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Complaint Investigation

Focused Care At Mount Pleasant

September 8, 2025 · Mount Pleasant, TX · 1606 Memorial Ave
Citations 1
CMS Rating 1/5
Beds 122
Provider ID 455900
Healthcare Facility
Focused Care At Mount Pleasant
Mount Pleasant, TX  ·  View full profile →
Inspection Summary

Focused Care at Mount Pleasant in Mount Pleasant, TX — inspection on September 8, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0925
Environmental Deficiencies
Potential for More Than Minimal Harm

During an interview on 9/8/25 at 10:20 a.m., the Administrator said the facility conducts administrative rounds in which Monday through Friday an administrative personnel rounds on no more than 6 residents.

Any issues reported by the resident and anything they see in the environment (such as bugs) are placed on a sheet to discuss solutions in morning meetings but any bug sightings are also to be written in the maintenance book.

The Administrator during the weekends, the weekend administrator performs the rounds for all residents.

The Administrator said all staff identifying bugs, such as roaches, should be writing that in the maintenance book so it can be addressed.

Record review of the facility policy and procedure dated 2/1/17, titled Pest Control, stated Policy Our facility shall maintain and effective pest control program.

Procedure The facility maintains an on-going pest control program to ensure that the building is kept free of insects and rodents.

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Mount Pleasant, TX, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Focused Care at Mount Pleasant or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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