Focused Care at Cedar Bayou

Nursing Home · Baytown, TX

CMS overall rating 1/5 For profit - Limited Liability company

CMS certification number676204

Contact & location

2000 W Baker Road
Baytown, TX 77521
Harris County
Phone
(281) 427-9120
ZIP code
77521 – all care providers

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Facility details

Certified beds
125
Residents per day
80.2 (64% occupied)
Ownership
For profit - Limited Liability company
Legal name
Fpacp Cedar Bayou LLC
Chain
Focused Post Acute Care Partners (25 facilities, avg 1.9★)
Medicare certified since
December 8, 2008
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 2.6
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 1/5
State avg 1.9
Quality measures★★★★★ 4/5
State avg 3.7
Long-stay quality★★★★★ 4/5
Short-stay qualityNot rated

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.01 (state 3.39 · U.S. 3.86)
Registered nurses (RN)
0.46 (state 0.43 · U.S. 0.69)
Licensed practical nurses
0.64 (state 0.95 · U.S. 0.86)
Nurse aides
1.91 (state 2.00 · U.S. 2.32)
Weekend total
2.81 (state 2.98 · U.S. 3.42)
Nursing staff turnover
47.2 (state 55.3 · U.S. 45.8)%
RN turnover
50.0 (state 54.6 · U.S. 42.9)%
Administrators who left
2 in the last year

Inspections

Last standard inspection
June 18, 2026
Health deficiencies (last cycle)
6.0 (state 9.3 · U.S. 9.3)
From complaints
2
Citations on record (3 years)
25 health · 7 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-06-18 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
F0636 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Deficient, Provider has no plan of correction
2026-06-18 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Deficient, Provider has no plan of correction
2026-06-18 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Deficient, Provider has no plan of correction
2026-06-18 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Deficient, Provider has no plan of correction
2026-04-22 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-05-15
2026-04-22 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
D
No actual harm, potential for more than minimal harm
Corrected 2026-05-15
2025-05-09 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection
K
Immediate jeopardy to resident health or safety
Corrected 2025-06-11
2025-05-09 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
K
Immediate jeopardy to resident health or safety
Corrected 2025-06-11
2025-05-09 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-27
2025-04-16 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
K
Immediate jeopardy to resident health or safety
Corrected 2025-04-17
2025-04-16 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
K
Immediate jeopardy to resident health or safety
Corrected 2025-04-17
2025-04-16 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection
K
Immediate jeopardy to resident health or safety
Corrected 2025-04-17
2024-02-12 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies
K
Immediate jeopardy to resident health or safety
Corrected 2024-03-07
2024-02-12 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies
K
Immediate jeopardy to resident health or safety
Corrected 2024-03-07
2024-02-12 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
J
Immediate jeopardy to resident health or safety
Corrected 2024-03-07
2024-02-12 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 2024-03-07
2024-02-12 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
D
No actual harm, potential for more than minimal harm
Corrected 2024-03-07
2024-02-12 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-03-07
2024-02-12 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-03-07
2024-02-12 Dispose of garbage and refuse properly.
F0814 · Nutrition and Dietary Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-03-07
2022-12-02 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 2022-12-02
2022-12-02 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-12-06
2022-12-02 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-12-02
2022-12-02 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 2022-12-02
2022-12-02 Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
F0693 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-01-02

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

5 penalties in the last three years, including $99,628 in fines.

DateTypeAmount
2025-04-16Payment Denial43 days payment denial
2025-04-16Fine$73,165
2024-02-12Fine$8,821
2024-02-12Fine$8,821
2024-02-12Fine$8,821

Ownership & management

NameRoleSince
Daniels, Sarah (individual)Administrator · NOT APPLICABLE
Davis, Jessica (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
Roberts, Matthew (individual)Administrator · NOT APPLICABLE
Conley, Shawn (individual)Corporate Officer · NOT APPLICABLE
McKenzie, Mark (individual)Corporate Officer · NOT APPLICABLE
Strubbe, Loretta (individual)Corporate Officer · NOT APPLICABLE
Focused Post Acute Care Partners LLC (organization)Direct Ownership Interest · NOT APPLICABLE
Fpacp Cedar Bayou LLC (organization)Direct Ownership Interest · NOT APPLICABLE
Conley, Shawn (individual)Operational/managerial Control · NOT APPLICABLE
Daniels, Sarah (individual)Operational/managerial Control · NOT APPLICABLE
Davis, Jessica (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 Cedar Bayou LLC (organization)Operational/managerial Control · NOT APPLICABLE
Lillie, Tiffany (individual)Operational/managerial Control · NOT APPLICABLE
McKenzie, Mark (individual)Operational/managerial Control · NOT APPLICABLE
Roberts, Matthew (individual)Operational/managerial Control · NOT APPLICABLE
Strubbe, Loretta (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Focused Care at Cedar Bayou?

Focused Care at Cedar Bayou has a 1-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 Cedar Bayou have?

It has 125 certified beds and cares for about 80 residents per day.

Has Focused Care at Cedar Bayou been fined?

Yes. CMS lists 5 penalties totaling $99,628 in the last three years.

Who owns Focused Care at Cedar Bayou?

It is part of Focused Post Acute Care Partners and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Focused Care at Cedar Bayou?

(281) 427-9120. The facility is located at 2000 W Baker Road, Baytown, TX 77521.

Other nursing homes in Baytown

Compare all nursing homes in Baytown, TX →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.