Inspection visit
Inspection
1 citation recorded
Inspector’s narrative
What the inspector wrote
This survey cited 1 deficiency. The full statement and the facility’s plan of correction follow, verbatim from the federal record.
F 0550
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Some
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or
her rights.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation, interviews, and record review, the facility failed to ensure resident call lights were answered in
a reasonable time for three (Resident 1, Resident 2, and Resident 4) of three residents reviewed for
resident call system. The facility failed to ensure Resident 1, Resident 2, and Resident 4's call lights were
answered in a reasonable time to meet their needs with three of three residents being diagnosed with lack
of coordination, muscle weakness, blindness, and wheelchair dependency for mobility. This failure could
place all residents at risk of the inability to contact the nursing staff and obtain assistance when needed
and maintain a dignified existence.Findings include: On 1.13.26 at 9:35 a.m. during initial facility rounds,
call light panel at the nurses station was observed to have two call lights on. Observed three staff sitting at
the nurse's station typing on computers with no attempt to assist residents observed. In an interview and
observation on 1.13.26 at 11:57 a.m. with Resident 1 revealed he felt safe living at this nursing home. He
was observed to use a wheelchair for mobility. He was observed to have his call light draped over his left
shoulder and clipped to the pocket on his shirt. He stated this made his call light easier to reach while
sitting up in his wheelchair. He stated call light response time varied; usually 15 to 30 minutes but
sometimes up to 1 hour. He said, Let's test it. [sic]; and pressed his call light button at 11:58 a.m. Record
review of face sheet dated 12.20.25 for Resident 1 revealed a male resident with the following diagnoses:
muscle weakness, unsteadiness on feet, lack of coordination, hyperlipidemia; unspecified (high cholesterol
level) and erosive osteoarthritis) an inflammatory type of arthritis. MDS dated 12.20.25 revealed an alert
and oriented male resident able to be interviewed. MDS Section GG-functional abilities revealed Resident 1
requires minimal assistance with activities of daily living. He used a wheelchair for mobility. Care Plan dated
12.20.25 revealed Resident 1 required minimal assistance for activities of daily living like transferring,
bathing and dressing. He ate meals independently. In a telephone interview on 1.13.26 at 11:06 a.m., with
Floor Tech L, he stated he had worked in the laundry department, and in housekeeping. He stated while
cleaning resident rooms, many residents would turn on their call light and wait for staff to answer. He stated
many times it took 30 minutes to an hour or longer for the call light to be answered. He stated sometimes
the resident would ask him to go get a nurse because their call light had been on for an hour and no one
would come answer it. [sic] He stated he would go to the nurses' station and report the residents request
but observed the call lights were still not answered timely. Observation on 1.13.26 at 11:59 a.m. revealed
RN D, was sitting at the nurse's station charting on a computer. Observed no attempt to answer Residents
1's call light. In an interview and observation on 1.13.26 at 12:00 p.m. with RN D, she stated her
expectations for answering resident call lights was Everyone can answer a call light. [sic] She was observed
to leave the nurse's station and go to the dining room without answering the active call light for Resident 1.
Observation and record review on 1.13.26 at 12:08 p.m. revealed Resident
(continued on next page)
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other
safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the
date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER
REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Facility ID:
If continuation sheet
Page 1 of 3
Event ID:
675089
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
675089
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
01/13/2026
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Focused Care at Sherman
817 W Center
Sherman, TX 75090
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0550
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Some
1's call light was still activated and had not been answered. Review at 12:08 p.m. of staffing sheet dated
1.13.26 for 6:00 a.m. to 2:00 p.m. shift revealed four certified nurse aides on duty for the shift. All four
certified nurse aides were observed in the dining room passing trays for the noon meal. A staff member
was not observed to be assigned to answer call lights during meals. In an interview and observation on
1.13.26 at 12:18 p.m. at the nurse's station with the Facility Administrator, she stated, Everyone can answer
a call light for a resident and get a nurse if needed. [sic]. The call light for Resident 1 was observed to still
be active. Attention was called to the call light panel and the time the call light was activated by Resident 1
to the Facility Administrator. No answer to Resident 1's call light during this interview was observed.
Observation on 1.13.26 at 12:20 p.m. revealed Resident 1's call light was answered by CMA G. The call
light had been active approximately 23 minutes before being answered. Interview on 1.13.26 at 1:00 p.m.
with RN DCO J said her expectations for all staff, including LVN's and RN's, responding to active call lights
were that everyone can answer call lights and non-nursing staff can notify nursing if needed. When
questioned if she ever observed RNs or LVN's not answering active call lights; RN DCO J stated, I've never
had a RN or LVN not answer a call light. [sic] Interview and observation on 1.13.26 at 1:04 p.m. with
Resident 2 stated it took anywhere from 15 minutes to one and one-half hours for call lights to be answered
by staff. [sic] Resident 2 activated his call light at this time to test response time. Record review of Resident
2's MDS dated 12.27.25 revealed a BIMS score of 15 indicated the resident was alert and able to be
interviewed. Under MDS section GG - functional abilities, he required minimal assistance with activities of
daily living. He ambulated with a walker and used a wheelchair for mobility. Record review for Resident 2
care plan dated 12.27.25 revealed he was monitored for falls due to unsteadiness, lack of coordination, and
history of having a stroke. He identified as a trauma survivor and was monitored for changes in mood and
behavior with consultants and psychiatry counseling as needed. Interview on 1.13.26 at 1:20 p.m. with
Resident 4 stated it took too long to get the call light answered. She stated, My family member, (Resident
2), must sometimes help me lift my legs up to get into bed. She stated she required extra assistance with
many activities of daily living because she was blind. [sic] Record review for Resident 4's face sheet dated
12.27.25 revealed a [AGE] year-old female with the following diagnoses: repeated falls, myocardial
infarction (heart attack), anxiety disorder, blindness left eye, low vision right eye, muscle weakness, lack of
coordination, malignant neoplasm of kidney (cancer), hypertension (high blood pressure) and
polyneuropathy (nerves to hands, fingers, feet and toes are damaged). Record review for Resident 4's MDS
dated [DATE] revealed a BIMS score of 15 revealed resident was alert and able to be interviewed. Under
MDS section GG - functional abilities, resident needed moderate assistance from another person to
complete activities of daily living due to blindness and impaired visual function. She ambulated with a
walker. Record review for Resident 4's care plan dated 12/27/25 revealed wound care for cyst removal to
right underarm. Cleanse area with normal saline, pat dry, apply antibiotic ointment, dressing and paper tape
daily and as needed. She was at high risk for falls due to blindness and impaired visual function and staff
were to anticipate her needs. Observation on 1.13.26 at 1:45 p.m. revealed the call light for Resident 2 and
Resident 4 had not been responded to at the end of the 45-minute interview. In an interview on 1.13.26 at
1:30 p.m. CMA G stated, Everyone could answer a call light and there was no reason for an LVN or RN to
not answer call lights for residents. [sic]. She stated her expectation was a call light should be answered
within ten minutes. Interview on 1.13.26 at 2:26 p.m. with CNA H stated, Everyone can answer a call light
and notify a nurse if needed. She stated there was always a staff member assigned to the nurse's station to
answer call lights when meals are served [sic]. She did not
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
675089
If continuation sheet
Page 2 of 3
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
675089
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
01/13/2026
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Focused Care at Sherman
817 W Center
Sherman, TX 75090
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0550
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Some
FORM CMS-2567 (02/99)
Previous Versions Obsolete
answer when asked who was assigned for that task on 1.13.26 at noon. On 1.13.26 at 2.27 p.m. after 10
minutes of observation attention was drawn to the call light panel with two room lights 202B and 105A
activated; RN D, LVN F, and CNA H made no attempt to answer call lights. Observation on 1.13.26 at 2:45
p.m. at the nurse's station revealed the call light panel continued to have two active lights on for 202B and
105A. RN D, LVN F, and CNA H were observed sitting at the nurse's station typing on computers. No
attempts to answer active call lights was observed. In an interview on 1.13.26 at 4:22 p.m. with LVN ADCO
K and RN DCO J revealed the facility currently has no policy or procedure for any staff member for
answering active call lights and assisting residents with needs, activities of daily living and maintaining a
dignified life.
Event ID:
Facility ID:
675089
If continuation sheet
Page 3 of 3
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Back to topCitations
1 citation recorded*CMS
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
F550 - Resident Rights
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
FAQ · About this visit
Common questions about this visit
What happened during the January 13, 2026 survey of Focused Care at Sherman?
This was a inspection survey of Focused Care at Sherman on January 13, 2026. The surveyor cited 1 deficiency, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at Focused Care at Sherman on January 13, 2026?
Yes, 1 deficiency was cited, each with a CMS Scope and Severity grade. The first was: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her right..."
What type of survey was this?
This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.
SourceView on CMS Care Compare
Next steps
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Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.