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Nursing homeFAID #14303

Focused Care At Burnet Bay

3921 N MAIN, BAYTOWN, TX, 77521
(281) 422-9541
fpacp.com/focused-care-at-burnet-bay
120 licensed beds
★★★★★2/5CMS Five-Star overall2/5 health inspections2/5 staffing4/5 quality measuresSource: CMS Care Compare

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Photo of FOCUSED CARE AT BURNET BAY
Photo via Google · Focused Care at Burnet Bay

Public record summary

What we can show you for free.
Bed capacity
120
CMS facility ID
675849
Care type
Nursing home
County
Harris
Facility name
Focused Care At Burnet Bay
Street address
3921 N MAIN
City / state / ZIP
Baytown, TX 77521
Phone
(281) 422-9541
Website
fpacp.com/focused-care-at-burnet-bay

About this facility — Focused Care At Burnet Bay

Focused Care At Burnet Bay is a Medicare/Medicaid-certified skilled nursing facility in Baytown, Texas. It is licensed for 120 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 13 senior care facilities in Baytown and 1,178 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Focused Care At Burnet Bay 30 times across 10 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $12,893 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
Focused Post Acute Care Partners
Ownership type
For profit - Corporation

Registered owners & officers

Abernathy, Mary
Governing body — since 2024
Chambers County Public Hospital District No. 1
Direct owner · Operational control — since 2022
Conley, Shawn
Operational control · Additional disclosable party — since 2022
Cooper, Kimberly
Governing body · Officer — since 2024
Focused Post Acute Care Partners Llc
Operational control · Additional disclosable party — since 2022
Focused Post Acute Care Partners Management, Llc
Operational control · Additional disclosable party — since 2022
Fpacp Burnet Llc
Operational control · Additional disclosable party — since 2022
Humphrey, Eric
Governing body — since 2024
Legg, Stephen
Governing body — since 2024
Mckenzie, Mark
Governing body · Operational control · Additional disclosable party — since 2022
Newton, Elizabeth
Governing body · Officer · Operational control — since 2024
Strubbe, Loretta
Operational control · Additional disclosable party — since 2022
Tinnerman, Linda
Governing body — since 2024
Turner, Leslie
Governing body — since 2024
Wasserstein, Jerome
Additional disclosable party — since 2021
Watson, Tureko
Operational control · Additional disclosable party — since 2023

Regulatory standing

Licensed / certified since
2000-11-01
CMS overall rating
2 of 5 stars
Health deficiencies
2 at the last standard inspection
Federal fines
$12,893 total
Last standard inspection
2026-05-07
Nurse staffing
2.9 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$278 per day (≈ $8,450/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
80% Medicaid · 3% Medicare · 17% private/other
Occupancy
51% (fiscal year 2023)
Vs. state median
right at the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
120
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.
2026-05-07Health inspection2 citations
F-0641
E · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2026-05-29
F-0645
D · No harm found
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2026-05-29
2025-03-06Health inspectionComplaint-triggered7 citations
F-0600
E · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-03-10
F-0644
D · No harm found
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-03-10
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-03-10
F-0759
E · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-03-10
F-0761
D · No harm found
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.
Corrected 2025-03-10
F-0803
D · No harm foundFood safety
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.
Corrected 2025-03-10
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-03-10
6 earlier / fire-safety inspections (21 citations)
2024-04-23Health inspectionComplaint-triggered3 citations
F-0635
J · Immediate jeopardyFrom a complaint
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Corrected 2024-05-10
F-0684
J · Immediate jeopardyFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-06-10
F-0726
J · Immediate jeopardyFrom a complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2024-05-10
2023-12-13Health inspectionComplaint-triggered11 citations
F-0641
D · No harm foundFrom a complaint
Ensure each resident receives an accurate assessment.
Corrected 2023-12-28
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-12-28
F-0813
D · No harm foundFood safetyFrom a complaint
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2023-12-28
F-0851
F · No harm foundFrom a complaint
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2023-12-28
F-0925
D · No harm foundFrom a complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2023-12-28
F-0940
D · No harm found
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected 2023-12-28
F-0941
D · No harm found
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Corrected 2023-12-28
F-0942
D · No harm found
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Corrected 2023-12-28
F-0943
D · No harm found
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected 2023-12-28
F-0944
E · No harm found
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected 2023-12-28
F-0949
D · No harm found
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Corrected 2023-12-28
2023-09-25Health inspectionComplaint-triggered2 citations
F-0655
J · Immediate jeopardyFrom a complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-10-12
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-10-12
2026-05-07Fire-safety inspection2 citations
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-05-29
K-0741
D · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2026-05-29
2025-03-06Fire-safety inspection2 citations
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-03-10
K-0929
E · No harm found
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Corrected 2025-03-10
2023-12-13Fire-safety inspection1 citation
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-01-04

Federal penalties

2023-09-25Fine$12,893
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 675849.

Visitor reviews

What people say on Google.
4.059 ratings on Google
★★★★★Glynda Oliver · 2026-06-08 · via Google

“I couldn't have been at a better place. Very clean and helpful. Good people. Kind hearted people who take their job as a calling. I have already shared my experience with family and friends.”

★★★★★Renee Eldridge · 2026-05-27 · via Google

“The staff is very nice ,fast, and prompt. Good leadership and good trainees. Great people that are willing to help you. I miss all”

★Joe Hanson · 2025-02-20 · via Google

“Tell me what this look like? This is the 1st time I have ever been to this place and I have driven by 100's of times and I said to myself that looks like a nice place. Looks can be deceiving. One of the employees brought my friend dinner and said it was Salmon dinner. After she left I ask my friend if she/he wanted to eat and said yes so I removed the cover and friend couldn't bite a piece off so …”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 30 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered