• CMS rates this facility 3/5 stars (average)
• Has 120 certified beds with an average of 70.2 residents per day (59% occupancy)
• Last health inspection found 7 deficiencies (inspected Mar 6, 2025)
• Has been fined a total of $12,893 across 1 fine(s)
• Total nursing staff: 2.75 hours per resident per day
• Staff turnover rate: 46.4%
• Part of the Focused Post Acute Care Partners chain (25 facilities)
Focused Care at Burnet Bay is a 3-star Medicare and Medicaid certified nursing home in Baytown, Texas with 120 certified beds. It has been operating since 2000. The facility scored at average compared to Texas facilities.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Provide safe and appropriate respiratory care for a resident when needed.
Ensure medication error rates are not 5 percent or greater.
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.
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Provide and implement an infection prevention and control program.
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Ensure each resident receives an accurate assessment.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide safe and appropriate respiratory care for a resident when needed.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Keep all essential equipment working safely.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1 | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Apr 1, 2022 |
| CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1 | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Apr 1, 2022 |
| FOCUSED POST ACUTE CARE PARTNERS LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Apr 1, 2022 |
| FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Apr 1, 2022 |
| FPACP BURNET LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Apr 1, 2022 |
| CONLEY, SHAWN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Apr 1, 2022 |
| MCKENZIE, MARK | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Apr 1, 2022 |
| NEWTON, ELIZABETH | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 22, 2024 |
| STRUBBE, LORETTA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Apr 1, 2022 |
| WATSON, TUREKO | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Sep 18, 2023 |
| COOPER, KIMBERLY | CORPORATE OFFICER | Individual | N/A | Jan 29, 2024 |
| NEWTON, ELIZABETH | CORPORATE OFFICER | Individual | N/A | Feb 22, 2024 |
This chain operates 25 facilities. View all →