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Focused Care At Burnet Bay in Baytown, TX

3921 N Main, Baytown, TX 77521
2814229541
Hours not listed yet
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Overall CMS Rating

3.0/5

vs State Average: 2.8 stars

2.0/5

Health Inspections

vs State Average: 2.8/5

2.0/5

Staffing Level

vs State Average: 2.1/5

5.0/5

Quality Measures

vs State Average: 3.8/5

1 penaltiesin last 3 years
Penalties
vs State Average: 1.8 penalties

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Ratings Deep Dive

Score
2.0
State Average
2.8
National Average
2.8
5Deficiencies found in last inspections
1Penalties in last 3 years
1Fines issued
CitationDateDescriptionSeverity
F695Mar 6, 2025Provide safe and appropriate respiratory care for a resident when needed.D
F880Mar 6, 2025Provide and implement an infection prevention and control program.D
F600Mar 6, 2025Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.E
F644Mar 6, 2025Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D
F759Mar 6, 2025Ensure medication error rates are not 5 percent or greater.E
Score
2.0
State Average
2.1
National Average
2.9
0.3RN Hours / Resident / Day
2.8Total Nurse Hours / Resident / Day
20.0%RN Turnover Rate
Score
5.0
State Average
3.8
National Average
3.6
5.0Long-Stay QM Rating
Short-Stay QM Rating
70.2Avg Residents Per Day
MeasureScoreType
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay
Percentage of long-stay residents who lose too much weightLong Stay
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay
Percentage of long-stay residents with a urinary tract infectionLong Stay
Percentage of long-stay residents who have depressive symptomsLong Stay
Percentage of long-stay residents who were physically restrainedLong Stay
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccineLong Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccineShort Stay
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay

Ownership & Compliance

Ownership Info

Ownership information has not been added yet.

Ownership Info CMS
OPERATIONAL/MANAGERIAL CONTROLCONLEY, SHAWN
5% OR GREATER DIRECT OWNERSHIP INTERESTCHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1
OPERATIONAL/MANAGERIAL CONTROLCHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1
OPERATIONAL/MANAGERIAL CONTROLFOCUSED POST ACUTE CARE PARTNERS LLC
OPERATIONAL/MANAGERIAL CONTROLFOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC
OPERATIONAL/MANAGERIAL CONTROLFPACP BURNET LLC
OPERATIONAL/MANAGERIAL CONTROLMCKENZIE, MARK
OPERATIONAL/MANAGERIAL CONTROLNEWTON, ELIZABETH
OPERATIONAL/MANAGERIAL CONTROLSTRUBBE, LORETTA
OPERATIONAL/MANAGERIAL CONTROLWATSON, TUREKO
Recent Penalties
DateTypeFine
Sep 25, 2023Fine$12,893

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