nursing home in Baytown, TX
Focused Care at Cedar Bayou
2000 W Baker Road, Baytown, TX 77521 · (281) 427-9120
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★1
- 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 Cedar Bayou at a glance
Focused Care at Cedar Bayou is a 125-bed for-profit nursing home in Baytown, Texas (Harris County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.
Residents receive about 3 hours of nursing care per day (0.5 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (June 18, 2026) found 6 health citations. The Texas average is 9.4.
Federal regulators fined it 4 times in the past three years, totaling $99,628.
Nursing staff turnover is 47.2% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 125
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Focused Post Acute Care Partners
- Medicare-certified since
- December 8, 2008
- Resident/family council
- Resident
- County
- Harris County
- CMS Certification Number
- 676204
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 1 / 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) | 3.01 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.46 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.91 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.81 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 47.2% | 55.3% | 45.8% | Average |
| Registered nurse turnover (yearly) (lower is better) | 50% | 54.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 2 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 6 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 2 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 260.5 | 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) | 4 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $99,628 | $44,141 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 5 | 2 | 1 | Worse |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 125 | 113 | 107 | |
| Average residents per day | 80 | 76 | 86 | |
| Occupancy | 64.2% | 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) | 4.1% | 3.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 5.4% | 3.8% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 3.7% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 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) | 13.3% | 15.8% | 13.9% | Average |
| Long-stay residents whose walking worsened (lower is better) | 11.1% | 14% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 2.3% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 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) | 18.4% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 6.5% | 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) | 0.5% | 1.5% | 1.6% | Better |
| 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) | 98.8% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 25 health deficiencies and 7 fire safety deficiencies in the inspection records CMS currently publishes. 9 citations involved actual harm, including 9 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 18, 2026 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected July 15, 2026 |
| June 18, 2026 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | E Potential harm, pattern | Corrected July 15, 2026 |
| June 18, 2026 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | D Potential harm, isolated | Corrected July 15, 2026 |
| June 18, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected July 15, 2026 |
| June 18, 2026 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected July 15, 2026 |
| June 18, 2026 Standard | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Tag F0636 | D Potential harm, isolated | Corrected July 15, 2026 |
| June 18, 2026 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected July 15, 2026 |
| April 22, 2026 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 | D Potential harm, isolated | Corrected May 15, 2026 |
| April 22, 2026 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected May 15, 2026 |
| May 9, 2025 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | K Immediate jeopardy, pattern | Corrected June 11, 2025 |
| May 9, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | K Immediate jeopardy, pattern | Corrected June 11, 2025 |
| May 9, 2025 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected June 27, 2025 |
| April 16, 2025 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 | K Immediate jeopardy, pattern | Corrected April 17, 2025 |
| April 16, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | K Immediate jeopardy, pattern | Corrected April 17, 2025 |
| April 16, 2025 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | K Immediate jeopardy, pattern | Corrected April 17, 2025 |
| February 12, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected March 7, 2024 |
| February 12, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected March 7, 2024 |
| February 12, 2024 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | D Potential harm, isolated | Corrected March 7, 2024 |
| February 12, 2024 Standard | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | K Immediate jeopardy, pattern | Corrected March 7, 2024 |
| February 12, 2024 Standard | 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 | K Immediate jeopardy, pattern | Corrected March 7, 2024 |
| February 12, 2024 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 | J Immediate jeopardy, isolated | Corrected March 7, 2024 |
| February 12, 2024 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 March 7, 2024 |
| February 12, 2024 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected March 7, 2024 |
| February 12, 2024 Standard | 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 | D Potential harm, isolated | Corrected March 7, 2024 |
| February 12, 2024 Standard | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Tag F0814 | D Potential harm, isolated | Corrected March 7, 2024 |
| February 12, 2024 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected March 7, 2024 |
| December 2, 2022 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected December 1, 2022 |
| December 2, 2022 Standard | 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 | E Potential harm, pattern | Corrected December 2, 2022 |
| December 2, 2022 Standard | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | E Potential harm, pattern | Corrected December 6, 2022 |
| December 2, 2022 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | E Potential harm, pattern | Corrected December 2, 2022 |
| December 2, 2022 Standard | 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. Quality of Life and Care Deficiencies · Tag F0693 | D Potential harm, isolated | Corrected January 2, 2023 |
| December 2, 2022 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 December 2, 2022 |
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 3 federal penalties in the past three years, including $81,986 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| April 16, 2025 | Payment Denial | 43 days from May 15, 2025 |
| April 16, 2025 | Fine | $73,165 |
| February 12, 2024 | Fine | $8,821 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| DANIELS, SARAH Individual | adp of the snf | NOT APPLICABLE | 10/13/2023 |
| DAVIS, JESSICA Individual | adp of the snf | NOT APPLICABLE | 04/03/2025 |
| FOCUSED POST ACUTE CARE PARTNERS LLC Organization | adp of the snf | NOT APPLICABLE | 04/03/2025 |
| FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC Organization | adp of the snf | NOT APPLICABLE | 04/03/2025 |
| ROBERTS, MATTHEW Individual | adp of the snf | NOT APPLICABLE | 05/20/2019 |
| CONLEY, SHAWN Individual | corporate officer | NOT APPLICABLE | 03/07/2019 |
| MCKENZIE, MARK Individual | corporate officer | NOT APPLICABLE | 03/07/2019 |
| STRUBBE, LORETTA Individual | corporate officer | NOT APPLICABLE | 03/07/2019 |
| FOCUSED POST ACUTE CARE PARTNERS LLC Organization | direct ownership interest | NOT APPLICABLE | 05/20/2019 |
| FPACP CEDAR BAYOU LLC Organization | direct ownership interest | NOT APPLICABLE | 05/20/2019 |
| CONLEY, SHAWN Individual | operational/managerial control | NOT APPLICABLE | 05/20/2019 |
| DANIELS, SARAH Individual | operational/managerial control | NOT APPLICABLE | 10/13/2023 |
| DAVIS, JESSICA Individual | operational/managerial control | NOT APPLICABLE | 05/30/2022 |
| FOCUSED POST ACUTE CARE PARTNERS LLC Organization | operational/managerial control | NOT APPLICABLE | 05/20/2019 |
| FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC Organization | operational/managerial control | NOT APPLICABLE | 05/20/2019 |
| FPACP CEDAR BAYOU LLC Organization | operational/managerial control | NOT APPLICABLE | 05/20/2019 |
| LILLIE, TIFFANY Individual | operational/managerial control | NOT APPLICABLE | 05/24/2024 |
| MCKENZIE, MARK Individual | operational/managerial control | NOT APPLICABLE | 05/20/2019 |
| ROBERTS, MATTHEW Individual | operational/managerial control | NOT APPLICABLE | 05/20/2019 |
| STRUBBE, LORETTA Individual | operational/managerial control | NOT APPLICABLE | 05/20/2019 |
Other nursing homes near Focused Care at Cedar Bayou
Rollingbrook 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 Allenbrook
4109 Allenbrook Dr, Baytown, TX 77521 · under 1 mi
For-profit · 120 beds · Part of Focused Post Acute Care Partners
★★★★★3AverageFocused Care at Burnet Bay
3921 N. Main Street, Baytown, TX 77521 · 1.2 mi
For-profit · 120 beds · Part of Focused Post Acute Care Partners
★★★★★2Below averageMont Belvieu Rehabilitation & Healthcare Center
14000 Lakes of Champions Blvd, Mont Belvieu, TX 77523 · 1.3 mi
For-profit · 124 beds
★★★★★1Much below average- ★★★★★5Much above average
Bay Ridge Healthcare Center
208 South Utah, La Porte, TX 77571 · 7.4 mi
For-profit · 58 beds · Part of Nexion Health
★★★★★1Much below average
Frequently asked questions
What is Focused Care at Cedar Bayou's rating?
Focused Care at Cedar Bayou has 1 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 Cedar Bayou receive?
Its most recent standard health inspection found 6 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Focused Care at Cedar Bayou 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 Cedar Bayou?
It is for profit - limited liability company 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 Cedar Bayou and how do I contact it?
Focused Care at Cedar Bayou is at 2000 W Baker Road, Baytown, TX 77521. Phone: (281) 427-9120.
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.