Focused Care At Hamilton

Inspection findings

1. Sep 27, 2024 Health · 4 findings
   • 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 Oct 10, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0925 Environmental Deficiencies

     Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

     Corrected Oct 10, 2024 · CMS health inspection

   • 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 Mar 3, 2025 · CMS fire safety

   • Not serious Scope/severity D

     K0929 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

     Corrected Mar 3, 2025 · CMS fire safety

2. Dec 4, 2023 Health · 1 finding
   • 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 Dec 5, 2023 · CMS health inspection

3. Jul 26, 2023 Fire Safety · 11 findings
   • Not serious Scope/severity F

     E0004 Emergency Preparedness Deficiencies

     Develop and maintain an Emergency Preparedness Program (EP).

     Corrected Jun 22, 2024 · CMS fire safety

   • Not serious Scope/severity F

     E0039 Emergency Preparedness Deficiencies

     Conduct testing and exercise requirements.

     Corrected Jun 22, 2024 · CMS fire safety

   • Not serious Scope/severity D

     F0657 Resident Assessment and Care Planning Deficiencies

     Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

     Corrected Jul 31, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0679 Quality of Life and Care Deficiencies

     Provide activities to meet all resident's needs.

     Corrected Jul 31, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0805 Nutrition and Dietary Deficiencies

     Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

     Corrected Jul 31, 2023 · 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 Jul 31, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0925 Environmental Deficiencies

     Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

     Corrected Jul 31, 2023 · CMS health inspection

   • Not serious Scope/severity F

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Jun 22, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected Jul 4, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0511 Services Deficiencies

     Have properly installed electrical wiring and gas equipment.

     Corrected Jun 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 Jun 22, 2024 · CMS fire safety

Owners and managers (as published by CMS)

• COLLETT, MICHAEL — managing control - governing body, NOT APPLICABLE, since 05/29/2019
• CONLEY, SHAWN — adp of the snf, NOT APPLICABLE, since 04/01/2019
• CONLEY, SHAWN — operational/managerial control, NOT APPLICABLE, since 04/01/2019
• CRAIG, KAREN — managing control - governing body, NOT APPLICABLE, since 01/12/2022
• ENGLISH, JON — adp of the snf, NOT APPLICABLE, since 04/01/2019
• ENGLISH, JON — operational/managerial control, NOT APPLICABLE, since 04/01/2019
• ENGLISH, TIFFANY — adp of the snf, NOT APPLICABLE, since 07/30/2020
• ENGLISH, TIFFANY — operational/managerial control, NOT APPLICABLE, since 07/30/2020
• FORREST, WILLIAM — managing control - governing body, NOT APPLICABLE, since 05/20/1992
• HOOPER, GRADY — corporate officer, NOT APPLICABLE, since 12/01/2015
• LEE, JAMES — adp of the snf, NOT APPLICABLE, since 04/01/2019
• LEE, JAMES — operational/managerial control, NOT APPLICABLE, since 04/01/2019
• MCKENZIE, MARK — operational/managerial control, NOT APPLICABLE, since 04/01/2019
• MCKENZIE, MARK — adp of the snf, NOT APPLICABLE, since 04/01/2019
• MUXWORTHY, NEIL — managing control - governing body, NOT APPLICABLE, since 05/20/1996
• PRATT, CARRIE — operational/managerial control, NOT APPLICABLE, since 04/01/2017
• PRATT, CARRIE — adp of the snf, NOT APPLICABLE, since 02/18/2025
• STRUBBE, LORETTA — operational/managerial control, NOT APPLICABLE, since 04/01/2019
• WITZSCHE, ROBERT — managing control - governing body, NOT APPLICABLE, since 12/28/1998
• FOCUSED POST — operational/managerial control, NOT APPLICABLE, since 04/01/2019
• FOCUSED POST — adp of the snf, NOT APPLICABLE, since 03/10/2025
• FOCUSED POST ACUTE CARE PARTNERS II LLC — adp of the snf, NOT APPLICABLE, since 03/10/2025
• FOCUSED POST ACUTE CARE PARTNERS II LLC — operational/managerial control, NOT APPLICABLE, since 04/01/2019
• FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC — adp of the snf, NOT APPLICABLE, since 03/11/2025
• FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC — operational/managerial control, NOT APPLICABLE, since 04/01/2019
• FPACP HAMILTON LLC — operational/managerial control, NOT APPLICABLE, since 04/01/2019
• FPACP HAMILTON LLC — adp of the snf, NOT APPLICABLE, since 02/18/2025
• HAMILTON COUNTY HOSPITAL DISTRICT — adp of the snf, NOT APPLICABLE, since 03/10/2025
• HAMILTON COUNTY HOSPITAL DISTRICT — direct ownership interest, NOT APPLICABLE, since 04/01/2019
• HAMILTON COUNTY HOSPITAL DISTRICT — operational/managerial control, NOT APPLICABLE, since 04/01/2019