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Data / Nursing homes / Texas / Focused Care at Burnet Bay

Focused Care at Burnet Bay, Baytown, TX: 3 star rating, fined $16,350 across 1 fine

Focused Care at Burnet Bay in Baytown, TX is owned by Chambers County Public Hospital District No. 1, is rated 3 of 5 stars by Medicare, and was fined $16,350 across 1 fine in the three years to October 1, 2026. CMS lists 25 health citations from inspections in that time, the latest survey on July 22, 2026, and 4 of them found actual harm or immediate jeopardy.

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Address
3921 N. Main Street, Baytown, TX 77521
Overall rating
3 of 5 stars
Health inspection rating
2 of 5
Staffing rating
2 of 5
Quality measure rating
5 of 5
Certified beds
120
Residents per day
71 on average
Ownership type
For profit, corporation
Legal business name
Chambers County Public Hospital District No. 1
Chain
Focused Post Acute Care Partners, 25 facilities
Fines
$16,350 across 1 fine, three years to October 1, 2026
Payment denials
0
Health citations
25, of which 4 with actual harm or immediate jeopardy
Latest survey
July 22, 2026
CMS Certification Number
675849
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
July 22, 2026Fine$16,350Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
July 22, 2026F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.G: isolated, actual harmNo plan of correctiondata.cms.gov
July 22, 2026F761Ensure 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: isolated, no actual harm, potential for more than minimal harmNo plan of correctiondata.cms.gov
May 7, 2026F645PASARR screening for Mental disorders or Intellectual DisabilitiesD: isolated, no actual harm, potential for more than minimal harmCorrectedMay 29, 2026data.cms.gov
May 7, 2026F641Ensure each resident receives an accurate assessment.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 29, 2026data.cms.gov
March 6, 2025F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 10, 2025data.cms.gov
March 6, 2025F803Ensure 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: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 10, 2025data.cms.gov
March 6, 2025F761Ensure 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: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 10, 2025data.cms.gov
March 6, 2025F759Ensure medication error rates are not 5 percent or greater.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 10, 2025data.cms.gov
March 6, 2025F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 10, 2025data.cms.gov
March 6, 2025F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 10, 2025data.cms.gov
March 6, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 10, 2025data.cms.gov
April 23, 2024F726Ensure 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: isolated, immediate jeopardyCorrectedMay 10, 2024data.cms.gov
April 23, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.J: isolated, immediate jeopardyCorrectedJune 10, 2024data.cms.gov
April 23, 2024F635Provide doctor's orders for the resident's immediate care at the time the resident was admitted.J: isolated, immediate jeopardyCorrectedMay 10, 2024data.cms.gov
December 13, 2023F949Provide behavior health training consistent with the requirements and as determined by a facility assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 28, 2023data.cms.gov
December 13, 2023F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 28, 2023data.cms.gov
December 13, 2023F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 28, 2023data.cms.gov
December 13, 2023F942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 28, 2023data.cms.gov
December 13, 2023F941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 28, 2023data.cms.gov
December 13, 2023F940Develop, implement, and/or maintain an effective training program for all new and existing staff members.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 28, 2023data.cms.gov
December 13, 2023F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 28, 2023data.cms.gov
December 13, 2023F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.F: widespread, no actual harm, potential for more than minimal harmCorrectedDecember 28, 2023data.cms.gov
December 13, 2023F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 28, 2023data.cms.gov
December 13, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 28, 2023data.cms.gov
December 13, 2023F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 28, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 20 individual or personal trusts (13 managers, 2 officers, directors or trustees, 5 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Chambers County Public Hospital District No. 1Direct ownerNot listedApril 1, 2022data.cms.gov
Chambers County Public Hospital District No. 1Operational or managerial controlNot listedApril 1, 2022data.cms.gov
Focused Post Acute Care Partners LLCOperational or managerial controlNot listedApril 1, 2022data.cms.gov
Focused Post Acute Care Partners Management, LLCOperational or managerial controlNot listedApril 1, 2022data.cms.gov
Fpacp Burnet LLCOperational or managerial controlNot listedApril 1, 2022data.cms.gov
Focused Post Acute Care Partners LLCAdditional disclosable partyNot listedJune 17, 2025data.cms.gov
Focused Post Acute Care Partners Management, LLCAdditional disclosable partyNot listedJune 17, 2025data.cms.gov
Fpacp Burnet LLCAdditional disclosable partyNot listedJune 17, 2025data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.