Nursing HomeInspections

Focused Care at Burnet Bay

Nursing home in Baytown, TX

Medicare & Medicaid certified2★ overall (CMS)

Call (281) 422-9541Send a messageMap ↗

Public-record details

Address
3921 N Main, Baytown, TX 77521
Phone
(281) 422-9541
Listed under
For-profit
Medicare CCN
675849
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
2 of 5
Quality measures rating
4 of 5
Certified beds
120
Average residents per day
72
Ownership
For-profit, corporation
Legal business name
Chambers County Public Hospital District No. 1
Chain
Focused Post Acute Care Partners (25 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Nov 1, 2000
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Sprinklers in all required areas
Yes

CMS certification number 675849. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: May 7, 2026. CMS lists 25 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 25, 2023 to May 7, 2026): 11 from complaint inspections, 5 at the “actual harm” level or higher, including 5 at “immediate jeopardy”.

InspectionCitationSeverity
May 7, 2026PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
May 7, 2026Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		E
Potential for more than minimal harm, pattern
Mar 6, 2025Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Mar 6, 2025Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Mar 6, 2025Ensure 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…
Pharmacy Service		D
Potential for more than minimal harm, isolated
Mar 6, 2025Ensure 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		D
Potential for more than minimal harm, isolated
Mar 6, 2025Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Mar 6, 2025Protect 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 · complaint inspection		E
Potential for more than minimal harm, pattern
Mar 6, 2025Ensure medication error rates are not 5 percent or greater.
Pharmacy Service		E
Potential for more than minimal harm, pattern
Apr 23, 2024Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Resident Assessment and Care Planning · complaint inspection		J
Immediate jeopardy, isolated
Apr 23, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		J
Immediate jeopardy, isolated
Apr 23, 2024Ensure 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 · complaint inspection		J
Immediate jeopardy, isolated

Showing the 12 most recent of 25. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $12,893 in the last three years.

Sep 25, 2023Fine: $12,893

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
2.90 hours
Registered nurse (RN) time per resident per day
0.39 hours
Nurse aide time per resident per day
1.81 hours
Total nurse staffing on weekends
2.67 hours
Nursing staff turnover (yearly)
30%
RN turnover (yearly)
14%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Baytown

St James House of Baytown5800 W Baker Rd · Baytown, TX 77520 · (281) 425-1200 · For-profit10 health citations in 3 inspection cycles · last standard inspection Aug 20, 2025 · $14,901 in CMS fines (3 yrs)Medicare & Medicaid certified5★ overall (CMS)Focused Care at Allenbrook4109 Allenbrook Dr · Baytown, TX 77521 · (281) 422-3546 · For-profit14 health citations in 3 inspection cycles · last standard inspection Mar 13, 2026 · $8,400 in CMS fines (3 yrs)Medicare & Medicaid certified3★ overall (CMS)Rollingbrook Rehabilitation and Healthcare Center750 Rollingbrook Dr · Baytown, TX 77521 · (832) 572-7575 · Government-owned10 health citations in 3 inspection cycles · last standard inspection Mar 26, 2026 · $23,676 in CMS fines (3 yrs)Medicare & Medicaid certified3★ overall (CMS)Focused Care at Cedar Bayou2000 W Baker Road · Baytown, TX 77521 · (281) 427-9120 · For-profit25 health citations in 3 inspection cycles · last standard inspection Jun 18, 2026 · $99,628 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)

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