Senior Care Inspection Finder
Last checked October 26, 2026 · 2,911 nursing homes and 3,257 assisted living licenses in 5 states · CMS data processed September 1, 2026

Home › Texas › Grayson County › Focused Care at Sherman

Focused Care at Sherman

817 W Center, Sherman, TX 75090 · CMS Certification Number (CCN) 675089

Special Focus Facility candidate CMS abuse icon

CMS shows the abuse icon when a nursing home was cited for abuse or neglect at the harm level or above (scope/severity G or higher) on its most recent inspection cycle, or at the potential-harm level (D or higher) on both of its two most recent cycles. CMS data dictionary

CMS lists this home in its data as a candidate for the Special Focus Facility (SFF) program, which CMS describes as for homes with a history of serious quality issues. CMS Technical Users’ Guide

At a glance

CMS overall rating
★☆☆☆☆ 1 of 5
Health inspection citations
48 in the last 3 inspection cycles (8 immediate jeopardy, 0 actual harm, 33 from complaints)
Fire safety citations
20
Fines (last 3 years)
3 fines, total $120,309
Payment denials
0
Most recent standard inspection
May 9, 2025
Official record
Medicare Care Compare page for this facility

Source: CMS Nursing Home Provider Information: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

CMS star ratings

CMS rates every Medicare- and Medicaid-certified nursing home from 1 to 5 stars. Health inspection stars are relative to other homes in the same state: the top 10% get 5 stars and the bottom 20% get 1 star. CMS says to use the ratings together with other information, including a visit. Technical Users’ Guide

RatingThis facilityTexas averageU.S. average
Overall★☆☆☆☆ 1 of 52.73
Health inspections★☆☆☆☆ 1 of 52.82.8
Staffing★☆☆☆☆ 1 of 51.92.9
Quality measures★★★☆☆ 3 of 53.73.6
Long-stay quality★★★☆☆ 3 of 5Not publishedNot published
Short-stay qualityNot published
Not enough data available to calculate a star rating.
Not publishedNot published

Averages: CMS State and US Averages: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Health inspections

Inspection cycleStandard survey dateHealth citationsFrom standard surveyFrom complaints
Cycle 1 (most recent)May 9, 2025171217
Cycle 2April 5, 2024231815

CMS weighted health inspection score: 342.5 (lower is better; it counts citation severity, complaints and repeat revisits). Citations from infection control inspections: Not published. How to read these citations

48 health citations across 10 inspection dates, newest first. The letter is CMS’s scope/severity code: A–C means potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, and J–L immediate jeopardy.

July 23, 2026: 2 citations (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0802 Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary Deficiencies
Complaint Deficient, Provider has no plan of correction
D F-0558 Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Complaint Deficient, Provider has no plan of correction
July 9, 2026: 1 citation (Complaint)
SeverityTagWhat was citedTypeStatus
J F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Complaint
Under dispute (IDR/IIDR); CMS does not count it in the rating
Deficient, Provider has date of correction
Corrected 07/10/2026
January 31, 2026: 2 citations (Complaint)
SeverityTagWhat was citedTypeStatus
E F-0914 Provide bedrooms that don't allow residents to see each other when privacy is needed.
Environmental Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 02/02/2026
D F-0557 Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 02/02/2026
January 13, 2026: 1 citation (Complaint)
SeverityTagWhat was citedTypeStatus
E F-0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 02/12/2026
May 9, 2025: 12 citations (Standard + Complaint)
SeverityTagWhat was citedTypeStatus
E F-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 05/10/2025
E F-0880 Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 05/10/2025
F F-0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 05/10/2025
E F-0761 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.
Pharmacy Service Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 05/10/2025
D F-0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 05/10/2025
J F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Standard + Complaint Past Non-Compliance
Corrected 04/29/2025
D F-0688 Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 05/10/2025
E F-0656 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
Standard + Complaint Deficient, Provider has date of correction
Corrected 05/10/2025
D F-0655 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 05/10/2025
D F-0644 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 05/10/2025
K F-0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 05/10/2025
E F-0600 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
Standard + Complaint Deficient, Provider has date of correction
Corrected 05/10/2025
March 13, 2025: 2 citations (Complaint)
SeverityTagWhat was citedTypeStatus
J F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Complaint Past Non-Compliance
Corrected 12/26/2024
D F-0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 03/21/2025
February 17, 2025: 2 citations (Complaint)
SeverityTagWhat was citedTypeStatus
E F-0761 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.
Pharmacy Service Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 02/21/2025
D F-0602 Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 02/21/2025
June 25, 2024: 1 citation (Complaint)
SeverityTagWhat was citedTypeStatus
E F-0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 06/26/2024
April 5, 2024: 18 citations (Standard + Complaint)
SeverityTagWhat was citedTypeStatus
E F-0880 Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 04/06/2024
F F-0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Standard Deficient, Provider has date of correction
Corrected 04/06/2024
F F-0801 Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and Dietary Deficiencies
Standard Deficient, Provider has date of correction
Corrected 04/06/2024
D F-0790 Provide routine and 24-hour emergency dental care for each resident.
Quality of Life and Care Deficiencies
Standard Deficient, Provider has date of correction
Corrected 04/06/2024
D F-0759 Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
Standard Deficient, Provider has date of correction
Corrected 04/06/2024
E F-0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 04/06/2024
F F-0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 04/06/2024
D F-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.
Quality of Life and Care Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 04/06/2024
K F-0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 04/06/2024
D F-0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Standard Deficient, Provider has date of correction
Corrected 04/06/2024
E F-0679 Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies
Standard Deficient, Provider has date of correction
Corrected 04/06/2024
E F-0677 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 04/06/2024
K F-0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 04/06/2024
K F-0600 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
Standard + Complaint Deficient, Provider has date of correction
Corrected 04/06/2024
E F-0584 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
Standard Deficient, Provider has date of correction
Corrected 04/06/2024
K F-0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies
Standard Deficient, Provider has date of correction
Corrected 04/06/2024
D F-0573 Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Resident Rights Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 04/06/2024
E F-0558 Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 04/25/2024
February 9, 2023: 7 citations (Standard)
SeverityTagWhat was citedTypeStatus
D F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies
Standard Deficient, Provider has date of correction
Corrected 03/15/2023
F F-0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Standard Deficient, Provider has date of correction
Corrected 03/15/2023
E F-0801 Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and Dietary Deficiencies
Standard Deficient, Provider has date of correction
Corrected 03/15/2023
E F-0695 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Standard Deficient, Provider has date of correction
Corrected 03/15/2023
D F-0693 Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies
Standard Deficient, Provider has date of correction
Corrected 03/15/2023
D F-0656 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
Standard Deficient, Provider has date of correction
Corrected 03/15/2023
E F-0558 Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Standard Deficient, Provider has date of correction
Corrected 03/15/2023

Source: CMS Health Deficiencies: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Fire safety inspections

20 fire safety citations across 3 inspection dates
DateSeverityTagWhat was citedStatus
05/09/2025CK-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies
Deficient, Provider has date of correction
Corrected 06/06/2025
05/09/2025FK-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 05/07/2025
05/09/2025CK-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies
Deficient, Provider has date of correction
Corrected 06/06/2025
04/05/2024FK-0918Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Deficient, Provider has date of correction
Corrected 04/26/2024
04/05/2024FK-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies
Deficient, Provider has date of correction
Corrected 04/26/2024
04/05/2024CK-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies
Deficient, Provider has date of correction
Corrected 04/26/2024
04/05/2024EK-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 04/26/2024
04/05/2024FK-0351Install an approved automatic sprinkler system.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 04/26/2024
04/05/2024FK-0324Provide properly protected cooking facilities.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 04/26/2024
04/05/2024DK-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 04/26/2024
04/05/2024FK-0281Install proper backup exit lighting.
Egress Deficiencies
Deficient, Provider has date of correction
Corrected 04/26/2024
04/05/2024DK-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies
Deficient, Provider has date of correction
Corrected 04/26/2024
04/05/2024FK-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies
Deficient, Provider has date of correction
Corrected 04/26/2024
04/05/2024FE-0039Conduct testing and exercise requirements.
Emergency Preparedness Deficiencies
Deficient, Provider has date of correction
Corrected 04/26/2024
02/09/2023FK-0918Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Deficient, Provider has date of correction
Corrected 03/09/2023
02/09/2023FK-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.
Gas, Vacuum, and Electrical Systems Deficiencies
Deficient, Provider has date of correction
Corrected 03/09/2023
02/09/2023EK-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies
Deficient, Provider has date of correction
Corrected 03/15/2023
02/09/2023FK-0712Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies
Deficient, Provider has date of correction
Corrected 03/09/2023
02/09/2023CK-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies
Deficient, Provider has date of correction
Corrected 03/13/2023
02/09/2023CK-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies
Deficient, Provider has date of correction
Corrected 03/13/2023

Automatic sprinklers in all required areas: Yes. CMS does not count fire safety citations in the health inspection star rating.

Source: CMS Fire Safety Deficiencies: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Penalties

DateTypeFine amountPayment denial
July 9, 2026Fine$27,378—
March 13, 2025Fine$10,361—
April 5, 2024Fine$82,570—

Source: CMS Penalties: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Staffing

MeasureThis facilityTexas averageU.S. average
Total nurse staff hours per resident per day3.173.393.86
Registered nurse (RN) hours per resident per day0.210.430.69
LPN/LVN hours per resident per day1.04Not publishedNot published
Nurse aide hours per resident per day1.93Not publishedNot published
Total nurse staff hours per resident per day, weekends2.75Not publishedNot published
RN hours per resident per day, weekends0.2Not publishedNot published
Total nursing staff turnover (%)7555.345.8
Registered nurse turnover (%)100Not publishedNot published
Administrators who have left2Not publishedNot published

Reported hours come from the Payroll-Based Journal (PBJ) staffing data that facilities submit to CMS each quarter.

Source: CMS Provider Information; State and US Averages: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Facility details

Legal business name
Fpacp Sherman LLC
Ownership type
For profit - Corporation
Chain
Focused Post Acute Care Partners (25 facilities)
Ownership changed in last 12 months
No
Certified beds
116
Average residents per day
62.4
Participates in
Medicare and Medicaid
Located inside a hospital
No
Continuing care retirement community
No
Resident and family council
Resident
First approved for Medicare/Medicaid
November 12, 1992
County/parish
Grayson

Source: CMS Provider Information: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Owners and managers reported to CMS

19 ownership and management records
NameRoleTypeOwnership %Since
FPACP SHERMAN LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%undefined undefined, NaN
CONLEY, SHAWNCORPORATE OFFICERIndividualNOT APPLICABLEundefined undefined, NaN
MCKENZIE, MARKCORPORATE OFFICERIndividualNOT APPLICABLEundefined undefined, NaN
STRUBBE, LORETTACORPORATE OFFICERIndividualNOT APPLICABLEundefined undefined, NaN
FOCUSED POST ACUTE CARE PARTNERS LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEundefined undefined, NaN
FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEundefined undefined, NaN
FPACP SHERMAN LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEundefined undefined, NaN
BALLOU, LARRYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEundefined undefined, NaN
CONLEY, SHAWNOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEundefined undefined, NaN
MCKENZIE, MARKOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEundefined undefined, NaN
REEDER, BENJAMINOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEundefined undefined, NaN
ROBERSON, ASHLEYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEundefined undefined, NaN
STRUBBE, LORETTAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEundefined undefined, NaN
WATSON, NATHANOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEundefined undefined, NaN
FOCUSED POST ACUTE CARE PARTNERS LLCADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLCADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
BALLOU, LARRYADP OF THE SNFIndividualNOT APPLICABLEundefined undefined, NaN
REEDER, BENJAMINADP OF THE SNFIndividualNOT APPLICABLEundefined undefined, NaN
WATSON, NATHANADP OF THE SNFIndividualNOT APPLICABLEundefined undefined, NaN

Source: CMS Ownership: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Check it yourself

Page built from CMS data files processed September 1, 2026 (CMS refreshes monthly). Last checked October 26, 2026. Not a ranking or endorsement.