Focused Care at Beechnut
12777 Beechnut St, Houston, TX 77072
Focused Care at Beechnut is a nursing home in Houston, Texas. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
CMS star ratings
- 2 of 5CMS overall star rating
- 1 of 5CMS health inspection star rating
- 1 of 5CMS staffing star rating
- 5 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (281) 879-8040
- Last standard health inspection
- August 22, 2025 (1 year ago)
- Certified beds
- 146
- Residents per day, on average
- 125
- Ownership type
- For profit - Limited Liability company
- Legal business name
- Fpacp Beechnut LLC
- Chain
- Focused Post Acute Care Partners
- Takes part in
- Medicare and Medicaid
More health citations than the Texas average (32 vs 28).
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 8, 2026
Special Focus Facility
CMS no longer lists this home as a Special Focus Facility candidate.
CMS update of May 27, 2026
Special Focus Facility
CMS now lists this home as a Special Focus Facility candidate.
1 citation
Health inspection on April 17, 2026
CMS lists this as a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
129 of 1,177 Texas homes (11%) got a citation at the immediate jeopardy level in 2026.
Citation F0689. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on March 21, 2026.
CMS has cited this home for F0689 7 times since 2023.
CMS update of November 20, 2025
Star rating
The CMS overall star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 5 of 5.
Special Focus Facility
CMS no longer lists this home as a Special Focus Facility candidate.
11 citations
Health inspection on August 22, 2025
CMS lists this as a standard inspection.
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on September 15, 2025.
CMS has cited this home for F0812 3 times since 2023.
Citation F0814. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Dispose of garbage and refuse properly.
CMS lists it as corrected on September 15, 2025.
CMS has cited this home for F0814 2 times since 2024.
Citation F0558. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Reasonably accommodate the needs and preferences of each resident.
CMS lists it as corrected on September 9, 2025.
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on September 15, 2025.
CMS has cited this home for F0880 3 times since 2023.
Citation F0919. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Make sure that a working call system is available in each resident's bathroom and bathing area.
CMS lists it as corrected on September 15, 2025.
Citation F0925. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
CMS lists it as corrected on September 15, 2025.
Citation F0640. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
CMS lists it as corrected on September 9, 2025.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on September 15, 2025.
CMS has cited this home for F0656 3 times since 2024.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on September 15, 2025.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on September 15, 2025.
CMS has cited this home for F0695 2 times since 2023.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on September 15, 2025.
1 citation
Fire safety inspection on August 22, 2025
CMS lists this as a standard inspection.
Citation K0372. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
CMS lists it as corrected on September 9, 2025.
CMS has cited this home for K0372 2 times since 2024.
CMS update of July 30, 2025
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
CMS update of May 28, 2025
Star rating
The CMS quality measures star rating changed from 1 of 5 to 4 of 5.
CMS update of April 30, 2025
Fine
CMS changed the fine from August 29, 2024 from $16,055 to $16,240.
CMS update of February 26, 2025
Fine
CMS changed the fine from February 8, 2024 from $8,021 to $8,170.
Fine
CMS changed the fine from May 3, 2024 from $16,448 to $16,716.
Fine
CMS changed the fine from July 2, 2024 from $74,250 to $49,277.
CMS update of December 20, 2024
Fine
CMS changed the fine from May 3, 2024 from $25,305 to $16,448.
CMS update of October 30, 2024
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
Staffing
Total nurse staffing reported to CMS went from 3.0 to 2.4 hours per resident per day.
Fine
CMS changed the fine from February 8, 2024 from $12,340 to $8,021.
1 citation
Health inspection on August 29, 2024
CMS lists this as a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
411 of 1,177 Texas homes (35%) got a citation at the immediate jeopardy level in 2024.
Citation F0689. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on August 18, 2024.
Fine
August 29, 2024 (2 years ago)
CMS fine of $16,240 on August 29, 2024.
CMS update of August 29, 2024
Star rating
The CMS health inspection star rating changed from 2 of 5 to 1 of 5.
Special Focus Facility
CMS now lists this home as a Special Focus Facility candidate.
CMS update of July 31, 2024
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
8 citations
Health inspection on July 2, 2024
CMS lists this as a standard inspection and a complaint inspection.
Severity K is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
411 of 1,177 Texas homes (35%) got a citation at the immediate jeopardy level in 2024.
Citation F0580. Severity K: immediate jeopardy, pattern.
The rule CMS cited:
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS lists it as corrected on August 1, 2024.
CMS has cited this home for F0580 2 times since 2024.
Citation F0690. Severity K: immediate jeopardy, pattern.
The rule CMS cited:
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS lists it as corrected on August 1, 2024.
Citation F0550. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS lists it as corrected on August 1, 2024.
Citation F0656. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on August 1, 2024.
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on August 1, 2024.
Citation F0814. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Dispose of garbage and refuse properly.
CMS lists it as corrected on August 1, 2024.
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on August 1, 2024.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on August 1, 2024.
3 citations
Fire safety inspection on July 2, 2024
CMS lists this as a standard inspection.
Citation K0712. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on August 1, 2024.
CMS has cited this home for K0712 2 times since 2023.
Citation K0355. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Properly select, install, inspect, or maintain portable fire extinguishes.
CMS lists it as corrected on August 1, 2024.
CMS has cited this home for K0355 2 times since 2023.
Citation K0372. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
CMS lists it as corrected on August 1, 2024.
Fine
July 2, 2024 (2 years ago)
CMS fine of $49,277 on July 2, 2024.
3 citations
Health inspection on May 3, 2024
CMS lists this as a complaint inspection.
Severity K is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
411 of 1,177 Texas homes (35%) got a citation at the immediate jeopardy level in 2024.
Citation F0580. Severity K: immediate jeopardy, pattern.
The rule CMS cited:
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS lists it as corrected on May 29, 2024.
Citation F0656. Severity K: immediate jeopardy, pattern.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on May 29, 2024.
Citation F0689. Severity K: immediate jeopardy, pattern.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on May 29, 2024.
Fine
May 3, 2024 (2 years ago)
CMS fine of $16,716 on May 3, 2024.
CMS update of February 29, 2024
Star rating
The CMS health inspection star rating changed from 1 of 5 to 2 of 5.
2 citations
Health inspection on February 8, 2024
CMS lists this as a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
411 of 1,177 Texas homes (35%) got a citation at the immediate jeopardy level in 2024.
Citation F0684. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on March 5, 2024.
Citation F0689. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on March 5, 2024.
Fine
February 8, 2024 (2 years ago)
CMS fine of $8,170 on February 8, 2024.
CMS update of January 31, 2024
Staffing
Total nurse staffing reported to CMS went from 3.1 to 2.8 hours per resident per day.
Fine
CMS changed the fine from April 22, 2023 from $42,540 to $43,666.
6 citations
Health inspection on April 22, 2023
CMS lists this as a standard inspection.
Severity K is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
152 of 1,177 Texas homes (13%) got a citation at the immediate jeopardy level in 2023.
Citation F0689. Severity K: immediate jeopardy, pattern.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on April 30, 2023.
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on April 30, 2023.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on April 30, 2023.
Citation F0759. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure medication error rates are not 5 percent or greater.
CMS lists it as corrected on April 30, 2023.
Citation F0849. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
CMS lists it as corrected on April 30, 2023.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on April 30, 2023.
3 citations
Fire safety inspection on April 22, 2023
CMS lists this as a standard inspection.
Citation K0712. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on April 20, 2023.
Citation K0324. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on April 23, 2023.
Citation K0355. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Properly select, install, inspect, or maintain portable fire extinguishes.
CMS lists it as corrected on April 20, 2023.
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- FPACP BEECHNUT LLC5% or greater direct ownership interest · 100% · since 02/01/2017
- FOCUSED POST ACUTE CARE PARTNERS LLCOperational/managerial control · not applicable · since 02/01/2017
- FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLCOperational/managerial control · not applicable · since 02/01/2017
- FPACP BEECHNUT LLCOperational/managerial control · not applicable · since 02/01/2017
- AKPATA, NOSAOperational/managerial control · not applicable · since 06/02/2024
- CONLEY, SHAWNOperational/managerial control · not applicable · since 02/01/2017
- JESANI, SAMEENOperational/managerial control · not applicable · since 05/04/2021
- LALANI, SULEMANOperational/managerial control · not applicable · since 02/01/2017
- MCKENZIE, MARKOperational/managerial control · not applicable · since 02/01/2017
- PATT, LESLIEOperational/managerial control · not applicable · since 05/16/2024
- STRUBBE, LORETTAOperational/managerial control · not applicable · since 01/01/2018
Questions
When was Focused Care at Beechnut last inspected?
CMS lists August 22, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does Focused Care at Beechnut have?
CMS lists 32 health citations since April 22, 2023. CMS also calls these deficiencies.
Has Focused Care at Beechnut been fined?
CMS lists 4 fines in the past three years, $90,403 in total.
What is the CMS star rating of Focused Care at Beechnut?
Its CMS overall star rating is 2 of 5.
Is Focused Care at Beechnut a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.