Nursing home · Top rated by CMS
Focused Care at Hamilton (Skilled Nursing)
1315 East State Hwy 22, Hamilton, TX 76531 · Map
For profit - Partnership · Part of Focused Post Acute Care Partners (25 facilities) · 78 certified beds
Focused Care at Hamilton (Skilled Nursing) is a Medicare-certified nursing home in Hamilton, Texas. CMS rates it 5 out of 5 stars overall (2/5 for staffing, 5/5 for health inspections). Nurse staffing is 3.75 hours per resident per day, above the Texas average of 3.40. Its most recent inspection on Sep 30, 2025 cited 0 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Focused Care at Hamilton (Skilled Nursing) compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.75 | 3.40 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.21 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.37 | 2.01 | 2.34 | above avg |
| Nursing staff turnover | 48.6% | 51.5% | 46.4% | below avg |
| Deficiencies cited, last inspection | 0.0 | 9.1 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- No health deficiencies cited at the last standard inspection (September 2025)
- Every deficiency from the September 27, 2024 inspection was corrected by October 10, 2024
What inspectors found at Focused Care at Hamilton (Skilled Nursing)
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · Sep 27, 2024 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Sep 27, 2024 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Dec 4, 2023 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jul 26, 2023 - Potential for harm
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · Jul 26, 2023
Show all 10 deficiencies
- Potential for harm
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies · Jul 26, 2023 - Potential for harm
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Jul 26, 2023 - Potential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Jul 26, 2023 - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jun 15, 2023 - Potential for harm
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jun 15, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1315 East State Hwy 22
Hamilton, TX 76531 - CMS certification #
- 675140
- Ownership
- For profit - Partnership
- Certified beds
- 78
- Avg residents/day
- 44.2
- Provider type
- Medicare and Medicaid
- First certified
- 1993-04-09
- Chain
- Focused Post Acute Care Partners (25 facilities)
- Setting
- Rural
Part of Focused Post Acute Care Partners
Focused Post Acute Care Partners operates 25 nursing facilities across the United States. View all Focused Post Acute Care Partners facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Focused Care at Hamilton (Skilled Nursing) using Google Maps.
Other public records
- Staff pay 1 federal wage case with violations found, since 2022
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Feb 14, 2022 to Feb 13, 2024. Violations found: Overtime, Family and medical leave. Back wages: $1,968 owed to 18 employees. Employer as DOL recorded it: Focused Care at Hamilton (FPACP). Case 1988799.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Hamilton General Hospital, Hamilton. 0.6 miles away, straight line.
- Nearest Medicare nursing home
- Pecan Creek Healthcare Center, Hamilton. 0.6 miles away, straight line.
- Nearest home health agency office
- Lee Healthcare Inc, Hamilton. 1.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Brookshire Brothers Pharmacy. 0.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 76531 as rural (rural area).
- Hospice
- 5 Medicare hospices tell CMS they serve ZIP code 76531.
- Nearest geriatric medicine practice
- Scott And White Clinic, Copperas Cove. 34.2 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Area not mapped by FEMA. (FEMA flood map)
- Wildfire risk to homes
- In Hamilton, TX, risk to homes is greater than 89% of communities in Texas and 92% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively moderate, wildfire relatively moderate, tornado relatively high, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
Looking for assisted living or memory care instead?
Frequently asked questions
Is Focused Care at Hamilton (Skilled Nursing) a good nursing home?
CMS gives Focused Care at Hamilton (Skilled Nursing) an overall rating of 5 out of 5 stars, including 2/5 for staffing and 5/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Focused Care at Hamilton (Skilled Nursing) staffed?
Focused Care at Hamilton (Skilled Nursing) reports 3.75 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Focused Care at Hamilton (Skilled Nursing) had inspection problems?
Its most recent CMS inspection cited 0 deficiencies.
How many beds does Focused Care at Hamilton (Skilled Nursing) have?
Focused Care at Hamilton (Skilled Nursing) is certified for 78 beds.