Nursing home
Focused Care at Orange
4201 Fm 105, Orange, TX 77630 · Map
For profit - Limited Liability company · Part of Focused Post Acute Care Partners (25 facilities) · 120 certified beds
Focused Care at Orange is a Medicare-certified nursing home in Orange, Texas. CMS rates it 1 out of 5 stars overall (2/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.39 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Apr 25, 2025 cited 8 deficiencies.
- 3 fines totaling $193,434In CMS records: 3 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Focused Care at Orange 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) | 3.39 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.21 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.97 | 2.01 | 2.34 | below avg |
| Nursing staff turnover | 38.4% | 51.5% | 46.4% | below avg |
| Deficiencies cited, last inspection | 8.0 | 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.
Penalties in CMS records: 3 fines totaling $193,434, 3 total penalties.
What inspectors found at Focused Care at Orange
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
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Nov 18, 2025 · Full report (PDF) - Immediate jeopardy
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Quality of Life and Care Deficiencies · Apr 25, 2025 · 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 · Apr 25, 2025 · Full report (PDF) - Potential for harm
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies · Apr 25, 2025 · Full report (PDF) - Potential for harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · Apr 25, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Apr 25, 2025 · Full report (PDF) - Immediate jeopardy
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Apr 16, 2025 · Full report (PDF) - Potential for harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Mar 25, 2025 · Full report (PDF) - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jan 24, 2025 · Full report (PDF) - Immediate jeopardy
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Jan 24, 2025 · Full report (PDF) - Potential for harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jan 24, 2025 · Full report (PDF) - Potential for harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jan 24, 2025 · Full report (PDF)
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
- 4201 Fm 105
Orange, TX 77630 - CMS certification #
- 676094
- Ownership
- For profit - Limited Liability company
- Certified beds
- 120
- Avg residents/day
- 103.8
- Provider type
- Medicare and Medicaid
- First certified
- 2006-03-09
- Chain
- Focused Post Acute Care Partners (25 facilities)
- Setting
- Urban
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 Orange using Google Maps.
Other public records
- Emergency In FEMA's high-risk flood area (Zone AE)
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- The Medical Center Of Southeast Texas, Port Arthur. 17.7 miles away, straight line. CMS overall hospital rating: 3 of 5 stars. Location approximate.
- Nearest Medicare nursing home
- Oak Grove Nursing Home, Groves. 13.3 miles away, straight line.
- Nearest home health agency office
- Prescribed Home Health Inc, Orange. 3.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walmart Pharmacy. 6.5 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 77630 as micropolitan (micropolitan core).
- Dialysis within 15 miles
- Davita Renal Center Of Orange, Orange, 1.4 miles away, straight line (CMS rating 3 of 5 stars)
Fkc Orange, Orange, 2.8 miles away, straight line (CMS rating 2 of 5 stars) - Hospice
- 29 Medicare hospices tell CMS they serve ZIP code 77630.
The Southeast Texas Hospice, office in Orange, 1.6 miles away, straight line
Stonewood Hospice Inc, office in Orange, 5.8 miles away, straight line
Harbor Hospice Of Southeast Texas, office in Nederland, 15.9 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Cs Pacs 3 Southwest, LLC, Dayton. 68.0 miles away, straight line. 2 geriatric medicine doctors 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
- Zone AE: 1% annual chance flood area (high risk); base flood elevation set. This is inside FEMA's Special Flood Hazard Area, where flood insurance is required for federally backed mortgages. Base flood elevation 8 Feet NAVD88. (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively high, inland flooding relatively low, coastal flooding relatively high, wildfire relatively low, tornado relatively moderate, heat wave relatively low, 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 | Only cases that look tied to an earlier operator (not shown) |
| 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 | Not shown: FEMA rates wildfire risk here relatively low |
| 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 |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Focused Care at Orange a good nursing home?
CMS gives Focused Care at Orange an overall rating of 1 out of 5 stars, including 2/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Focused Care at Orange staffed?
Focused Care at Orange reports 3.39 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Focused Care at Orange had inspection problems?
Its most recent CMS inspection cited 8 deficiencies.
How many beds does Focused Care at Orange have?
Focused Care at Orange is certified for 120 beds.