Focused Care of Center: Resident Fight, Abuse Failures - TX
She admitted as much to inspectors who arrived at Focused Care of Center in April 2025. She knew Resident #3 had a history of behavioral incidents before his admission. She accepted him anyway. She said she felt like they could help him.
What followed was a series of violent incidents that left at least two other residents physically harmed, a third with a kicked limb, and a man who described himself as turning into "the devil" when provoked sitting in a facility that had connected him with a counselor exactly one time.
Resident #3 is a man living with Wilson's disease, a rare genetic disorder that causes copper to accumulate in the body and can affect the brain and nervous system, producing mood disturbances, personality changes, and difficulty controlling impulses. He was diagnosed at 28, he told inspectors, after spending two months in the hospital. He described himself during an interview on April 16, 2025 as "a sweet guy" who loses control when angered. "When you make him mad, he turns into the devil," he said. "He did not have control over his actions when he gets mad, and he gets anxious."
He had been kicked out of another nursing facility before coming to Focused Care of Center. The reason: he tried to bite a medication aide's finger.
The administrator knew this. She told inspectors that Resident #3 "liked to instigate and stir the pot with other residents and staff" and that he "often inserted himself into conversations with staff and residents that were not about him." She said he knew what he was doing. She said he would often apologize after an altercation. Her stated expectation was that staff would "do their best to prevent abuse" and report anything that happened.
That is not the same as a plan.
Resident #3 told inspectors about two specific incidents in his own words, without apparent prompting. In the smoking area, he told Resident #4 to tie his shoe. Resident #4 told him to mind his own business. Resident #3 said he couldn't let it go. He got up, started walking toward Resident #4, and the two men began fighting and fell to the ground together.
Resident #4 described the same event from his side during an interview on April 17, 2025. He said Resident #3 wouldn't leave him alone. He said they both started fighting. He said afterward he just tried to stay away from Resident #3 and stay out of trouble. He didn't like him, he said, but conflict wasn't something he wanted.
The second incident Resident #3 described involved Resident #6. He said he kicked Resident #6 because he was jealous that staff were feeding Resident #6 and not him. After that incident, he said, he was sent to a behavioral hospital.
He came back.
Through all of it, from the smoking area fight to the kick that sent him to a psychiatric facility, Resident #3 told inspectors he had spoken with a counselor one time since his admission. One time. He said he did not receive counseling services at the facility in any ongoing or structured way. He said when incidents happened with other residents, he would go apologize afterward. He knew what he'd done. He just couldn't stop himself in the moment, and nobody had built anything around that reality.
The facility's own abuse policy, dated February 1, 2017, states that all events involving an allegation of abuse or suspicious serious bodily injury must be reported immediately, or no later than two hours after the alleged violation. Inspectors cited the facility for deficiencies related to the handling of these incidents. The level of harm was noted as minimal harm or potential for actual harm, and the deficiency was described as affecting few residents.
That framing, minimal harm, few residents, is the language of regulatory classification. It does not describe what it felt like to be Resident #4, knocked to the ground in a place where he was supposed to be safe. It does not describe Resident #6, kicked by a man who resented the attention staff were giving him.
What the inspection record shows is a facility that made a deliberate admission decision with full knowledge of a resident's behavioral history, including the prior facility expulsion, and then provided no meaningful infrastructure to manage what it had agreed to take on. No counseling program. No documented behavioral intervention beyond whatever individual staff members attempted in the moment. An administrator whose articulated standard was: prevent if you can, report if you can't.
The administrator told inspectors she accepted Resident #3 because she thought they could help him. He told inspectors, in his own words, that he talked to a counselor once.
He also told inspectors something else. He described his diagnosis, his history, the way anger moves through him before he can catch it. He described going to apologize to the people he'd hurt. He said he was a sweet guy. He said he turns into the devil. He said he did not have control.
That is a man who understands his condition and has told the people responsible for his care exactly what it does to him. What he got in return was a single counseling session and a smoking area with no meaningful supervision.
Resident #4, who just wanted to sit outside and didn't feel his shoe situation was anyone else's concern, ended up on the ground. He told inspectors he was trying to stay out of trouble now. He was trying to stay away.
That's not a care plan. That's a resident managing his own safety in a place that's supposed to manage it for him.
The inspection was completed April 22, 2025. Focused Care of Center is located at 501 Timpson in Center, Texas.
Resident #3 was still there.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Focused Care of Center from 2025-04-22 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
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Last verified: October 26, 2026 · Our methodology
FOCUSED CARE OF CENTER in CENTER, TX was cited for abuse-related violations during a health inspection on April 22, 2025.
She admitted as much to inspectors who arrived at Focused Care of Center in April 2025.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.