Focused Care at Burnet Bay

CMS ratings and facility information

Focused Care at Burnet Bay is a Medicare-certified nursing facility in Baytown, Harris County, Texas. CMS data for this profile was updated August 2026. Ratings and facility details can change; confirm current information with CMS and the facility.

CMS overall rating	2 of 5 stars
Health inspection rating	2 of 5
Staffing rating	2 of 5
Quality measures rating	4 of 5
Certified beds	120
Ownership	For profit - Corporation
CMS certification number	675849

Staffing

Total nurse hours per resident day	2.9
RN hours per resident day	0.39
Nurse aide hours per resident day	1.81
Total nursing staff turnover percent	30
RN turnover percent	14.3

Resident outcome measures

Measure	Value	Unit	Period
Hospitalizations	Not available	events_per_1000_resident_days	20250101-20251231
Emergency-department visits	Not available	events_per_1000_resident_days	20250101-20251231
Falls with major injury	0	percent	2025Q2-2026Q1
Pressure ulcers	4.68	percent	2025Q2-2026Q1
Urinary tract infections	1.29	percent	2025Q2-2026Q1
Antipsychotic medication use	4.8	percent	2025Q2-2026Q1

Health inspection citations

Survey date	Tag	Citation	Severity
2026-05-07	0641	Ensure each resident receives an accurate assessment.	E
2026-05-07	0645	PASARR screening for Mental disorders or Intellectual Disabilities	D
2025-03-06	0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	E
2025-03-06	0759	Ensure medication error rates are not 5 percent or greater.	E
2025-03-06	0644	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.	D
2025-03-06	0695	Provide safe and appropriate respiratory care for a resident when needed.	D
2025-03-06	0761	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.	D
2025-03-06	0803	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.	D
2025-03-06	0880	Provide and implement an infection prevention and control program.	D
2023-12-13	0851	Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.	F
2023-12-13	0944	Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.	E
2023-12-13	0641	Ensure each resident receives an accurate assessment.	D
2023-12-13	0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D
2023-12-13	0813	Have a policy regarding use and storage of foods brought to residents by family and other visitors.	D
2023-12-13	0925	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.	D
2023-12-13	0940	Develop, implement, and/or maintain an effective training program for all new and existing staff members.	D
2023-12-13	0941	Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.	D
2023-12-13	0942	Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.	D
2023-12-13	0943	Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.	D
2023-12-13	0949	Provide behavior health training consistent with the requirements and as determined by a facility assessment.	D

Penalties

Date	Type	Amount
2023-09-25	Fine	,893

Ownership records

Name	Type	Role
CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1	Organization	DIRECT OWNERSHIP INTEREST
ABERNATHY, MARY	Individual	MANAGING CONTROL - GOVERNING BODY
COOPER, KIMBERLY	Individual	MANAGING CONTROL - GOVERNING BODY
HUMPHREY, ERIC	Individual	MANAGING CONTROL - GOVERNING BODY
LEGG, STEPHEN	Individual	MANAGING CONTROL - GOVERNING BODY
MCKENZIE, MARK	Individual	MANAGING CONTROL - GOVERNING BODY
NEWTON, ELIZABETH	Individual	MANAGING CONTROL - GOVERNING BODY
TINNERMAN, LINDA	Individual	MANAGING CONTROL - GOVERNING BODY
TURNER, LESLIE	Individual	MANAGING CONTROL - GOVERNING BODY
COOPER, KIMBERLY	Individual	CORPORATE OFFICER
NEWTON, ELIZABETH	Individual	CORPORATE OFFICER
CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1	Organization	OPERATIONAL/MANAGERIAL CONTROL
FOCUSED POST ACUTE CARE PARTNERS LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL
FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL
FPACP BURNET LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL
CONLEY, SHAWN	Individual	OPERATIONAL/MANAGERIAL CONTROL
MCKENZIE, MARK	Individual	OPERATIONAL/MANAGERIAL CONTROL
NEWTON, ELIZABETH	Individual	OPERATIONAL/MANAGERIAL CONTROL
STRUBBE, LORETTA	Individual	OPERATIONAL/MANAGERIAL CONTROL
WATSON, TUREKO	Individual	OPERATIONAL/MANAGERIAL CONTROL
FOCUSED POST ACUTE CARE PARTNERS LLC	Organization	ADP OF THE SNF
FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC	Organization	ADP OF THE SNF
FPACP BURNET LLC	Organization	ADP OF THE SNF
CONLEY, SHAWN	Individual	ADP OF THE SNF
MCKENZIE, MARK	Individual	ADP OF THE SNF
STRUBBE, LORETTA	Individual	ADP OF THE SNF
WASSERSTEIN, JEROME	Individual	ADP OF THE SNF
WATSON, TUREKO	Individual	ADP OF THE SNF

Compare nursing homes in Harris County, Texas.

Source: Centers for Medicare & Medicaid Services Care Compare data. Data snapshot: August 2026. Read Our Data & Methodology. This directory does not provide medical or legal advice.