0695 Quality of Life and Care Deficiencies

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

     Corrected Nov 20, 2025 · CMS health inspection

5. May 14, 2025 Health · 7 findings
   • Not serious Scope/severity D 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 Jun 30, 2025 · CMS health inspection

   • Not serious Scope/severity E Complaint

     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 Jun 30, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0679 Quality of Life and Care Deficiencies

     Provide activities to meet all resident's needs.

     Corrected Jun 30, 2025 · CMS health inspection

   • Serious Scope/severity G 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 30, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0693 Quality of Life and Care Deficiencies

     Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

     Corrected Jun 30, 2025 · 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 30, 2025 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jun 30, 2025 · CMS health inspection

6. Oct 3, 2024 Health · 10 findings
   • Not serious Scope/severity E

     F0550 Resident Rights Deficiencies

     Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

     Corrected Nov 4, 2024 · CMS health inspection

   • 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 Nov 4, 2024 · 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 Nov 4, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0695 Quality of Life and Care Deficiencies

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

     Corrected Nov 4, 2024 · CMS health inspection

   • Not serious Scope/severity F

     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 Nov 4, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Nov 4, 2024 · CMS health inspection

   • Not serious Scope/severity E

     K0211 Egress Deficiencies

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

     Corrected Nov 4, 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 Nov 4, 2024 · CMS fire safety

   • Not serious Scope/severity D

     K0741 Miscellaneous Deficiencies

     Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

     Corrected Nov 4, 2024 · CMS fire safety

   • Not serious Scope/severity D

     K0920 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure proper usage of power strips and extension cords.

     Corrected Nov 4, 2024 · CMS fire safety

7. Apr 12, 2024 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Apr 21, 2024 · CMS health inspection

8. Aug 29, 2023 Fire Safety · 10 findings
   • Not serious Scope/severity F

     E0004 Emergency Preparedness Deficiencies

     Develop and maintain an Emergency Preparedness Program (EP).

     Corrected Oct 13, 2023 · CMS fire safety

   • Not serious Scope/severity F

     E0026 Emergency Preparedness Deficiencies

     Establish roles under a Waiver declared by secretary.

     Corrected Oct 13, 2023 · CMS fire safety

   • Not serious Scope/severity E

     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 Oct 13, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Oct 13, 2023 · CMS health inspection

   • Not serious Scope/severity E 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 Oct 13, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Oct 13, 2023 · CMS health inspection

   • Not serious Scope/severity F

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Oct 13, 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 Oct 13, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0741 Miscellaneous Deficiencies

     Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

     Corrected Oct 13, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0930 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure proper storage of liquid oxygen.

     Corrected Oct 13, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• AKINJAGUNLA, SUNKANMI — adp of the snf, NOT APPLICABLE, since 03/03/2024
• AKINJAGUNLA, SUNKANMI — operational/managerial control, NOT APPLICABLE, since 03/03/2024
• BOWERMAN, STEPHEN — managing control - governing body, NOT APPLICABLE, since 01/01/2023
• BOWERMAN, STEPHEN — corporate officer, NOT APPLICABLE, since 01/01/2023
• CHAPLIN, CARI — managing control - governing body, NOT APPLICABLE, since 01/01/2025
• CONLEY, SHAWN — adp of the snf, NOT APPLICABLE, since 11/01/2017
• CONLEY, SHAWN — operational/managerial control, NOT APPLICABLE, since 11/01/2017
• FLORES, THOMAS — managing control - governing body, NOT APPLICABLE, since 05/01/2023
• GOLDAPP, SHANNON — managing control - governing body, NOT APPLICABLE, since 11/01/2024
• GREENE, TRACIE — managing control - governing body, NOT APPLICABLE, since 04/01/2017
• GRIMES, DAVID — managing control - governing body, NOT APPLICABLE, since 04/01/2017
• LE, CHAU — adp of the snf, NOT APPLICABLE, since 11/01/2017
• MCKENZIE, MARK — adp of the snf, NOT APPLICABLE, since 11/01/2017
• MCKENZIE, MARK — managing control - governing body, NOT APPLICABLE, since 11/01/2017
• MCKENZIE, MARK — operational/managerial control, NOT APPLICABLE, since 02/01/2017
• MELENDEZ, LEONEL — operational/managerial control, NOT APPLICABLE, since 01/31/2024
• MELENDEZ, LEONEL — adp of the snf, NOT APPLICABLE, since 01/31/2024
• STRUBBE, LORETTA — adp of the snf, NOT APPLICABLE, since 11/01/2017
• STRUBBE, LORETTA — operational/managerial control, NOT APPLICABLE, since 11/01/2017
• WADE, DLISA — adp of the snf, NOT APPLICABLE, since 11/16/2017
• WADE, DLISA — operational/managerial control, NOT APPLICABLE, since 11/16/2017
• FOCUSED POST — adp of the snf, NOT APPLICABLE, since 07/25/2025
• 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 07/25/2025
• FOCUSED POST ACUTE CARE PARTNERS LLC — operational/managerial control, NOT APPLICABLE, since 11/01/2017
• FOCUSED POST ACUTE CARE PARTNERS LLC — adp of the snf, NOT APPLICABLE, since 07/25/2025
• FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC — adp of the snf, NOT APPLICABLE, since 07/25/2025
• FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC — operational/managerial control, NOT APPLICABLE, since 11/01/2017
• FPACP ODESSA LLC — adp of the snf, NOT APPLICABLE, since 07/25/2025
• FPACP ODESSA LLC — operational/managerial control, NOT APPLICABLE, since 11/01/2017
• MIDLAND COUNTY HOSPITAL DISTRICT — operational/managerial control, NOT APPLICABLE, since 11/01/2017
• MIDLAND COUNTY HOSPITAL DISTRICT — direct ownership interest, NOT APPLICABLE, since 04/01/2017