CareSentinel

Federal Nursing-Home Survey Record

FOCUSED CARE AT BURNET BAY

CCN 675849 · 3921 N MAIN, BAYTOWN, TX, 77521 · Operated within the FOCUSED POST ACUTE CARE PARTNERS chain

Does FOCUSED CARE AT BURNET BAY have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), FOCUSED CARE AT BURNET BAY (CCN 675849), in BAYTOWN, TX, has federal inspection findings on its record. In its current inspection cycle, CMS cited the facility for 6 deficiencies; the most serious carries scope/severity E. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. CMS has $12,893 in civil money penalties on file against the facility. This page restates the federal record and draws no conclusion of its own. Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly. Federal nursing-home surveys are conducted on a recurring cycle by state survey agencies acting on CMS's behalf, and the figures on this page are compiled from CMS's published provider data, as on file with federal regulators; the federal record may understate what actually occurred, and inspection findings are point-in-time survey results, not a determination that any specific resident was harmed.

The Federal Record

CMS has $12,893 in civil money penalties on file against this facility.

Below is this facility's federal survey record as on file with federal regulators (CMS). Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations, as on file with federal regulators (CMS).

Civil money penalties on file

$12,893

CMS has $12,893 in civil money penalties on file against this facility.

Overall CMS star rating: this facility vs the CMS-published state average

This facility: 3  ·  CMS state average: 2.7

Side-by-side with the CMS-published Overall CMS star rating for this state. This is the government's own published state average — not a CareSentinel-computed figure or delta.

Deficiency timeline — full federal history

2025-03-06
CURRENT CYCLE
F759S/S E

Ensure medication error rates are not 5 percent or greater.

2025-03-06
HISTORICAL
F600S/S E

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2025-03-06
CURRENT CYCLE
F761S/S D

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.

2025-03-06
CURRENT CYCLE
F880S/S D

Provide and implement an infection prevention and control program.

2025-03-06
CURRENT CYCLE
F803S/S D

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.

2025-03-06
CURRENT CYCLE
F644S/S D

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

2025-03-06
CURRENT CYCLE
F695S/S D

Provide safe and appropriate respiratory care for a resident when needed.

2024-04-23
HISTORICAL
F726S/S J

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
HISTORICAL
F684S/S J

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

2024-04-23
HISTORICAL
F635S/S J

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

2023-12-13
HISTORICAL
F851S/S F

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

2023-12-13
HISTORICAL
F944S/S E

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

2023-12-13
HISTORICAL
F949S/S D

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

2023-12-13
HISTORICAL
F641S/S D

Ensure each resident receives an accurate assessment.

2023-12-13
HISTORICAL
F755S/S D

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

2023-12-13
HISTORICAL
F813S/S D

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

2023-12-13
HISTORICAL
F925S/S D

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

2023-12-13
HISTORICAL
F940S/S D

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

2023-12-13
HISTORICAL
F941S/S D

Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

2023-12-13
HISTORICAL
F942S/S D

Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

2023-12-13
HISTORICAL
F943S/S D

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

2023-09-25
HISTORICAL
F655S/S J

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

2023-09-25
HISTORICAL
F689S/S J

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

2022-10-05
HISTORICAL
F755S/S E

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

2022-10-05
HISTORICAL
F761S/S E

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.

2022-10-05
HISTORICAL
F756S/S E

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

2022-10-05
HISTORICAL
F812S/S E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2022-10-05
HISTORICAL
F695S/S D

Provide safe and appropriate respiratory care for a resident when needed.

2022-10-05
HISTORICAL
F908S/S D

Keep all essential equipment working safely.

Each citation below is a federal survey finding, dated and labeled with its CMS deficiency tag, as on file with federal regulators (CMS). Older inspection cycles are de-emphasized; only the most recent cycle is current.

Document what happened

Were you or a loved one harmed at FOCUSED CARE AT BURNET BAY?

Share a few details to put your inquiry on file. CareSentinel is an independent service that compiles the public CMS record and does not provide legal advice. As qualified attorneys join our network in your area, one may reach out — we can’t guarantee contact yet, so we encourage you to consult a qualified attorney promptly on your own as well. There is no cost, and your information is handled with care.

Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Step 1 of 3 · What happened

Your relationship to the resident
What happened? Select all that apply.

Physical injury

Skin & wounds

Medical & clinical

Safety & abuse

Loss

Something else

The resident is…