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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeTexasFocused Care at Burnet Bay

Focused Care at Burnet Bay

3921 N Main, Baytown, TX 775212814229541
3/5Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
2/5
Quality
5/5
Beds
120
certified
1 fine(s) totaling $12,893

Key Findings

• 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.

Beds
120
Avg Residents/Day
70.2
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Nov 1, 2000
Sprinklers
Yes
Council
None
County
Harris
Last Inspection
Mar 6, 2025
Deficiencies (Cycle 1)
7
Weighted Score
117.0
Infection Citations
0

Deficiency Citations (29)

F0600Potential for Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Mar 6, 2025Corrected: NoCycle: 1
F0644Potential for Harm

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Survey: Mar 6, 2025Corrected: NoCycle: 1
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Mar 6, 2025Corrected: NoCycle: 1
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Mar 6, 2025Corrected: NoCycle: 1
F0761Potential for Harm

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.

Survey: Mar 6, 2025Corrected: NoCycle: 1
F0803Potential for Harm

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.

Survey: Mar 6, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Mar 6, 2025Corrected: NoCycle: 1
F0635Immediate Jeopardy

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

Survey: Apr 23, 2024Corrected: NoCycle: 2
F0684Immediate Jeopardy

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Apr 23, 2024Corrected: NoCycle: 2
F0726Immediate Jeopardy

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.

Survey: Apr 23, 2024Corrected: NoCycle: 2
F0940Potential for Harm

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Survey: Dec 13, 2023Corrected: NoCycle: 2
F0941Potential for Harm

Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

Survey: Dec 13, 2023Corrected: NoCycle: 2
F0942Potential for Harm

Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

Survey: Dec 13, 2023Corrected: NoCycle: 2
F0943Potential for Harm

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Survey: Dec 13, 2023Corrected: NoCycle: 2
F0944Potential for Harm

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Survey: Dec 13, 2023Corrected: NoCycle: 2
F0949Potential for Harm

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

Survey: Dec 13, 2023Corrected: NoCycle: 2
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Dec 13, 2023Corrected: NoCycle: 2
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Dec 13, 2023Corrected: NoCycle: 2
F0813Potential for Harm

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Survey: Dec 13, 2023Corrected: NoCycle: 2
F0851Potential for Harm

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Survey: Dec 13, 2023Corrected: NoCycle: 2
F0925Potential for Harm

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Survey: Dec 13, 2023Corrected: NoCycle: 2
F0655Immediate Jeopardy

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey: Sep 25, 2023Corrected: NoCycle: 3
F0689Immediate Jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Sep 25, 2023Corrected: NoCycle: 3
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Oct 5, 2022Corrected: NoCycle: 3
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Oct 5, 2022Corrected: NoCycle: 3
F0756Potential for Harm

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Survey: Oct 5, 2022Corrected: NoCycle: 3
F0761Potential for Harm

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.

Survey: Oct 5, 2022Corrected: NoCycle: 3
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Oct 5, 2022Corrected: NoCycle: 3
F0908Potential for Harm

Keep all essential equipment working safely.

Survey: Oct 5, 2022Corrected: NoCycle: 3
Total Fines
$12,893
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineSep 25, 2023
$12,893

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.69 hrs
National avg: 2.35 hrs
LPN0.74 hrs
National avg: 0.86 hrs
RN0.32 hrs
National avg: 0.68 hrs
Total Nursing2.75 hrs
National avg: 3.89 hrs
Weekend Total2.45 hrs
National avg: 0.00 hrs
Physical Therapist0.06 hrs
National avg: 0.07 hrs
Total Turnover
46.4%
RN Turnover
20.0%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (12)

NameRoleTypeOwnership %Since
CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 15% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Apr 1, 2022
CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1OPERATIONAL/MANAGERIAL CONTROLOrganizationN/AApr 1, 2022
FOCUSED POST ACUTE CARE PARTNERS LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AApr 1, 2022
FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AApr 1, 2022
FPACP BURNET LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AApr 1, 2022
CONLEY, SHAWNOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 1, 2022
MCKENZIE, MARKOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 1, 2022
NEWTON, ELIZABETHOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 22, 2024
STRUBBE, LORETTAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 1, 2022
WATSON, TUREKOOPERATIONAL/MANAGERIAL CONTROLIndividualN/ASep 18, 2023
COOPER, KIMBERLYCORPORATE OFFICERIndividualN/AJan 29, 2024
NEWTON, ELIZABETHCORPORATE OFFICERIndividualN/AFeb 22, 2024

Nearby Nursing Homes

All Texas facilities

Focused Care at Allenbrook

Baytown, TX · 120 beds

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Rollingbrook Rehabilitation and Healthcare Center

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Government$23,676 in fines
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Focused Care at Cedar Bayou

Baytown, TX · 125 beds

For profit$137,078 in finesAbuse
Health
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1.2 mi

St James House of Baytown

Baytown, TX · 105 beds

For profit$14,901 in fines
Health
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3.8 mi

Frequently Asked Questions

What is the CMS rating for Focused Care at Burnet Bay?▾
Focused Care at Burnet Bay has an overall CMS rating of 3 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 2/5, and quality measures rating of 5/5. This facility is rated average.
Has Focused Care at Burnet Bay had any health inspection violations?▾
Focused Care at Burnet Bay had 7 deficiency citations in its most recent health inspection (Mar 6, 2025). The facility has been fined a total of $12,893 across 1 fine(s).
What are the staffing levels at Focused Care at Burnet Bay?▾
Focused Care at Burnet Bay provides 2.75 total nursing staff hours per resident per day, including 0.32 RN hours, 0.74 LPN hours, and 1.69 nurse aide hours. The total staff turnover rate is 46.4%.
How many beds does Focused Care at Burnet Bay have?▾
Focused Care at Burnet Bay has 120 certified beds with an average of 70.2 residents per day, resulting in approximately 59% occupancy. The facility is For profit - Corporation owned and is part of the Focused Post Acute Care Partners chain.
Are there other nursing homes near Focused Care at Burnet Bay?▾
Yes, there are 4 other nursing homes in Baytown, Texas with an average rating of 3.2/5. You can compare all facilities on the Baytown nursing homes page.

Part of Focused Post Acute Care Partners

This chain operates 25 facilities. View all →