For profit - Corporation ·
120 certified beds ·
Medicare and Medicaid
· Part of Focused Post Acute Care Partners (25 facilities)
3
Overall CMS Rating
★★★☆☆
Focused Care At Burnet Bay is a Medicare-certified nursing home in Baytown, Texas. CMS rates it 3 out of 5 stars overall (2/5 for staffing, 2/5 for health inspections). Nurse staffing is 2.75 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Mar 6, 2025 cited 7 deficiencies.
1 fine totaling $12,893 in CMS records.
1 total penalty
Not SLA EnrolledThis facility hasn't enrolled in resident survey verification. Learn about enrollment →
CMS Quality Ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars = highest quality.
Overall Rating
★★★☆☆ 3/5
Health Inspections
★★☆☆☆ 2/5
Staffing
★★☆☆☆ 2/5
Quality Measures
★★★★★ 5/5
Long-Stay QM
★★★★★ 5/5
Short-Stay QM
No data
How Focused Care At Burnet Bay compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
Metric
This facility
Texas avg
National avg
Total nurse staffing (hrs/resident/day)
2.75
3.40
3.89
below avg
RN staffing (hrs/resident/day)
0.32
0.44
0.68
below avg
Aide staffing (hrs/resident/day)
1.69
2.01
2.34
below avg
Nursing staff turnover
46.4%
51.5%
46.4%
below avg
Deficiencies cited, last inspection
7.0
9.1
9.5
below avg
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
2.75
Total Nurse Hrs/Resident/Day
0.32
RN Hrs/Resident/Day
0.74
LPN Hrs/Resident/Day
1.69
Aide Hrs/Resident/Day
2.45
Weekend Nurse Hrs/Resident/Day
Staff Turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is ~60%.
Total Nursing Staff
46.4%
Registered Nurses
20.0%
Administrator Changes0 in last year
Recent Health Inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Mar 6, 2025
Most Recent Inspection Date
7
Total Deficiencies Found
36
Health Inspection Score
1
Number of Fines
What inspectors found at Focused Care At Burnet Bay
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
Potential for harm
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 · Mar 6, 2025
Potential for harm
Ensure medication error rates are not 5 percent or greater.Pharmacy Service Deficiencies · Mar 6, 2025
Potential for harm
Provide and implement an infection prevention and control program.Infection Control Deficiencies · Mar 6, 2025
Potential for harm
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 · Mar 6, 2025
Potential for harm
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 · Mar 6, 2025
Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.Quality of Life and Care Deficiencies · Mar 6, 2025
Potential for harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Resident Assessment and Care Planning Deficiencies · Mar 6, 2025
Immediate jeopardy
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 · Apr 23, 2024
Immediate jeopardy
Provide appropriate treatment and care according to orders, resident’s preferences and goals.Quality of Life and Care Deficiencies · Apr 23, 2024
Immediate jeopardy
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.Resident Assessment and Care Planning Deficiencies · Apr 23, 2024
Potential for harm
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.Administration Deficiencies · Dec 13, 2023
Potential for harm
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.Administration Deficiencies · Dec 13, 2023
About This Facility
Address
3921 N Main Baytown, TX 77521
CMS Certification #
675849
Ownership
For profit - Corporation
Certified Beds
120
Avg Residents/Day
70.2
Provider Type
Medicare and Medicaid
First Certified
2000-11-01
Chain
Focused Post Acute Care Partners (25 facilities)
Setting
Urban
Part of Focused Post Acute Care Partners
25
Facilities Nationwide
Focused Post Acute Care Partners operates 25 nursing facilities across the United States.
CMS gives Focused Care At Burnet Bay an overall rating of 3 out of 5 stars, including 2/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
Focused Care At Burnet Bay reports 2.75 total nurse hours per resident per day, compared with the Texas average of 3.40.
Its most recent CMS inspection cited 7 deficiencies.
Focused Care At Burnet Bay is certified for 120 beds.
Admissions at Focused Care At Burnet Bay
For admissions, availability and rehab questions, call (281) 422-9541. If a parent is leaving the hospital, the hospital discharge planner can also check which nursing homes have a bed.
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