Focused Care at Burnet Bay
Baytown, Texas · CCN 675849
36 surveys since 2011. The first finding at harm level was recorded in 2017.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 138
- Surveys
- 36
- Harm or worse
- 13
- Immediate jeopardy
- 7
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 120
- Ownership
- For profit - Corporation
- Chain
- FOCUSED POST ACUTE CARE PARTNERS
- County
- Harris
- Medicare-certified since
- 2000
CMS ratings
- Overall
- 2
- Health inspection
- 2
- Staffing
- 2
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat more weighted findings than its peer group.
Weighted by harm level, against 377 for-profit facilities of 100–127 beds in Texas.
Last survey on record
Jul 22, 2026
110 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 2.90 | 3.25 |
| Registered-nurse hours per resident day | 0.39 | — |
| Annual nurse turnover | 30.0% | 54.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $29,243 across 2 penalties
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J518.5% | K— | L— |
| Actual harm | G13.7% | H— | I— |
| No harm, potential for more than minimal | D1659.3% | E414.8% | F13.7% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6412×
Ensure each resident receives an accurate assessment.
- F7552×
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- F7612×
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.
- F6001×
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- F6351×
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
In the surveyor’s words
From the most serious findings on record at Focused Care at Burnet Bay, in the surveyor’s own words.
- Immediate jeopardy, isolatedF635Apr 23, 2024
Based on interviews and records reviewed, the facility failed to ensure at the time each resident was admitted , they had physician orders for immediate care for 1 (CR #1) of 5 residents reviewed for admission orders. -The facility failed to have physician orders for the use of a magnet device used when CR #1 was in respiratory distress on [DATE] and passed away at the facility. An Immediate Jeopardy (IJ) was identified on [DATE]. The IJ template was provided to the facility on [DATE]. […]
- Immediate jeopardy, isolatedF684Apr 23, 2024
Based on interview, and record review, the facility failed to provide treatment and care in accordance with the comprehensive person-centered care plan and in accordance with professional standards of practice for 1 (CR #1) of 5 residents reviewed for quality of care. -The facility failed to assess and provide treatment for CR #1's vagus nerve stimulator. On [DATE], facility staff used a magnet device when CR #1 was in respiratory distress and he passed away at the facility. An Immediate Jeopardy (IJ) was identified on [DATE]. The IJ template was provided to the facility on [DATE]. […]
- Immediate jeopardy, isolatedF726Apr 23, 2024
Based on interviews and records reviewed, the facility failed to ensure that licensed nurses had the specific competencies and skill sets necessary to care for residents' needs, as identified through resident assessments, and described in the plan of care for 1 (CR #1) of 5 residents reviewed for nursing services. -The facility failed to train nursing staff on how to use CR #1's magnet device. The magnet device was used on [DATE] when CR #1 was in respiratory distress and passed away at the facility. An IJ was identified on [DATE]. The IJ template was provided to the facility on [DATE]. […]
- Immediate jeopardy, isolatedF655Sep 25, 2023
Based on interview and record review, the facility failed to develop and implement a baseline care plan for each resident that includes the instructions needed to provide effective and person-centered care of the resident that meet professional standards of quality of care for 1 (CR #1) of 5 residents reviewed for baseline care plans. -The facility failed to care plan and implement interventions to address CR #1's history of hallucinations, need for supervision, and behavioral interventions which resulted in CR #1 attempting suicide on 09/16/2023. An Immediate Jeopardy (IJ) was identified on 09/20/2023 at 5:15 p.m. […]
- Immediate jeopardy, isolatedF689Sep 25, 2023
Based on interviews and records reviewed, the facility failed to ensure resident environment remains as free of accident hazards as is possible; and each resident receives adequate supervision and assistance devices to prevent accidents for 1 (CR #1) of 5 residents reviewed for accident hazards and supervision. -The facility failed to provide adequate supervision for CR #1 to prevent harm from suicidal ideations and self-injurious behaviors that resulted in him cutting his arm and wrist with broken glass and being hospitalized . […]
Read 29 findings in full →The most serious and the most recent: 29 of 138 on record.
Every survey on record
FindingsAt actual harm or above
- Jul 22, 2026Complaint2 findings · 1 harm
- May 7, 2026Standard2 findings
- Mar 6, 2025Standard and complaint7 findings
- Apr 23, 2024Complaint3 findings · 3 harm
- Dec 13, 2023Standard and complaint11 findings
- Sep 25, 2023Complaint2 findings · 2 harm
- Oct 5, 2022Standard6 findings
- Nov 9, 2021Complaint1 finding
Show the 28 earlier surveys
- Aug 24, 2021Standard7 findings
- Apr 28, 2020Complaint4 findings
- Oct 16, 2019Complaint3 findings
- Sep 14, 2019Complaint7 findings · 3 harm
- Aug 16, 2019Standard and complaint5 findings
- Jun 12, 2019Complaint1 finding
- May 30, 2019Complaint2 findings
- May 24, 2019Complaint1 finding
- May 19, 2019Complaint1 finding
- Mar 29, 2019Complaint1 finding
- Dec 28, 2018Complaint1 finding
- Aug 3, 2018Standard8 findings
- Jun 6, 2018Complaint3 findings · 2 harm
- May 3, 2018Complaint1 finding
- Aug 3, 2017Standard8 findings
- Jun 28, 2017Complaint2 findings
- May 9, 2017Complaint6 findings
- Jan 19, 2017Complaint3 findings · 2 harm
- Oct 7, 2016Standard and complaint9 findings
- Mar 24, 2016Complaint3 findings
- Sep 10, 2014Standard4 findings
- Mar 14, 2014Complaint1 finding
- Nov 8, 2013—2 findings
- Aug 8, 2013—9 findings
- Nov 6, 2012—1 finding
- Aug 23, 2012—4 findings
- Oct 25, 2011—1 finding
- Jul 28, 2011—6 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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