nursing home in Baytown, TX
Focused Care at Burnet Bay
3921 N. Main Street, Baytown, TX 77521 · (281) 422-9541
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★2
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Focused Care at Burnet Bay at a glance
Focused Care at Burnet Bay is a 120-bed for-profit nursing home in Baytown, Texas (Harris County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.
Residents receive about 2.9 hours of nursing care per day (0.4 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (May 7, 2026) found 4 health citations. The Texas average is 9.4.
Federal regulators fined it 2 times in the past three years, totaling $29,243.
Nursing staff turnover is 30% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 120
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Focused Post Acute Care Partners
- Medicare-certified since
- November 1, 2000
- Resident/family council
- None
- County
- Harris County
- CMS Certification Number
- 675849
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.7 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 4 / 5 | 3.8 / 5 | Average |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 2.90 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.39 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.81 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.67 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 30% | 55.3% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 14.3% | 54.6% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 4 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 2 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 119 | 102 | 80.6 | Worse |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $29,243 | $44,141 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 2 | 2 | 1 | Worse |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 120 | 113 | 107 | |
| Average residents per day | 72 | 76 | 86 | |
| Occupancy | 59.7% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 0% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 4.7% | 3.8% | 4.6% | Average |
| Long-stay residents given antipsychotic medication (lower is better) | 4.8% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 1.3% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 20.1% | 15.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 5.3% | 14% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 1.6% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0.5% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 3.1% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 7.7% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 96.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.6% | 1.5% | 1.6% | Average |
| Short-stay residents given a flu vaccine (higher is better) | 100% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 99.4% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 27 health deficiencies and 5 fire safety deficiencies in the inspection records CMS currently publishes. 6 citations involved actual harm, including 5 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 22, 2026 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | G Actual harm, isolated | Deficient, Provider has no plan of correction |
| July 22, 2026 Complaint | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Deficient, Provider has no plan of correction |
| May 7, 2026 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | D Potential harm, isolated | Corrected May 29, 2026 |
| May 7, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected May 29, 2026 |
| May 7, 2026 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | E Potential harm, pattern | Corrected May 29, 2026 |
| May 7, 2026 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected May 29, 2026 |
| March 6, 2025 Fire safety | Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0929 | E Potential harm, pattern | Corrected March 10, 2025 |
| March 6, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected March 10, 2025 |
| March 6, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | E Potential harm, pattern | Corrected March 10, 2025 |
| March 6, 2025 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | E Potential harm, pattern | Corrected March 10, 2025 |
| March 6, 2025 Standard | 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. Nutrition and Dietary Deficiencies · Tag F0803 | D Potential harm, isolated | Corrected March 10, 2025 |
| March 6, 2025 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected March 10, 2025 |
| March 6, 2025 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected March 10, 2025 |
| March 6, 2025 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected March 10, 2025 |
| March 6, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected March 10, 2025 |
| April 23, 2024 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | J Immediate jeopardy, isolated | Corrected June 10, 2024 |
| April 23, 2024 Complaint | 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. Nursing and Physician Services Deficiencies · Tag F0726 | J Immediate jeopardy, isolated | Corrected May 10, 2024 |
| April 23, 2024 Complaint | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. Resident Assessment and Care Planning Deficiencies · Tag F0635 | J Immediate jeopardy, isolated | Corrected May 10, 2024 |
| December 13, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected January 4, 2024 |
| December 13, 2023 Complaint | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Tag F0851 | F Potential harm, widespread | Corrected December 28, 2023 |
| December 13, 2023 Standard | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. Administration Deficiencies · Tag F0944 | E Potential harm, pattern | Corrected December 28, 2023 |
| December 13, 2023 Standard | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. Resident Rights Deficiencies · Tag F0942 | D Potential harm, isolated | Corrected December 28, 2023 |
| December 13, 2023 Standard | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. Administration Deficiencies · Tag F0941 | D Potential harm, isolated | Corrected December 28, 2023 |
| December 13, 2023 Standard | Develop, implement, and/or maintain an effective training program for all new and existing staff members. Administration Deficiencies · Tag F0940 | D Potential harm, isolated | Corrected December 28, 2023 |
| December 13, 2023 Complaint | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | D Potential harm, isolated | Corrected December 28, 2023 |
| December 13, 2023 Complaint | Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · Tag F0813 | D Potential harm, isolated | Corrected December 28, 2023 |
| December 13, 2023 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected December 28, 2023 |
| December 13, 2023 Complaint | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected December 28, 2023 |
| December 13, 2023 Standard | Provide behavior health training consistent with the requirements and as determined by a facility assessment. Administration Deficiencies · Tag F0949 | D Potential harm, isolated | Corrected December 28, 2023 |
| December 13, 2023 Standard | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0943 | D Potential harm, isolated | Corrected December 28, 2023 |
| September 25, 2023 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected October 12, 2023 |
| September 25, 2023 Complaint | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | J Immediate jeopardy, isolated | Corrected October 12, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 2 federal penalties in the past three years, including $29,243 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| July 22, 2026 | Fine | $16,350 |
| September 25, 2023 | Fine | $12,893 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| CONLEY, SHAWN Individual | adp of the snf | NOT APPLICABLE | 04/01/2022 |
| FOCUSED POST ACUTE CARE PARTNERS LLC Organization | adp of the snf | NOT APPLICABLE | 06/17/2025 |
| FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC Organization | adp of the snf | NOT APPLICABLE | 06/17/2025 |
| FPACP BURNET LLC Organization | adp of the snf | NOT APPLICABLE | 06/17/2025 |
| MCKENZIE, MARK Individual | adp of the snf | NOT APPLICABLE | 04/01/2022 |
| STRUBBE, LORETTA Individual | adp of the snf | NOT APPLICABLE | 04/01/2022 |
| WASSERSTEIN, JEROME Individual | adp of the snf | NOT APPLICABLE | 05/01/2021 |
| WATSON, TUREKO Individual | adp of the snf | NOT APPLICABLE | 09/18/2023 |
| COOPER, KIMBERLY Individual | corporate officer | NOT APPLICABLE | 01/29/2024 |
| NEWTON, ELIZABETH Individual | corporate officer | NOT APPLICABLE | 02/22/2024 |
| CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1 Organization | direct ownership interest | NOT APPLICABLE | 04/01/2022 |
| ABERNATHY, MARY Individual | managing control - governing body | NOT APPLICABLE | 05/01/2024 |
| COOPER, KIMBERLY Individual | managing control - governing body | NOT APPLICABLE | 01/29/2024 |
| HUMPHREY, ERIC Individual | managing control - governing body | NOT APPLICABLE | 05/01/2024 |
| LEGG, STEPHEN Individual | managing control - governing body | NOT APPLICABLE | 01/01/2024 |
| MCKENZIE, MARK Individual | managing control - governing body | NOT APPLICABLE | 04/01/2022 |
| NEWTON, ELIZABETH Individual | managing control - governing body | NOT APPLICABLE | 02/22/2024 |
| TINNERMAN, LINDA Individual | managing control - governing body | NOT APPLICABLE | 01/01/2024 |
| TURNER, LESLIE Individual | managing control - governing body | NOT APPLICABLE | 01/01/2024 |
| CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1 Organization | operational/managerial control | NOT APPLICABLE | 04/01/2022 |
| CONLEY, SHAWN Individual | operational/managerial control | NOT APPLICABLE | 04/01/2022 |
| FOCUSED POST ACUTE CARE PARTNERS LLC Organization | operational/managerial control | NOT APPLICABLE | 04/01/2022 |
| FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC Organization | operational/managerial control | NOT APPLICABLE | 04/01/2022 |
| FPACP BURNET LLC Organization | operational/managerial control | NOT APPLICABLE | 04/01/2022 |
| MCKENZIE, MARK Individual | operational/managerial control | NOT APPLICABLE | 04/01/2022 |
| NEWTON, ELIZABETH Individual | operational/managerial control | NOT APPLICABLE | 02/22/2024 |
| STRUBBE, LORETTA Individual | operational/managerial control | NOT APPLICABLE | 04/01/2022 |
| WATSON, TUREKO Individual | operational/managerial control | NOT APPLICABLE | 09/18/2023 |
Other nursing homes near Focused Care at Burnet Bay
Focused Care at Allenbrook
4109 Allenbrook Dr, Baytown, TX 77521 · under 1 mi
For-profit · 120 beds · Part of Focused Post Acute Care Partners
★★★★★3AverageMont Belvieu Rehabilitation & Healthcare Center
14000 Lakes of Champions Blvd, Mont Belvieu, TX 77523 · under 1 mi
For-profit · 124 beds
★★★★★1Much below averageRollingbrook Rehabilitation and Health Care Center
750 Rollingbrook Dr., Baytown, TX 77521 · under 1 mi
Government · 130 beds · Part of Momentum Skilled Services
★★★★★3AverageFocused Care at Cedar Bayou
2000 W Baker Road, Baytown, TX 77521 · 1.2 mi
For-profit · 125 beds · Part of Focused Post Acute Care Partners
★★★★★1Much below average- ★★★★★5Much above average
Bay Ridge Healthcare Center
208 South Utah, La Porte, TX 77571 · 7.5 mi
For-profit · 58 beds · Part of Nexion Health
★★★★★1Much below average
Frequently asked questions
What is Focused Care at Burnet Bay's rating?
Focused Care at Burnet Bay has 2 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Focused Care at Burnet Bay receive?
Its most recent standard health inspection found 4 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Focused Care at Burnet Bay accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Focused Care at Burnet Bay?
It is for profit - corporation and part of Focused Post Acute Care Partners. The ownership section on this page lists the owners and managers reported to CMS.
Where is Focused Care at Burnet Bay and how do I contact it?
Focused Care at Burnet Bay is at 3921 N. Main Street, Baytown, TX 77521. Phone: (281) 422-9541.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.