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Focused Care At Burnet Bay

3921 N Main, Baytown, TX 77521 · Harris County

For-profit · 120 certified beds · 60% occupancy · (281) 422-9541

The U.S. government (CMS) rates Focused Care At Burnet Bay 2 out of 5 stars overall — below average. Its nurse staffing is 11% below the Texas median. Inspectors cited it for 5 immediate-jeopardy findings in recent inspection cycles.

CMS quality ratings

Overall★★★★★
Health inspections★★★★★
Staffing★★★★★
Quality of resident care★★★★

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. Stars are CMS's own five-star ratings.

Nurse staffing

Staffing is the single strongest predictor of nursing home quality — and the number pay-to-play referral sites rarely show you.

TX median 3.27

2.90 nurse hours per resident per day. 11% below the Texas median of 3.27.

Total nurse
2.90 hrs
RN
0.39 hrs
LPN
0.69 hrs
Aide
1.81 hrs

Nursing staff turnover: 30% · RN turnover: 14.3%

Safety & compliance flags

No CMS warning flags on record.

Recent inspection findings

The specific problems state inspectors cited — the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.

25
total findings
5
immediate jeopardy
0
caused actual harm
11
from complaints
  • Potential for harmTag F0641 · May 7, 2026

    Ensure each resident receives an accurate assessment.

    Resident Assessment and Care Planning Deficiencies

  • Potential for harmTag F0645 · May 7, 2026

    PASARR screening for Mental disorders or Intellectual Disabilities

    Resident Assessment and Care Planning Deficiencies

  • Potential for harmTag F0600 · Mar 6, 2025ComplaintCorrected Mar 10, 2025

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies

  • Potential for harmTag F0759 · Mar 6, 2025Corrected Mar 10, 2025

    Ensure medication error rates are not 5 percent or greater.

    Pharmacy Service Deficiencies

  • Potential for harmTag F0644 · Mar 6, 2025Corrected Mar 10, 2025

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Resident Assessment and Care Planning Deficiencies

  • Potential for harmTag F0695 · Mar 6, 2025Corrected Mar 10, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Quality of Life and Care Deficiencies

  • Potential for harmTag F0761 · Mar 6, 2025Corrected Mar 10, 2025

    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.

    Pharmacy Service Deficiencies

  • Potential for harmTag F0803 · Mar 6, 2025Corrected Mar 10, 2025

    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.

    Nutrition and Dietary Deficiencies

  • Potential for harmTag F0880 · Mar 6, 2025Corrected Mar 10, 2025

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies

  • Immediate jeopardyTag F0635 · Apr 23, 2024ComplaintCorrected May 10, 2024

    Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

    Resident Assessment and Care Planning Deficiencies

Showing the 10 most recent and serious of 25 findings. See the full inspection history on Medicare.gov.

Ownership

Part of the Focused Post Acute Care Partners chain (25 facilities), chain average overall rating 1.9★.