Focused Care at Burnet Bay
Nursing Home · Baytown, TX
CMS certification number675849
Contact & location
3921 N MainBaytown, TX 77521
Harris County
- Phone
- (281) 422-9541
- ZIP code
- 77521 – all care providers
Facility details
- Certified beds
- 120
- Residents per day
- 71.6 (60% occupied)
- Ownership
- For profit - Corporation
- Legal name
- Chambers County Public Hospital District No. 1
- Chain
- Focused Post Acute Care Partners (25 facilities, avg 1.9★)
- Medicare certified since
- November 1, 2000
- Participates in
- Medicare and Medicaid
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 2.90 (state 3.39 · U.S. 3.86)
- Registered nurses (RN)
- 0.39 (state 0.43 · U.S. 0.69)
- Licensed practical nurses
- 0.69 (state 0.95 · U.S. 0.86)
- Nurse aides
- 1.81 (state 2.00 · U.S. 2.32)
- Weekend total
- 2.67 (state 2.98 · U.S. 3.42)
- Nursing staff turnover
- 30.0 (state 55.3 · U.S. 45.8)%
- RN turnover
- 14.3 (state 54.6 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- May 7, 2026
- Health deficiencies (last cycle)
- 2.0 (state 9.3 · U.S. 9.3)
- From complaints
- 0
- Citations on record (3 years)
- 25 health · 5 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-05-07 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-05-29 |
| 2026-05-07 | PASARR screening for Mental disorders or Intellectual Disabilities F0645 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-29 |
| 2025-03-06 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-03-10 |
| 2025-03-06 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-03-10 |
| 2025-03-06 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-10 |
| 2025-03-06 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-10 |
| 2025-03-06 | 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-10 |
| 2025-03-06 | 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. F0803 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-10 |
| 2025-03-06 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-10 |
| 2024-04-23 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. F0635 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-05-10 |
| 2024-04-23 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-06-10 |
| 2024-04-23 | 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. F0726 · Nursing and Physician Services Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-05-10 |
| 2023-12-13 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. F0851 · Administration Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2023-12-28 |
| 2023-12-13 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. F0944 · Administration Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-12-28 |
| 2023-12-13 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-28 |
| 2023-12-13 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-28 |
| 2023-12-13 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. F0813 · Nutrition and Dietary Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-28 |
| 2023-12-13 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. F0925 · Environmental Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-28 |
| 2023-12-13 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. F0940 · Administration Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-28 |
| 2023-12-13 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. F0941 · Administration Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-28 |
| 2023-12-13 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. F0942 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-28 |
| 2023-12-13 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. F0943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-28 |
| 2023-12-13 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. F0949 · Administration Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-28 |
| 2023-09-25 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2023-10-12 |
| 2023-09-25 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2023-10-12 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
1 penalty in the last three years, including $12,893 in fines.
| Date | Type | Amount |
|---|---|---|
| 2023-09-25 | Fine | $12,893 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Conley, Shawn (individual) | Administrator · NOT APPLICABLE | |
| Focused Post Acute Care Partners LLC (organization) | Administrator · NOT APPLICABLE | |
| Focused Post Acute Care Partners Management, LLC (organization) | Administrator · NOT APPLICABLE | |
| Fpacp Burnet LLC (organization) | Administrator · NOT APPLICABLE | |
| McKenzie, Mark (individual) | Administrator · NOT APPLICABLE | |
| Strubbe, Loretta (individual) | Administrator · NOT APPLICABLE | |
| Wasserstein, Jerome (individual) | Administrator · NOT APPLICABLE | |
| Watson, Tureko (individual) | Administrator · NOT APPLICABLE | |
| Cooper, Kimberly (individual) | Corporate Officer · NOT APPLICABLE | |
| Newton, Elizabeth (individual) | Corporate Officer · NOT APPLICABLE | |
| Chambers County Public Hospital District No. 1 (organization) | Direct Ownership Interest · NOT APPLICABLE | |
| Abernathy, Mary (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Cooper, Kimberly (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Humphrey, Eric (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Legg, Stephen (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| McKenzie, Mark (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Newton, Elizabeth (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Tinnerman, Linda (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Turner, Leslie (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Chambers County Public Hospital District No. 1 (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Conley, Shawn (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Focused Post Acute Care Partners LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Focused Post Acute Care Partners Management, LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Fpacp Burnet LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| McKenzie, Mark (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Newton, Elizabeth (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Strubbe, Loretta (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Watson, Tureko (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Focused Care at Burnet Bay?
Focused Care at Burnet Bay has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.
How many beds does Focused Care at Burnet Bay have?
It has 120 certified beds and cares for about 72 residents per day.
Has Focused Care at Burnet Bay been fined?
Yes. CMS lists 1 penalty totaling $12,893 in the last three years.
Who owns Focused Care at Burnet Bay?
It is part of Focused Post Acute Care Partners and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Focused Care at Burnet Bay?
(281) 422-9541. The facility is located at 3921 N Main, Baytown, TX 77521.
Other nursing homes in Baytown
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ST James House of Baytown
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★★★★★ -
Focused Care at Allenbrook
Nursing Home · Baytown, TX · 120 beds
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Rollingbrook Rehabilitation and Healthcare Center
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Focused Care at Cedar Bayou
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★
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.