Nursing HomeInspections

Focused Care at Burnet Bay

Nursing home in Baytown, TX

Medicare & Medicaid certified3★ overall (CMS)

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Public-record details

Address
3921 N. Main Street, Baytown, TX 77521
Phone
(281) 422-9541
Listed under
For-profit
Medicare CCN
675849
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
2 of 5
Staffing rating
2 of 5
Quality measures rating
5 of 5
Certified beds
120
Average residents per day
71
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 2026-11-07.

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 (Dec 13, 2023 to Jul 22, 2026): 11 from complaint inspections, 4 at the “actual harm” level or higher, including 3 at “immediate jeopardy”.

InspectionCitationSeverity
Jul 22, 2026Ensure 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 · complaint inspection		D
Potential for more than minimal harm, isolated
Jul 22, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection		G
Actual harm, isolated
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

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 Oct 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $16,350 in the last three years.

Jul 22, 2026Fine: $16,350

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

Staffing

Total nurse staffing per resident per day
2.92 hours
Registered nurse (RN) time per resident per day
0.39 hours
Nurse aide time per resident per day
1.86 hours
Total nurse staffing on weekends
2.57 hours
Nursing staff turnover (yearly)
28%
RN turnover (yearly)
0%
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 Health Care 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-profit27 health citations in 3 inspection cycles · last standard inspection Jun 18, 2026 · $119,238 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)

All 5 in Baytown →

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error