Texas·Harris County·Webster

Focused Care At Webster in Webster, Harris County, Texas

Webster, Harris County, Texas 77598

Status Medicare and Medicaid certifiedMedicare CCN 675848
HHSC license rosteras of November 9, 2026CMS nursing home filerelease October 28, 2026; processing date October 1, 2026CMS processing date for this home October 1, 2026

Location and contact

Address
17231 Mill Forest Rd.
Webster, TX 77598
Open map (OpenStreetMap)
Phone
(281) 488-5224
HHSC facility ID
100048
License number
307343

Medicare ratings

Star ratings below are copied from the CMS Provider Information file (official release October 28, 2026; processing date October 1, 2026). They are not assigned by NursingCareLookup. See how to read ratings and CMS Five-Star documentation.

Flags in the CMS file

This home has an abuse icon in the CMS file. That is a CMS designation, not a finding we added. Read the explainer and the official complaint channels in the footer.

Staffing hours

Hours are the facility’s reported nurse staffing hours per resident per day from the CMS file. The Texas average is computed on this site from Texas rows in that same file that include a numeric value. It is not copied from another website. Method: Methodology.

Staffing hours per resident per day
MeasureThis facilityTexas average (this site)
Total nurse staffing3.19 hours3.42 hours n=1,152
Registered nurse0.42 hours0.44 hours
LPN0.92 hours0.95 hours
Nurse aide1.84 hours2.03 hours
Weekend nurse staffing2.59 hours2.99 hours

0.23 hours below this site’s computed Texas average.

Total nursing staff turnover
65% (Texas average computed on this site: 50.8%, n=1,096)
RN turnover
44.4%
Average residents per day
70.3
Certified beds (CMS)
120

Penalties in the CMS Provider Information file: 2 finestotaling $28,429; 2 total penalties. These are the figures CMS published in this release. Confirm current figures on Medicare.gov.

Fines and payment denials

Individual fines and payment denials below come from the CMS Penalties file (official release October 28, 2026; processing date October 1, 2026). Dates and amounts are copied as published. They can lag later actions or successful appeals. Confirm current figures on Medicare.gov.

CMS fines and payment denials
DateTypeFine amountPayment denial
June 5, 2026Fine · Fine ID 139722$16,350—
October 8, 2025Fine · Fine ID 135324$12,079—

MDS quality measures

These figures are the four-quarter averages published in the CMS MDS Quality Measures file (official release October 28, 2026; measure period 2025Q3-2026Q2; processing date October 1, 2026). They are not a grade this site assigned. A “used in Five-Star” flag is the published CMS field that says whether that measure feeds the quality-measure star rating. Quarterly scores are collapsed under each measure. Official definitions are on the CMS Five-Star page.

CMS MDS quality measures, four-quarter averages
MeasureStayFour-quarter averageUsed in Five-Star QM rating
Percentage of long-stay residents whose need for help with daily activities has increased
Quarterly scores

Q1 3.6% · Q2 3.6% · Q3 1.9% · Q4 2.0% · Period 2025Q3-2026Q2 · Measure code 401

Long Stay2.8%Yes, as published by CMS
Percentage of long-stay residents with a catheter inserted and left in their bladder
Quarterly scores

Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 406

Long Stay0.0%Yes, as published by CMS
Percentage of long-stay residents with a urinary tract infection
Quarterly scores

Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 407

Long Stay0.0%Yes, as published by CMS
Percentage of long-stay residents experiencing one or more falls with major injury
Quarterly scores

Q1 0.0% · Q2 1.4% · Q3 1.5% · Q4 1.6% · Period 2025Q3-2026Q2 · Measure code 410

Long Stay1.1%Yes, as published by CMS
Percentage of long-stay residents whose ability to walk independently worsened
Quarterly scores

Q1 — (CMS footnote 9) · Q2 — (CMS footnote 9) · Q3 — (CMS footnote 9) · Q4 — (CMS footnote 9) · Period 2025Q3-2026Q2 · Measure code 451

Long Stay9.2%Yes, as published by CMS
Percentage of long-stay residents with pressure ulcers
Quarterly scores

Q1 3.8% · Q2 6.8% · Q3 7.4% · Q4 7.1% · Period 2025Q3-2026Q2 · Measure code 479

Long Stay6.2%Yes, as published by CMS
Percentage of long-stay residents who received an antipsychotic medication
Quarterly scores

Q1 14.0% · Q2 10.9% · Q3 20.7% · Q4 13.6% · Period 2025Q3-2026Q2 · Measure code 481

Long Stay14.2%Yes, as published by CMS
Percentage of long-stay residents who lose too much weight
Quarterly scores

Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 404

Long Stay0.0%No, as published by CMS
Percentage of long-stay residents who have depressive symptoms
Quarterly scores

Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 408

Long Stay0.0%No, as published by CMS
Percentage of long-stay residents who were physically restrained
Quarterly scores

Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 409

Long Stay0.0%No, as published by CMS
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
Quarterly scores

Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · Period 2025Q3-2026Q2 · Measure code 415

Long Stay100.0%No, as published by CMS
Percentage of long-stay residents who received an antianxiety or hypnotic medication
Quarterly scores

Q1 17.5% · Q2 17.5% · Q3 20.8% · Q4 13.7% · Period 2025Q3-2026Q2 · Measure code 452

Long Stay17.4%No, as published by CMS
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
Quarterly scores

Q1 — (CMS footnote 28) · Q2 — (CMS footnote 28) · Q3 — (CMS footnote 28) · Q4 — (CMS footnote 28) · Period 2025Q3-2026Q2 · Measure code 454

Long Stay96.2%No, as published by CMS
Percentage of long-stay residents with new or worsened bowel or bladder incontinence
Quarterly scores

Q1 5.3% · Q2 7.9% · Q3 3.0% · Q4 9.2% · Period 2025Q3-2026Q2 · Measure code 480

Long Stay6.3%No, as published by CMS
Percentage of short-stay residents who newly received an antipsychotic medication
Quarterly scores

Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 4.2% · Period 2025Q3-2026Q2 · Measure code 434

Short Stay1.1%Yes, as published by CMS
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
Quarterly scores

Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · Period 2025Q3-2026Q2 · Measure code 430

Short Stay100.0%No, as published by CMS
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
Quarterly scores

Q1 — (CMS footnote 28) · Q2 — (CMS footnote 28) · Q3 — (CMS footnote 28) · Q4 — (CMS footnote 28) · Period 2025Q3-2026Q2 · Measure code 472

Short Stay92.5%No, as published by CMS

Inspection citations

34 health citations in the CMS file (17 from complaint surveys). Highest scope/severity letter in the file: J — Isolated, immediate jeopardy.

The list below is drawn from the CMS Health Deficiencies file. We show the tag, a plain-language reading of the scope and severity letter, whether the survey was a standard or complaint survey, the survey date, and whether CMS recorded a correction. We do not reprint the official deficiency narrative here. Read that text on TULIP or Medicare.gov. A facility may appeal a finding; a successful appeal can alter or remove a citation.

Scope and severity letters (A–L)

CMS assigns one letter from a grid of scope (how widely a problem was found) and severity (how serious the harm was or could be). The short labels below are our wording of that grid, not a different rating system.

Scope and severity letters used in CMS health citations
SeverityIsolatedPatternWidespread
Potential for minimal harmABC
No actual harm, potential for more than minimal harmDEF
Actual harmGHI
Immediate jeopardyJKL
2026 — 6 citations

Tag 0686G

G — Isolated, actual harm

Complaint survey

Survey date: June 5, 2026

CMS records a correction date (June 26, 2026)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0677G

G — Isolated, actual harm

Complaint survey

Survey date: June 5, 2026

CMS records a correction date (June 26, 2026)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0761D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: April 1, 2026

CMS records a correction date (April 25, 2026)

More detail

Pharmacy Service Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0755D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: April 1, 2026

CMS records a correction date (April 25, 2026)

More detail

Pharmacy Service Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0695D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: March 10, 2026

CMS records a correction date (April 3, 2026)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0684D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: March 10, 2026

CMS records a correction date (April 3, 2026)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

2025 — 11 citations

Tag 0925E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: November 18, 2025

CMS records a correction date (December 20, 2025)

More detail

Environmental Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0921E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: November 18, 2025

CMS records a correction date (December 20, 2025)

More detail

Environmental Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0689J

J — Isolated, immediate jeopardy

Complaint survey

Survey date: October 8, 2025

CMS records a correction date (October 31, 2025)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0600J

J — Isolated, immediate jeopardy

Complaint survey

Survey date: October 8, 2025

CMS records a correction date (October 31, 2025)

More detail

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0842D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: January 30, 2025

CMS records a correction date (January 31, 2025)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0790E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: January 30, 2025

CMS records a correction date (January 31, 2025)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0755D

D — Isolated, potential for more than minimal harm

Complaint survey, Standard survey

Survey date: January 30, 2025

CMS records a correction date (January 31, 2025)

More detail

Pharmacy Service Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0694D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: January 30, 2025

CMS records a correction date (January 31, 2025)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0640E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: January 30, 2025

CMS records a correction date (January 31, 2025)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0602D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: January 30, 2025

Past non-compliance, as recorded by CMS (December 31, 2024)

More detail

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0576D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: January 30, 2025

CMS records a correction date (January 31, 2025)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

2024 — 5 citations

Tag 0600D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: November 21, 2024

CMS records a correction date (January 6, 2025)

More detail

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0842D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: October 25, 2024

CMS records a correction date (November 25, 2024)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0686D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: October 25, 2024

CMS records a correction date (November 25, 2024)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0580D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: October 25, 2024

CMS records a correction date (November 25, 2024)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0755H

H — Pattern, actual harm

Complaint survey

Survey date: February 1, 2024

CMS records a correction date (February 21, 2024)

More detail

Pharmacy Service Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

2023 — 4 citations

Tag 0880E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: December 9, 2023

CMS records a correction date (January 8, 2024)

More detail

Infection Control Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0755E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: December 9, 2023

CMS records a correction date (January 8, 2024)

More detail

Pharmacy Service Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0656E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: December 9, 2023

CMS records a correction date (January 8, 2024)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0644D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: December 9, 2023

CMS records a correction date (January 8, 2024)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

2022 — 8 citations

Tag 0880E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: September 23, 2022

CMS records a correction date (October 14, 2022)

More detail

Infection Control Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0814D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: September 23, 2022

CMS records a correction date (October 14, 2022)

More detail

Nutrition and Dietary Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0759E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: September 23, 2022

CMS records a correction date (October 14, 2022)

More detail

Pharmacy Service Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0657D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: September 23, 2022

CMS records a correction date (October 14, 2022)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0637D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: September 23, 2022

CMS records a correction date (October 14, 2022)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0610D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: September 23, 2022

CMS records a correction date (October 14, 2022)

More detail

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0609D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: September 23, 2022

CMS records a correction date (October 14, 2022)

More detail

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0577D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: September 23, 2022

CMS records a correction date (October 14, 2022)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

License and identity (HHSC)

License effective
May 20, 2026
License expires
May 20, 2029
Initial license date
September 28, 2000
Facility licensed
Yes
Facility certified (HHSC)
Yes
Service type
MEDICARE/MEDICAID
Total licensed capacity
120 beds
Bed mix (HHSC)
Licensed only 0; Medicaid only 0; Medicare only 11; Medicare/Medicaid 109; ICF/IID 0
Alzheimer capacity
0
Administrator
Keith Brossette
Management company
Focused Post Acute Care Partners Management, LLC

Ownership

Ownership below comes from the CMS file when a row joined on this home’s Medicare number. HHSC also records an owner and entity type; those appear after the CMS data. The HHSC entity type “HOSPITAL DISTRICT/AUTHORITY” is very common in the state roster and may not describe day-to-day control. It is not used as a headline here.

CMS ownership type: For profit - Limited Liability company · Affiliated / chain name in the file: FOCUSED POST ACUTE CARE PARTNERS (25 facilities in the chain, as listed)

CMS ownership records
NameRoleTypeShareAssociated
FPACP WEBSTER LLCDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 05/20/2019
CONLEY, SHAWNCORPORATE OFFICERIndividualNOT APPLICABLEsince 05/20/2019
MCKENZIE, MARKCORPORATE OFFICERIndividualNOT APPLICABLEsince 05/20/2019
STRUBBE, LORETTACORPORATE OFFICERIndividualNOT APPLICABLEsince 05/20/2019
FOCUSED POST ACUTE CARE PARTNERS LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 05/20/2019
FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 05/20/2019
FPACP WEBSTER LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 05/20/2019
BROSSETTE, KEITHOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/27/2024
CONLEY, SHAWNOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 05/20/2019
FOSTER, STACYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 05/20/2019
HOYA, SHERRIOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 10/01/2020
LOCKHART, CHRISTOPHEROPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 10/01/2020
8 more CMS ownership records
Additional CMS ownership records
NameRoleTypeShareAssociated
MCKENZIE, MARKOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 05/20/2019
STRUBBE, LORETTAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 05/20/2019
FOCUSED POST ACUTE CARE PARTNERS LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 05/12/2025
FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 05/12/2025
BROSSETTE, KEITHADP OF THE SNFIndividualNOT APPLICABLEsince 05/13/2025
FOSTER, STACYADP OF THE SNFIndividualNOT APPLICABLEsince 03/01/2024
HOYA, SHERRIADP OF THE SNFIndividualNOT APPLICABLEsince 10/01/2020
LOCKHART, CHRISTOPHERADP OF THE SNFIndividualNOT APPLICABLEsince 10/01/2020
HHSC owner fields
Owner (HHSC)
Fpacp Webster, LLC
Type of entity (HHSC)
Limited Liability Company (LLC)

Public data compiled by NursingCareLookup, not an endorsement or a recommendation, and not medical or legal advice. This site is not affiliated with HHSC, CMS, or Medicare. Figures can lag events at the facility, including surveys, corrections, and successful appeals (an appeal can alter or remove a citation). Verify current facts on TULIP and Medicare.gov, and visit in person before you decide. HHSC roster as of November 9, 2026 (America/Chicago). CMS file: official release October 28, 2026; processing date October 1, 2026.