Focused Care at Cedar Bayou
2000 W Baker Road, Baytown, TX 77521 · CCN 676204
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Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★★☆ 4
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 125
- Avg residents/day
- 71.0
- Phone
- 2814279120
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 | 2024-02-12 | 14 | 9.1 | 9.5 | +4.9 worse |
| 2 | 2022-12-02 | 5 | 9.4 | 9.8 | -4.4 better |
| 3 | 2021-09-30 | 3 | 8.1 | 9.3 | -5.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 4 |
| Resident assessment and care planning | 3 |
| Resident rights | 1 |
| Nutrition and dietary | 1 |
| Pharmacy service | 4 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.05 | 68.7% |
| RN staffing (reported) | 0.34 | 83.3% |
| Total nurse staffing (adjusted) | 3.08 | — |
Fines & penalties
- Total fines
- $98,364
- Number of fines
- 4
- Number of penalties
- 5
- Payment denials
- 1
Chain
- Chain
- FOCUSED POST ACUTE CARE PARTNERS
- Facilities in chain
- 25
- Chain avg overall
- 2.20 / 5
Inspection citations (22)9 immediate jeopardy
- KF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-05-09 · Health · corrected 2025-06-11
Immediate jeopardy
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-05-09 · Health · corrected 2025-06-27
Potential for more than minimal harm
- KF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-05-09 · Health · corrected 2025-06-11
Immediate jeopardy
- KF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-04-16 · Health · corrected 2025-04-17
Immediate jeopardy
- KF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-04-16 · Health · corrected 2025-04-17
Immediate jeopardy
- KF0760Ensure that residents are free from significant medication errors.2025-04-16 · Health · corrected 2025-04-17
Immediate jeopardy
- JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-02-12 · Health · corrected 2024-03-07
Immediate jeopardy
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-02-12 · Health · corrected 2024-03-07
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-02-12 · Health · corrected 2024-03-07
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-12 · Health · corrected 2024-03-07
Immediate jeopardy
- KF0697Provide safe, appropriate pain management for a resident who requires such services.2024-02-12 · Health · corrected 2024-03-07
Immediate jeopardy
- KF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-02-12 · Health · corrected 2024-03-07
Immediate jeopardy
- DF0759Ensure medication error rates are not 5 percent or greater.2024-02-12 · Health · corrected 2024-03-07
Potential for more than minimal harm
- DF0814Dispose of garbage and refuse properly.2024-02-12 · Health · corrected 2024-03-07
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.2023-04-25 · Health · corrected 2023-05-25
Potential for more than minimal harm
- EF0641Ensure each resident receives an accurate assessment.2022-12-02 · Health · corrected 2022-12-02
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2022-12-02 · Health · corrected 2022-12-02
Potential for more than minimal harm
- DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2022-12-02 · Health · corrected 2023-01-02
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2022-12-02 · Health · corrected 2022-12-06
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.2022-12-02 · Health · corrected 2022-12-02
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2021-09-30 · Health · corrected 2021-10-22
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2021-09-30 · Health · corrected 2021-10-22
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| MCKENZIE, MARK | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 70% | 2019-03-07 |
| STRUBBE, LORETTA | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 15% | 2019-03-07 |
| CONLEY, SHAWN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 15% | 2019-03-07 |
| FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-05-20 |
| FPACP CEDAR BAYOU LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-05-20 |
| CONLEY, SHAWN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-05-20 |
| DANIELS, SARAH | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-10-13 |
| DAVIS, JESSICA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-05-30 |
| LILLIE, TIFFANY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-05-24 |
| MCKENZIE, MARK | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-05-20 |
| ROBERTS, MATTHEW | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-05-20 |
| STRUBBE, LORETTA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-05-20 |
| CONLEY, SHAWN | Individual | CORPORATE OFFICER | — | 2019-03-07 |
| MCKENZIE, MARK | Individual | CORPORATE OFFICER | — | 2019-03-07 |
| FOCUSED POST ACUTE CARE PARTNERS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2019-05-20 |
| STRUBBE, LORETTA | Individual | CORPORATE OFFICER | — | 2019-03-07 |
| FPACP CEDAR BAYOU LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2019-05-20 |
| FOCUSED POST ACUTE CARE PARTNERS LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-05-20 |
Other facilities in Baytown
| Name | Overall | Beds |
|---|---|---|
| Focused Care at Allenbrook | ★★★★★ | 120 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.