The reviews for Focused Care at Waxahachie show a highly polarized and inconsistent resident experience: many reviewers report compassionate, hardworking caregivers, effective therapy services, and responsive leaders in certain cases, while a substantial portion of reviews allege chronic neglect, unsafe staffing levels, poor cleanliness, theft, and abusive or unprofessional staff conduct. Overall sentiment is mixed but leans heavily toward serious operational and care-quality concerns. The facility appears to be in transition in some respects (new management, renovations), which has produced both positive anecdotes and continued problems.
Care quality and clinical safety are among the most frequent and serious themes. Multiple reviewers report delayed or ignored nurse responses and unmet basic care needs such as bathing, dressing, oral care, and assistance to the toilet (one report indicated a resident left on a portable toilet for over an hour). Medication concerns were raised repeatedly: missed doses, antibiotics not given, medications running out, and problems with medication charting. Some reviews cite potentially life-threatening delays in care (delayed oxygen equipment, 22-minute nurse response) and increased risk of hospital readmission. There are also reports of clinical staff refusing treatment or difficult interactions with doctors and nurses; reviewers perceived discrimination, insulting remarks about appearance, and confrontational staff behavior.
Staffing, training, and culture are major recurring issues. Reviewers frequently describe severe understaffing and high turnover, with anecdotes of weekend and night staff being distracted (on phones or outside smoking) and claims of a nurse-to-patient ratio as high as 1:40. Several comments indicate that new hires are overworked and untrained, while longer-term staff may be favored, producing inconsistent care depending on which staff are on duty. At the same time, many reviews praise specific caregivers as caring, hardworking, and family-oriented; these positive staff experiences coexist alongside descriptions of rude, threatening, or abusive employees. Complaints about poor communication, hung-up phone calls, and staff who refuse to answer calls or return messages were also common.
Facility condition, hygiene, and safety are also prominent concerns. Numerous reviewers reported dirty rooms, urine odors, full trash cans, food on the floor, filthy floors and walls, and pest problems (roaches). Maintenance issues were described: nonfunctional air conditioning or windows barely open, rooms kept excessively cold (one reviewer reported 65 degrees), and showers unavailable for extended periods. Stealing of personal items (clothes, blankets, a scooter) and inadequate replacement or follow-up on missing items were reported multiple times, and in some cases police were involved. Conversely, some reviewers singled out maintenance personnel (named in reviews) as responsive, and several mentioned that renovations had begun and leaders were improving the appearance in some areas.
Dining, activities, and environment were mixed. Several reviewers complained about bad or bland food and lack of stimulating activity or room amenities. Other reviews praised good food and timely rehabilitation services that led to quick recovery. The building is repeatedly described as older with small shared rooms that in some cases are smaller than state recommendations. On the positive side, the facility offers outdoor access and proximity to local amenities such as a pharmacy and church, which some families appreciated.
Management, transparency, and incident handling show marked inconsistency. Many reviewers criticized ownership/management changes, poor communication about procedures, failure to replace stolen items, and inadequate incident investigation or transparency. Some felt rules were inconsistently applied and that the director of nursing did not communicate with staff. However, opposing views describe a caring and receptive administrator with a clear vision, servant-leadership, and positive efforts to improve care. New management and staff were specifically credited by several reviewers for better attentiveness and a more familial approach to care.
Notable patterns and risks: reports of theft, pest infestation, untreated medical needs, and ignored call lights are recurring and raise safety concerns that prospective residents and families should weigh heavily. Positive patterns include a capable therapy department, individual staff members and leaders who are highly praised, and evidence of renovation and managerial changes that may improve conditions over time. Reviews suggest the resident experience can vary dramatically from shift to shift and between older and newer staff teams.
Recommendations for prospective families and oversight: because of the mixed and sometimes severe nature of complaints, visitors should perform an in-person visit at different times (day, evening, weekend), ask for staffing ratios and turnover statistics, inquire about incident reporting and item-theft policies, review recent state inspection reports, and meet with therapy, nursing leadership, and maintenance staff. Ask specific questions about medication management, bathing schedules, laundry processes, pest control, and staff training. Also consider referencing recent management change timelines and any documentation of completed or planned renovations. If families encounter concerning issues while a loved one is in residence, reviewers advised filing formal complaints with the facility and reporting to state survey/inspection agencies.
In summary, Focused Care at Waxahachie has clear strengths—compassionate individual caregivers, strong therapy outcomes in many cases, and some responsive leadership and maintenance staff—but also persistent, serious weaknesses around staffing, cleanliness, theft, and management consistency. The overall picture is uneven: some residents receive excellent care and rapid recovery, while others and their families report neglect and unsafe conditions. Careful due diligence and ongoing monitoring are strongly advised for anyone considering this facility.
