Focused Care at Allenbrook
Baytown · 0.4 mi · 120 beds
Citations0Substantiated0
Focused Care at Burnet Bay
3921 N MAIN, Baytown, TX, 77521
Nursing home120 licensed beds0 citations on record
2 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 2 deficiencies against Focused Care at Burnet Bay in Baytown, Texas at its most recent standard inspection on 2026-05-07. 5 findings have been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 1 time, totalling $12,893. Medicare rates it 2 out of 5 overall.
2 / 5Medicare overall rating
120certified beds
2deficiencies at the last inspection
5immediate-jeopardy findings on record
0actual-harm findings on record
1federal fines, $12,893
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.5
Actual harmA resident was harmed, but not placed in immediate danger.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.20
Potential for minimal harmThe least serious band.0
Most recentEDEEDDDDDJJJFEDDDDDD
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · F0641 · 2026-05-07 · standard survey · No actual harm, potential for more than minimal harm
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · F0645 · 2026-05-07 · standard survey · No actual harm, potential for more than minimal 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 · F0600 · 2025-03-06 · from a complaint · No actual harm, potential for more than minimal harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · F0759 · 2025-03-06 · standard survey · No actual harm, potential for more than minimal harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · F0644 · 2025-03-06 · standard survey · No actual harm, potential for more than minimal harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · F0695 · 2025-03-06 · standard survey · No actual harm, potential for more than minimal 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 · F0761 · 2025-03-06 · standard survey · No actual harm, potential for more than minimal 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 · F0803 · 2025-03-06 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2025-03-06 · standard survey · No actual harm, potential for more than minimal harm
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Resident Assessment and Care Planning Deficiencies · F0635 · 2024-04-23 · from a complaint · Immediate jeopardy to resident health or safety
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2024-04-23 · from a complaint · Immediate jeopardy to resident health or safety
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 · F0726 · 2024-04-23 · from a complaint · Immediate jeopardy to resident health or safety
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration Deficiencies · F0851 · 2023-12-13 · from a complaint · No actual harm, potential for more than minimal harm
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Administration Deficiencies · F0944 · 2023-12-13 · standard survey · No actual harm, potential for more than minimal harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · F0641 · 2023-12-13 · from a complaint · No actual harm, potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · F0755 · 2023-12-13 · from a complaint · No actual harm, potential for more than minimal harm
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary Deficiencies · F0813 · 2023-12-13 · from a complaint · No actual harm, potential for more than minimal harm
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · F0925 · 2023-12-13 · from a complaint · No actual harm, potential for more than minimal harm
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Administration Deficiencies · F0940 · 2023-12-13 · standard survey · No actual harm, potential for more than minimal harm
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Administration Deficiencies · F0941 · 2023-12-13 · standard survey · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below2 of 5
Health inspectionBased on the last three inspection cycles2 of 5
StaffingNurse hours per resident, adjusted for how sick residents are2 of 5
Quality measuresResident outcomes reported by the home4 of 5
Nurse hours per resident per dayReported by the home to CMS2.9006
Nursing staff turnoverShare of nursing staff who left in a year30%
Penalties
What Medicare has fined this home
FinesCivil money penalties imposed by CMS1
Total fined$12,893
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one1
Ownership
Who owns Focused Care at Burnet Bay
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1 | Organization | NOT APPLICABLE | since 04/01/2022 |
| ABERNATHY, MARY | Individual | NOT APPLICABLE | since 05/01/2024 |
| COOPER, KIMBERLY | Individual | NOT APPLICABLE | since 01/29/2024 |
| HUMPHREY, ERIC | Individual | NOT APPLICABLE | since 05/01/2024 |
| LEGG, STEPHEN | Individual | NOT APPLICABLE | since 01/01/2024 |
| MCKENZIE, MARK | Individual | NOT APPLICABLE | since 04/01/2022 |
| NEWTON, ELIZABETH | Individual | NOT APPLICABLE | since 02/22/2024 |
| TINNERMAN, LINDA | Individual | NOT APPLICABLE | since 01/01/2024 |
| TURNER, LESLIE | Individual | NOT APPLICABLE | since 01/01/2024 |
| COOPER, KIMBERLY | Individual | NOT APPLICABLE | since 01/29/2024 |
| NEWTON, ELIZABETH | Individual | NOT APPLICABLE | since 02/22/2024 |
| CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1 | Organization | NOT APPLICABLE | since 04/01/2022 |
Part of the FOCUSED POST ACUTE CARE PARTNERS group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Focused Care at Cedar Bayou
Baytown · 1.1 mi · 125 beds
Citations0Substantiated0
Contact
Ask Focused Care at Burnet Bay a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 675849.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction