Focused Care At Hamilton is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1993-04-09. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (254) 386-3171 or your local Medicaid office to verify current eligibility.

Focused Care At Hamilton holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 5 out of 5 stars. This is made up of three components: Health Inspection (5★), Staffing (2★), and Quality of Resident Care (5★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 85.7/100, placing it #1442 of 14703 facilities nationally and #51 of 1177 in Texas. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Focused Care At Hamilton receives a reported average of 3 hours 45 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 13 minutes; Licensed Practical Nurse (LPN) — 1 hour 10 minutes; Nurse Aide — 2 hours 22 minutes. On weekends, total nurse staffing is 3 hours 20 minutes per resident per day. The CMS Staffing Rating for this facility is 2 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 48.6%. Families are encouraged to ask about current staffing schedules during their facility visit.

The facility has received 1 fine(s) over the 5-year period, totaling $89,734. 3 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 0 Medicare payment denial(s). Total penalties: 0. The Total Weighted Health Survey Score is 10.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Focused Care At Hamilton ranks 1442nd out of 14,703 facilities (composite score: 85.7/100), placing it in the top 10% nationwide. Within TX, it ranks 51st out of 1,177 nursing homes. In Hamilton, it ranks 1st out of 2 facilities. Among facilities sharing its ZIP code, it ranks 1st of 2. For 2026 staffing: total nurse hours rank #6,692 nationally and RN hours rank #13,721 nationally (#1004 in TX). Our composite quality score of 85.7/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Hamilton, visit: https://nursinghomesnearme.org/texas/hamilton/