FOCUSED CARE AT BURNET BAY

CCN 675849 · CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1 · For profit - Corporation · FOCUSED POST ACUTE CARE PARTNERS chain · 120 certified beds · Harris · TX


FOCUSED CARE AT BURNET BAY is a 120-bed nursing home in BAYTOWN, Texas. CMS has certified it for Medicare and Medicaid since 2000-11-01. It averages 71.6 residents a day.

What harm was found in the violations cited at FOCUSED CARE AT BURNET BAY?

CMS lists 25 health-inspection deficiencies for FOCUSED CARE AT BURNET BAY, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-05-07.

Survey dateTagDeficiencySeverity
2026-05-07F0641Ensure each resident receives an accurate assessment.E
2026-05-07F0645PASARR screening for Mental disorders or Intellectual DisabilitiesD
2025-03-06F0600, F0759Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure medication error rates are not 5 percent or greater.E
2025-03-06F0644, F0695, F0761, F0803, F0880Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Provide safe and appropriate respiratory care for a resident when needed. / 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. / 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. / Provide and implement an infection prevention and control program.D
2024-04-23F0635, F0684, F0726Provide doctor's orders for the resident's immediate care at the time the resident was admitted. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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.J
2023-12-13F0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.F
2023-12-13F0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.E
2023-12-13F0641, F0755, F0813, F0925, F0940, F0941, F0942, F0943, F0949Ensure each resident receives an accurate assessment. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Have a policy regarding use and storage of foods brought to residents by family and other visitors. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. / Develop, implement, and/or maintain an effective training program for all new and existing staff members. / Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. / Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. / Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. / Provide behavior health training consistent with the requirements and as determined by a facility assessment.D
2023-09-25F0655, F0689Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J

Why was FOCUSED CARE AT BURNET BAY fined?

DateTypeAmount
2023-09-25Fine$12,893

How is FOCUSED CARE AT BURNET BAY staffed relative to the TX average?

MeasureThis facilityTX average
Total nurse staffing hours per resident per day2.900603.38539
Total nursing staff turnover (%)30.055.3
Average number of residents per day71.675.8

Who owns FOCUSED CARE AT BURNET BAY, and what chain is it in?

FOCUSED CARE AT BURNET BAY is registered with CMS as For profit - Corporation, operates under the legal business name CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1 and belongs to the FOCUSED POST ACUTE CARE PARTNERS chain.

RoleOwnerAssociation date
DIRECT OWNERSHIP INTERESTCHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1since 04/01/2022
MANAGING CONTROL - GOVERNING BODYABERNATHY, MARY, COOPER, KIMBERLY, HUMPHREY, ERIC, LEGG, STEPHEN, MCKENZIE, MARK, NEWTON, ELIZABETH, TINNERMAN, LINDA, TURNER, LESLIEsince 01/01/2024
CORPORATE OFFICERCOOPER, KIMBERLY, NEWTON, ELIZABETHsince 01/29/2024
OPERATIONAL/MANAGERIAL CONTROLCHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1, FOCUSED POST ACUTE CARE PARTNERS LLC, FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC, FPACP BURNET LLC, CONLEY, SHAWN, MCKENZIE, MARK, NEWTON, ELIZABETH, STRUBBE, LORETTA, WATSON, TUREKOsince 02/22/2024
ADP OF THE SNFFOCUSED POST ACUTE CARE PARTNERS LLC, FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC, FPACP BURNET LLC, CONLEY, SHAWN, MCKENZIE, MARK, STRUBBE, LORETTA, WASSERSTEIN, JEROME, WATSON, TUREKOsince 04/01/2022

Were you or a family member harmed at FOCUSED CARE AT BURNET BAY?