Pleasant Springs Healthcare Center
Mount Pleasant · 0.6 mi · 90 beds
Citations0Substantiated0
Focused Care at Mount Pleasant
1606 Memorial Ave, Mount Pleasant, TX, 75455
Nursing home122 licensed beds0 citations on record
2 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 18 deficiencies against Focused Care at Mount Pleasant in Mount Pleasant, Texas at its most recent standard inspection on 2025-07-02, 10 of them arising from complaints. 3 findings have been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 5 times, totalling $223,296. CMS currently flags this home for abuse. Medicare rates it 1 out of 5 overall.
1 / 5Medicare overall rating
122certified beds
18deficiencies at the last inspection
3immediate-jeopardy findings on record
1actual-harm findings on record
5federal fines, $223,296
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.3
Actual harmA resident was harmed, but not placed in immediate danger.1
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.78
Potential for minimal harmThe least serious band.0
Most recentDDDEEDDDDEFFEDDDDDDE
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2026-05-20 · from a complaint · No actual harm, potential for more than minimal harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · F0921 · 2026-05-20 · from a complaint · No actual harm, potential for more than minimal harm
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0602 · 2026-01-13 · from a complaint · No actual harm, potential for more than minimal harm
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 · F0656 · 2025-11-26 · from a complaint · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2025-11-26 · from a complaint · No actual harm, potential for more than minimal harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · F0550 · 2025-11-26 · from a complaint · No actual harm, potential for more than minimal harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · F0641 · 2025-11-26 · from a complaint · No actual harm, potential for more than minimal 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 · F0690 · 2025-11-26 · from a complaint · No actual harm, potential for more than minimal harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · F0842 · 2025-11-26 · from a complaint · No actual harm, potential for more than minimal harm
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · F0925 · 2025-09-08 · from a complaint · No actual harm, potential for more than minimal 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 · F0812 · 2025-07-02 · standard survey · No actual harm, potential for more than minimal harm
Keep all essential equipment working safely.
Environmental Deficiencies · F0908 · 2025-07-02 · standard survey · No actual harm, potential for more than minimal harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · F0804 · 2025-07-02 · standard survey · No actual harm, potential for more than minimal harm
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · F0584 · 2025-07-02 · standard survey · No actual harm, potential for more than minimal harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · F0695 · 2025-07-02 · standard survey · No actual harm, potential for more than minimal harm
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies · F0726 · 2025-07-02 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2025-07-02 · standard survey · No actual harm, potential for more than minimal harm
Have policies on smoking.
Environmental Deficiencies · F0926 · 2025-07-02 · standard survey · No actual harm, potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · F0755 · 2025-04-17 · from a complaint · No actual harm, potential for more than minimal 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 · F0600 · 2025-02-13 · from a complaint · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below1 of 5
Health inspectionBased on the last three inspection cycles1 of 5
StaffingNurse hours per resident, adjusted for how sick residents are1 of 5
Quality measuresResident outcomes reported by the home4 of 5
Nurse hours per resident per dayReported by the home to CMS3.16182
Nursing staff turnoverShare of nursing staff who left in a year48.4%
Penalties
What Medicare has fined this home
FinesCivil money penalties imposed by CMS5
Total fined$223,296
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one7
Ownership
Who owns Focused Care at Mount Pleasant
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| FPACP MOUNT PLEASANT LLC | Organization | 100% | since 02/01/2017 |
| FOCUSED POST ACUTE CARE PARTNERS LLC | Organization | NOT APPLICABLE | since 02/01/2017 |
| CONLEY, SHAWN | Individual | NOT APPLICABLE | since 02/01/2017 |
| MCKENZIE, MARK | Individual | NOT APPLICABLE | since 07/01/2018 |
| STRUBBE, LORETTA | Individual | NOT APPLICABLE | since 07/01/2018 |
| FOCUSED POST ACUTE CARE PARTNERS LLC | Organization | NOT APPLICABLE | since 02/01/2017 |
| FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC | Organization | NOT APPLICABLE | since 02/01/2017 |
| FPACP MOUNT PLEASANT LLC | Organization | NOT APPLICABLE | since 02/01/2017 |
| CONLEY, SHAWN | Individual | NOT APPLICABLE | since 02/01/2017 |
| EASLEY, ADRIEANNIA | Individual | NOT APPLICABLE | since 10/01/2023 |
| MCKENZIE, MARK | Individual | NOT APPLICABLE | since 02/01/2017 |
| ONEY, WHITNEY | Individual | NOT APPLICABLE | since 09/04/2020 |
Part of the FOCUSED POST ACUTE CARE PARTNERS group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Greenhill Villas
Mount Pleasant · 1.4 mi · 150 beds
Citations0Substantiated0
Contact
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 455900.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction