Focused Care of Waxahachie

In the surveyor’s words

From the most serious findings on record at Focused Care of Waxahachie, in the surveyor’s own words.

• Immediate jeopardy, patternF600Oct 18, 2024

  Based on interviews, observations, and record review, the facility failed to protect Resident #2's right to be free from physical, mental, and verbal abuse by Resident #1. The facility failed to protect Resident #1 from abuse by Resident #2. Residents had an established and repeated facility wide known history of disputes, both verbal and attempted physical alterations. On 10/09/2024, both residents were in the same room unattended by staff and video footage revealed Resident #1 used his cane to hit Resident #2 on the head. Resident #2 was sent to the hospital by EMS and received 10 staples to his head for a 2 cm laceration. An IJ was identified on 10/12/24. The IJ template was provided to the facility on [DATE] at 1:45 PM. […]

• Immediate jeopardy, patternF656Oct 18, 2024

  Based on interviews, observations, and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights, that included measurable objectives and timetables to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment for two (Resident #1 and Resident #2) of ten residents reviewed for care plans. The facility failed to implement a comprehensive care plan for Resident #1 and Resident #2 with attainable interventions in place addressing the repeated facility wide known history of disputes between the two Residents. An incident occurred on 10/09/24 where video footage revealed R#1 used his cane to hit Resident #2 on the head. […]

• Immediate jeopardy, patternF600Jul 17, 2023

  Based on observation, interview, and record review, the facility failed to ensure the resident was free from abuse for 5 (Residents #2, #3, #4, #5 and #6) of 5 residents reviewed for abuse. The facility failed to ensure Resident #2, #3, #4, #5 and #6 were protected from physical and verbal abuse including verbally and physically aggressive behavior, such as physically punching, cursing, insulting, and intimidation from Resident #1. As a result of the facility's failures Residents #2, #3, #4, #5 and #6 suffered continual negative psychosocial outcomes including crying, fear and anxiety, feelings of hopelessness, and withdrawal from former social patterns. An IJ was identified on 07/15/23. The IJ template was provided to the facility on [DATE] at 8:30 PM. […]

• Immediate jeopardy, patternF600Mar 13, 2023

  Based on observation, interview, and record review, the facility failed to ensure the resident was free from abuse for 4 (Residents #2, #3, #4, and #5) of 5 residents reviewed for abuse. The facility failed to ensure Resident #2, #3, #4, and #5 were protected from verbal abuse including verbally aggressive behavior, such as screaming, cursing, bossing around/demanding, insulting to race or ethnic group and intimidating from Resident #1; and sexually lewd behavior and questions; including urination in cups at breakfast from Resident #6. As a result of the facility's failures Residents #2, #3, #4, and #5 suffered continual negative psychosocial outcomes including crying, fear and anxiety, feelings of hopelessness, and withdrawal from former social patterns. An IJ was identified on 03/11/23. […]

• Immediate jeopardy, isolatedF689Mar 2, 2026

  Based on observations, interviews, and record review the facility failed to ensure residents received adequate supervision, to the extent possible for 1 of 8 residents (Resident #1) reviewed for safety.The facility failed to ensure Resident #1 was provided adequate supervision on 02/08/2026 when Resident #1 pushed open a facility exit door, activating both the door alarm and Resident #1's wander guard alarm, and exited the facility traveling approximately 500 ft, crossing a street, and falling (no injuries). The facility was notified by a passerby driving a car of resident's elopement.The noncompliance was identified as Past Noncompliance. The Immediate Jeopardy (IJ) began on 02/08/2026 and ended on 02/09/2026. […]