Focused Care at Mount Pleasant: Roach Sighting Violations - TX
Federal inspectors cited Focused Care at Mount Pleasant on September 8, 2025, after a complaint investigation revealed the facility's pest control program had a straightforward flaw: the maintenance log that was supposed to capture every bug sighting, so infestations could be targeted and treated, wasn't being used the way management said it should be.
The assistant director of nursing told inspectors that morning that he had personally seen large water bugs inside the facility. He said he could not say whether he had seen small roaches. His explanation for how the facility handles pest problems was direct: staff are supposed to write bug sightings in the maintenance book so they can be targeted. He said maintaining an effective pest control program was important for infection prevention.
The administrator, interviewed about forty minutes later, described a rounding system the facility uses on weekdays, in which administrative staff walk through and check on no more than six residents per day. Anything residents report, and anything staff observe in the environment, including bugs, goes on a sheet that gets discussed in morning meetings. Bug sightings are also supposed to go in the maintenance book. On weekends, a weekend administrator handles rounds for all residents. The administrator was clear that any staff member who spots a roach should be writing it in the maintenance book so it can be addressed.
The facility's own pest control policy, dated February 2017, states that the facility shall maintain an effective pest control program and that ongoing efforts are required to keep the building free of insects and rodents.
What inspectors found was the gap between that policy and what was actually happening. Staff were seeing bugs. The system for capturing those sightings and directing a response depended entirely on workers filling out the maintenance log. When that step gets skipped, the targeted treatments don't happen, because nobody with the authority to schedule them knows where to look.
The citation was classified as causing minimal harm or potential for actual harm, and inspectors noted that some residents were affected.
That classification sits at the lower end of the federal harm scale, but it does not mean the finding was minor in the lives of people who live in the building full time. Nursing home residents cannot choose to go home if conditions bother them. They eat, sleep, and spend most of their hours inside these walls. A roach problem that goes unlogged is a roach problem that goes untreated, and the people with the least ability to do anything about it are the ones lying in the beds.
The assistant director of nursing acknowledged the water bugs himself. He saw them. The question inspectors were effectively asking was: did it get written down, and did anything happen because of it?
The facility has a morning meeting structure, a rounding system, a written policy, and a maintenance log. It has more administrative infrastructure around pest control than many facilities its size. What it apparently did not have, at the time inspectors arrived, was consistent follow-through from the staff doing the seeing to the book where the seeing gets recorded.
That is a small failure in process. It is also, for a resident who cannot get up and leave the room, not a small thing to live with.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Focused Care At Mount Pleasant from 2025-09-08 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.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 24, 2026 · Our methodology
Focused Care at Mount Pleasant in Mount Pleasant, TX was cited for violations during a health inspection on September 8, 2025.
The assistant director of nursing told inspectors that morning that he had personally seen large water bugs inside the facility.
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.