SNF

FOCUSED CARE AT BEECHNUT

CCN: 675000 · HOUSTON, TX 77072 · Harris County

Overview

Address
12777 BEECHNUT ST, HOUSTON, TX 77072
Phone
2818798040
Certified beds
146
Avg daily residents
114 (78% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1992-02-03
Setting
Urban
2 /5
★★★★★
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 2/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 1/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 1/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 5/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 5/5
Short-Stay Quality Measures — Data not available.

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
 3.05 3.72 3.17 ≥ 3.48 Below floor
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.19 0.65 0.20 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 0.72 0.83 0.75 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 2.14 2.24 2.22 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 0.91 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.13 — — —

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
2.74
hrs / resident / day
RN (weekend)
0.15
hrs / resident / day
Total nurse (adjusted, weekend)
2.85
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
44.0%
annual
RN turnover
84.6%
annual
Administrators departed
1
last 12 months

Resident acuity

Nursing Case-Mix Index
1.32
higher acuity than avg
Case-Mix Index Ratio
0.96
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2024-07-02 8 8 3 269 1 269
Cycle 2/3 (prior) 2023-04-22 13 6 7 660 1 660
Total weighted health score
366.8
lower is better

Deficiencies (26)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

16 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
9 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. J 2024-08-29 2024-08-18
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. E 2024-07-02 2024-08-01
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. E 2024-07-02 2024-08-01
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2024-07-02 2024-08-01
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2024-07-02 2024-08-01
0814 Dispose of garbage and refuse properly. E 2024-07-02 2024-08-01
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. K 2024-07-02 2024-08-01
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. K 2024-07-02 2024-08-01
0880 Provide and implement an infection prevention and control program. E 2024-07-02 2024-08-01
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. K 2024-05-03 2024-05-29
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. K 2024-05-03 2024-05-29
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. K 2024-05-03 2024-05-29
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. J 2024-02-08 2024-03-05
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. J 2024-02-08 2024-03-05
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. E 2023-09-18 2023-09-27
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. K 2023-04-22 2023-04-30
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2023-04-22 2023-04-30
0759 Ensure medication error rates are not 5 percent or greater. D 2023-04-22 2023-04-30
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2023-04-22 2023-04-30
0849 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. D 2023-04-22 2023-04-30
0880 Provide and implement an infection prevention and control program. D 2023-04-22 2023-04-30
0636 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. D 2022-02-25 2022-03-20
0644 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. D 2022-02-25 2022-03-20
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. E 2022-02-25 2022-03-20
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. G 2022-02-25 2022-03-20
0880 Provide and implement an infection prevention and control program. E 2022-02-25 2022-03-20

Penalties (5)

Fines issued
5
last 3 years
Total fines
$134,068
Date Type Fine amount
2024-02-08 Fine $8,170
2024-08-29 Fine $16,240
2024-05-03 Fine $16,716
2023-04-22 Fine $43,665
2024-07-02 Fine $49,277

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 1.2% Medicaid 87.6% Other 11.2%

Operating performance

Operating Margin
2.6%
Total Margin
11.3%
Occupancy Rate
81.3%
Cost per Resident Day
$21

Revenue & costs

Net Patient Revenue
$8.7M
Total Costs
$924K
Net Income
$1.1M

Balance sheet

Total Assets
$8.8M
Total Liabilities
$862K
Fund Balance
$8.0M
Current Ratio
1.24

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: FOCUSED POST ACUTE CARE PARTNERS

Chain ID
224
Facilities in chain
25
Legal business name
FPACP BEECHNUT LLC
Chain-average star ratings (for peer context)
Overall
2.2
Health
2.1
Staffing
1.6
QM
4.2

Owner / manager organizations (5)

Organization Role Association
FOCUSED POST ACUTE CARE PARTNERS LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 12/20/2016
FPACP BEECHNUT LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 02/01/2017
FOCUSED POST ACUTE CARE PARTNERS LLC OPERATIONAL/MANAGERIAL CONTROL since 02/01/2017
FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC OPERATIONAL/MANAGERIAL CONTROL since 02/01/2017
FPACP BEECHNUT LLC OPERATIONAL/MANAGERIAL CONTROL since 02/01/2017

Owner / manager individuals (13)

Name Role Association
CONLEY, SHAWN 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 07/01/2018
MCKENZIE, MARK 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 02/01/2017
STRUBBE, LORETTA 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 07/01/2018
AKPATA, NOSA OPERATIONAL/MANAGERIAL CONTROL since 06/02/2024
CONLEY, SHAWN OPERATIONAL/MANAGERIAL CONTROL since 02/01/2017
JESANI, SAMEEN OPERATIONAL/MANAGERIAL CONTROL since 05/04/2021
LALANI, SULEMAN OPERATIONAL/MANAGERIAL CONTROL since 02/01/2017
MCKENZIE, MARK OPERATIONAL/MANAGERIAL CONTROL since 02/01/2017
PATT, LESLIE OPERATIONAL/MANAGERIAL CONTROL since 05/16/2024
STRUBBE, LORETTA OPERATIONAL/MANAGERIAL CONTROL since 01/01/2018
CONLEY, SHAWN CORPORATE OFFICER since 05/01/2018
MCKENZIE, MARK CORPORATE OFFICER since 02/01/2017
STRUBBE, LORETTA CORPORATE OFFICER since 07/01/2018

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

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Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $21 metrics.cost_per_resident_day
Cost Report Current Ratio 1.24 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 87.6% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 1.2% metrics.medicare_day_share
Cost Report Net Income ($) $1,079,952 metrics.net_income
Cost Report Net Patient Revenue ($) $8,717,079 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 81.3% metrics.occupancy_rate
Cost Report Operating Margin (%) 2.6% metrics.operating_margin
Cost Report Total Assets ($) $8,834,425 metrics.total_assets
Cost Report Total Costs ($) $923,569 metrics.total_costs
Cost Report Total Fund Balances ($) $7,972,435 metrics.fund_balance
Cost Report Total Liabilities ($) $861,990 metrics.total_liabilities
Cost Report Total Margin (%) 11.3% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.74623 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.22370 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.19719 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.16712 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 2.84664 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote — Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 114.3 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.82600 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.24488 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.65107 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.72194 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.28050 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.1 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.2 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 4.2 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 1.6 Chain Average Staffing Rating
Provider Information Chain ID 224 Chain ID
Provider Information Chain Name FOCUSED POST ACUTE CARE PARTNERS Chain Name
Provider Information City/Town HOUSTON City/Town
Provider Information CMS Certification Number (CCN) 675000 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Harris County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1992-02-03 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 1 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 29.6889 Latitude
Provider Information Legal Business Name FPACP BEECHNUT LLC Legal Business Name
Provider Information Location 12777 BEECHNUT ST,HOUSTON,TX,77072 Location
Provider Information Long-Stay QM Rating 5 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -95.606 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 1 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 146 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections — Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 25 Number of Facilities in Chain
Provider Information Number of Fines 5 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.31852 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.95708 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 2 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type For profit - Limited Liability company Ownership Type
Provider Information Physical Therapist Staffing Footnote — Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 12777 BEECHNUT ST Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name FOCUSED CARE AT BEECHNUT Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 610 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 5 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 269 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 3 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 8 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2024-07-02 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 269 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 8 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 6 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2023-04-22 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 660 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 7 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 660 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 13 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.15404 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 84.6 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 0.90946 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.71937 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.14365 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.13165 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.19009 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote — Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 3.05311 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating — Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote 2 Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 1 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State TX State
Provider Information Telephone Number 2818798040 Telephone Number
Provider Information Total Amount of Fines in Dollars 134068.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 2.74416 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 5 Total Number of Penalties
Provider Information Total nursing staff turnover 44.0 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 366.750 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 77072 ZIP Code