Focused Care at Allenbrook
4109 Allenbrook Dr, Baytown, TX 77521 · CCN 675079
Ratings
- Overall
- ★★★★★ 5
- Health inspection
- ★★★★☆ 4
- Quality measures
- ★★★★★ 5
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 120
- Avg residents/day
- 74.5
- Phone
- 2814223546
Inspection history vs Texas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-12-11 | 5 | 9.1 | 9.5 | -4.1 better |
| 2 | 2023-11-02 | 5 | 9.4 | 9.8 | -4.4 better |
| 3 | 2022-08-25 | 5 | 8.1 | 9.3 | -3.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 1 |
| Resident assessment and care planning | 3 |
| Nutrition and dietary | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.12 | 50.0% |
| RN staffing (reported) | 0.18 | — |
| Total nurse staffing (adjusted) | 3.92 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- FOCUSED POST ACUTE CARE PARTNERS
- Facilities in chain
- 25
- Chain avg overall
- 2.20 / 5
Inspection citations (15)1 immediate jeopardy1 actual harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-09-04 · Health
Immediate jeopardy
- DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2024-12-11 · Health · corrected 2024-12-31
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-12-11 · Health · corrected 2024-12-31
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-12-11 · Health · corrected 2024-12-31
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-12-11 · Health · corrected 2024-12-31
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-09-30 · Health · corrected 2024-10-18
Potential for more than minimal harm
- HF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-12-14 · Health · corrected 2024-01-05
Actual harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-11-02 · Health · corrected 2023-11-20
Potential for more than minimal harm
- DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2023-11-02 · Health · corrected 2023-11-20
Potential for more than minimal harm
- EF0692Provide enough food/fluids to maintain a resident's health.2023-11-02 · Health · corrected 2023-11-20
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-11-02 · Health · corrected 2023-11-20
Potential for more than minimal harm
- DF0626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.2022-08-25 · Health · corrected 2022-08-26
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-08-25 · Health · corrected 2022-08-26
Potential for more than minimal harm
- DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2022-08-25 · Health · corrected 2022-08-26
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2022-08-25 · Health · corrected 2022-10-01
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| MCKENZIE, MARK | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 70% | 2018-07-01 |
| STRUBBE, LORETTA | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 15% | 2018-07-01 |
| CONLEY, SHAWN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 15% | 2018-07-01 |
| FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-02-01 |
| COLLINS-GAINES, JOSHUA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-12 |
| CONLEY, SHAWN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-02-01 |
| MCKENZIE, MARK | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-02-01 |
| POWELL, SAVANNAH | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-07-01 |
| ROBERTS, MATTHEW | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-01-01 |
| STRUBBE, LORETTA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-07-01 |
| CONLEY, SHAWN | Individual | CORPORATE OFFICER | — | 2018-05-01 |
| MCKENZIE, MARK | Individual | CORPORATE OFFICER | — | 2018-07-01 |
| FOCUSED POST ACUTE CARE PARTNERS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2016-12-20 |
| STRUBBE, LORETTA | Individual | CORPORATE OFFICER | — | 2018-07-01 |
| FPACP ALLENBROOK LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2017-02-01 |
| FOCUSED POST ACUTE CARE PARTNERS LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-02-01 |
Other facilities in Baytown
| Name | Overall | Beds |
|---|---|---|
| Focused Care at Cedar Bayou | ★☆☆☆☆ | 125 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.