FOCUSED CARE AT BURNET BAY

3921 N MAIN, BAYTOWN, TX 77521 · CCN 675849 · 120 certified beds · Data as of 2026-07-01

CMS overall2 of 5CMS inspections2 of 5CMS staffing2 of 5CMS quality4 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 3 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

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Serious inspection findings

2024-04-23 — IMMEDIATE JEOPARDY (tag F0684, severity J)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2024-04-23 — IMMEDIATE JEOPARDY (tag F0726, severity J)

Nursing and Physician Services Deficiencies · correction not recorded in CMS data

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.

2024-04-23 — IMMEDIATE JEOPARDY (tag F0635, severity J)

Resident Assessment and Care Planning Deficiencies · correction not recorded in CMS data

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

2023-09-25 — IMMEDIATE JEOPARDY (tag F0689, severity J)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2023-09-25 — IMMEDIATE JEOPARDY (tag F0655, severity J)

Resident Assessment and Care Planning Deficiencies · correction not recorded in CMS data

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Staffing, from payroll records

Nursing hours / resident / day

2.43

state median 2.67

Weekend staffing gap

−1%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.29

registered nurses only

Contract (agency) staff

share of all nursing hours

Days with zero RN hours reported

with residents present

Nursing staff turnover

30%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

1 enforcement action(s), totaling $12,893 in fines.

Date	Type	Amount
2023-09-25	Fine	$12,893

Ownership

Ownership type: For profit - Corporation. Part of the FOCUSED POST ACUTE CARE PARTNERS chain.

Other facilities under the same ownership, with their CMS overall ratings:

Focused Care of Waxahachie (Waxahachie, TX) — CMS overall1 of 5
Focused Care at Mount Pleasant (Mount Pleasant, TX) — CMS overall1 of 5
FOCUSED CARE AT LAMESA (LAMESA, TX) — CMS overall3 of 5
FOCUSED CARE AT CLARKSVILLE (CLARKSVILLE, TX) — CMS overall3 of 5
Focused Care at Beechnut (Houston, TX) — CMS overall2 of 5
Focused Care at Allenbrook (Baytown, TX) — CMS overall3 of 5
Focused Care at Sherman (Sherman, TX) — CMS overall1 of 5
FOCUSED CARE AT HUMBLE (HUMBLE, TX) — CMS overall2 of 5

Full citation history

By severity: Potential for more than minimal harm: 20 · Immediate jeopardy: 5

Survey date	Tag	Category	Severity	Corrected
2026-05-07	F0641	Resident Assessment and Care Planning Deficiencies	E	not recorded
2026-05-07	F0645	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-03-06	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	E	not recorded
2025-03-06	F0644	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-03-06	F0695	Quality of Life and Care Deficiencies	D	not recorded
2025-03-06	F0759	Pharmacy Service Deficiencies	E	not recorded
2025-03-06	F0761	Pharmacy Service Deficiencies	D	not recorded
2025-03-06	F0803	Nutrition and Dietary Deficiencies	D	not recorded
2025-03-06	F0880	Infection Control Deficiencies	D	not recorded
2024-04-23	F0635	Resident Assessment and Care Planning Deficiencies	J	not recorded
2024-04-23	F0684	Quality of Life and Care Deficiencies	J	not recorded
2024-04-23	F0726	Nursing and Physician Services Deficiencies	J	not recorded
2023-12-13	F0641	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-12-13	F0755	Pharmacy Service Deficiencies	D	not recorded
2023-12-13	F0813	Nutrition and Dietary Deficiencies	D	not recorded
2023-12-13	F0851	Administration Deficiencies	F	not recorded
2023-12-13	F0925	Environmental Deficiencies	D	not recorded
2023-12-13	F0940	Administration Deficiencies	D	not recorded
2023-12-13	F0941	Administration Deficiencies	D	not recorded
2023-12-13	F0942	Resident Rights Deficiencies	D	not recorded
2023-12-13	F0943	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2023-12-13	F0944	Administration Deficiencies	E	not recorded
2023-12-13	F0949	Administration Deficiencies	D	not recorded
2023-09-25	F0655	Resident Assessment and Care Planning Deficiencies	J	not recorded
2023-09-25	F0689	Quality of Life and Care Deficiencies	J	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “FOCUSED CARE AT BURNET BAY, BAYTOWN” at medicare.gov/care-compare.