Focused Care at Huntsville

    1302 Nottingham St, Huntsville, TX, 77340
    4.3 · 69 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    3.0

    Compassionate staff, poor facility upkeep

    I have a mixed view. I saw exceptional, compassionate caregivers, a strong activities team, and administrators who helped with the move and Medicaid paperwork - my mom's condition improved and residents seemed well cared for. At the same time the building is aging and badly needs cleaning and repairs: persistent urine/feces odors, roach sightings, broken fixtures, and inconsistent housekeeping. Staff responsiveness and management were hit-or-miss (medication delays, poor phone/social-services follow-up, occasional unprofessional behavior). With new leadership and many devoted staff, there's real potential, but I'd want visible housekeeping and accountability improvements before sending a loved one without reservations.

    Pricing

    Schedule a Tour

    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    4.26 · 69 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      4.2
    • Staff

      4.4
    • Meals

      3.8
    • Amenities

      3.1
    • Value

      4.3

    Pros

    • Compassionate, personalized and family-like care
    • Attentive, friendly and warm caregivers/CNAs
    • Visible and involved nursing leadership (DON) and administration
    • Staff frequently 'go above and beyond' for residents
    • Clean and well-maintained facility (reported by many reviewers)
    • Nutritious meals with dietary accommodations and liked food
    • Home-like, calming and welcoming atmosphere
    • Strong team-based care and good communication
    • Helpful hospice involvement and positive outcomes with palliative care
    • Effective rehab/therapy team praised by several families
    • Active activities program (Bible Study, praised Activities Director)
    • Assistance with Medicaid/insurance paperwork and approvals
    • Timely and professional responses to questions/concerns (reported by some)
    • Resident-focused routines and safety emphasis
    • Specific staff called out positively by name (e.g., Nathaniel McLean, Jacob)
    • Growing/positive outlook under new management for some reviewers
    • Peaceful energy and good housekeeping (in many accounts)
    • Management and staff that make transitions easier for families

    Cons

    • Inconsistent staff responsiveness and phone unavailability
    • Serious cleanliness and hygiene problems reported (urine/feces odors)
    • Pest issues (live and dead roaches reported by some reviewers)
    • Maintenance problems: broken toilets, paint chipping, air leaks, old building
    • Laundry and housekeeping concerns (bad odors, supply shortages)
    • Frequent medication delays and uncommunicated medication changes
    • Reported staff mismanagement, yelling and poor staff-to-staff conduct
    • Allegations of withheld medication, dropped residents, and racist behavior
    • Conflicting reports about administration responsiveness (some say unresponsive)
    • Cold showers and complaints about cold food
    • Inadequate therapy progress or insurance-related therapy issues for some
    • Inconsistent grounds upkeep and need for remodel/updates
    • Reports that specific staff should be fired (e.g., named Karen)
    • Unhelpful or negative attitudes from some staff members
    • Mixed reports on housekeeping quality and janitorial needs
    • Safety and dignity concerns raised by multiple reviewers
    • Old/outdated facility appearance reminiscent of 1970s design
    • Variable experience depending on unit, shift, or recent management

    Summary review

    Overall sentiment: Reviews for Focused Care at Huntsville are strongly mixed, with a substantial number of detailed, highly positive accounts balanced by a smaller but serious cluster of negative reports. Many families praise the facility for compassionate, personalized and family-like care delivered by attentive caregivers and nursing staff. Several reviewers credit specific staff members by name for exemplary service (e.g., Nathaniel McLean, Jacob) and describe the environment as calming, welcoming and home-like. Others, however, report significant and concerning problems with cleanliness, maintenance, staff behavior, and administrative responsiveness. The aggregate impression is of a facility that can deliver excellent person-centered care but exhibits inconsistent operational and environmental standards that materially affect resident experience for some families.

    Care quality and staff: The dominant positive theme is high-quality, resident-focused care. Many reviewers describe compassionate nurses and CNAs who provide individualized attention, help families through difficult transitions (including hospice), and “go above and beyond.” Several comments highlight strong teamwork, good communication, and effective therapy and rehab services. That said, recurring negative reports point to inconsistent responsiveness from staff on some shifts, allegations of unprofessional behavior (yelling among staff, withheld medications, dropped residents), and isolated claims of discriminatory conduct. These conflicting reports suggest variability in staff performance over time or between units/shifts. Leadership is also variably perceived: some reviewers praise visible, involved leadership, a brilliant Director of Nursing, and administrators (including positive notes about a manager named Nicole and an excellent Activities Director), while others specifically report unreturned calls from leadership and dysfunctional social services.

    Facilities, cleanliness and maintenance: Opinions about the physical environment are sharply divided. Multiple reviewers describe the facility as clean, well-maintained, and peaceful with good housekeeping, while another subset reports serious sanitation issues — persistent urine/feces odors, roach sightings (live and dead), laundry and supply problems, and broken toilets with lingering smells. Maintenance complaints include old or outdated building appearance (some liken it to 1970s style), paint chipping, air leaks around windows, and grounds upkeep needing improvement. These problems, when present, are framed as safety, dignity, and infection-control concerns and are cited as reasons some families would avoid the facility.

    Dining, activities and ancillary services: Food receives generally positive comments — many residents like the meals and reviewers note nutritious options with dietary accommodations. A minority report cold food occasionally. Activities are a clear strength in multiple reviews: praise for Bible Study, an engaged Activities Director, and meaningful engagement that residents and families appreciate. Ancillary services such as hospice and Medicaid assistance are also complimented; staff helping families with Medicaid approvals and paperwork is frequently mentioned as a relief.

    Management, communication and patterns of inconsistency: A notable pattern is the stark inconsistency in experiences. Several reviewers specifically praise new management, improved leadership, and a positive trajectory for the facility; others detail persistent problems with phone responsiveness, a lack of follow-through from social services, medication management lapses, and staff mismanagement. Some reviewers call out named employees negatively (one review suggests a staff member 'Karen' should be fired) while others praise administrators (Nicole) and nursing leadership. These polarized views indicate that quality may depend strongly on timing, specific staff on duty, or recent managerial changes.

    Safety and serious concerns: While many accounts express trust and gratitude toward staff, several reviews describe issues that raise safety and dignity concerns — medication delays and unexplained medication changes, hygiene and pest problems, cold showers, and alleged incidents of rough handling or withholding medication. Such reports, although not universal across reviews, are severe enough that they should prompt careful investigation by prospective families and by facility leadership to determine frequency, context, and remediation steps.

    Conclusion and advice to prospective families: Focused Care at Huntsville appears capable of delivering excellent, compassionate, and resident-centered care — especially under praised staff and leadership — and many families highly recommend the facility. However, there is a non-trivial set of reports describing cleanliness, maintenance, medication, and staff conduct problems that significantly detract from resident experience. Prospective families should (1) tour the specific unit/unit manager and observe cleanliness and staffing on multiple shifts if possible, (2) ask about recent remediation efforts for pest control, housekeeping, and maintenance, (3) inquire about medication management protocols and communication practices, and (4) speak directly to named leadership (DON/administrator) about any concerns. The mixed but detailed reviews suggest the facility has strong positives to offer but also has specific operational areas that require verification and, for some families, may be deal-breakers if unresolved.

    Location

    Map showing location of Focused Care at Huntsville

    About Focused Care at Huntsville

    Focused Care at Huntsville sits at 1302 Nottingham in Huntsville, Texas, offering 88 certified beds as a skilled nursing facility dedicated to both short-term rehab and long-term care for folks who need it, and there's a real emphasis on compassionate, patient-centered care with personalized attention from a team of experienced professionals, including nurses and therapists trained in physical, occupational, and speech therapy right there in therapy rooms, and people get help with wound care, pain management, IV therapies, respiratory care, dialysis management, post-surgical recovery, and pain education, plus there's clinical services for chronic and acute wounds, tracheostomy care, and more specialized rehabilitation after things like joint replacements or strokes, and all this goes on with constant oversight from health authorities who've given accreditation and keep an eye on federal standards, especially for things like infection control since there's been at least one infection-related deficiency noted in reports along with a total of 17 documented deficiencies and a complaint report from April 2025 citing three deficiencies, so folks considering a stay should know that, as with any facility, there's an inspection process and records out there. The place is managed by Focused Post Acute Care Partners LLC and several named individuals, and it's run for profit, which probably explains the business setup. Nurse staffing averages about 2.3 hours per resident per day and there's a high nurse turnover rate at around 65 percent, which might have some effect on continuity of care. Residents can take part in recreational activities and social programs aimed at easing daily life and supporting emotional and social needs, and the place makes efforts to promote independence and well-being, offering short-term stays for respite as well as memory care support, and services focus on safe recovery and supporting daily activities in a community with a Texan spirit, where there's a stated respect for housing rights, anti-discrimination policies, and LGBTQ protections under federal law. There's no clear pet policy, no major info on amenities or building features, and nothing listed for sale or rent at the moment. The facility's close to Huntsville Memorial Hospital and specializes in both rehabilitation and hospice care, with special attention to wound treatment and pain relief. Ownership and management have been steady for several years, and the facility's data are open for public inspection through state and federal channels.

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