Focused Care At Burnet Bay
3921 N. MAIN STREET, Baytown, TX, 77521-3307
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Focused Post Acute Care Partners
- Certified beds
- 120 · avg 70 residents/day
- Total nursing staff turnover
- 46.4% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 20% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $12,893 total
State licensing & capacity
- License number
- 308590
- Service type
- Medicare/medicaid
- Licensed capacity
- 120 beds
- Bed type breakdown
- 10 Medicare-only · 110 Medicaid/Medicare
- Current license effective
- April 1, 2025
- Current license expires
- April 1, 2028
- Initial license date
- August 29, 2000
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Chambers County Public Hospital District No 1 (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Fpacp Burnet Llc
- Administrator
- Tureko Watson
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Focused Post Acute Care Partners chain — 25 facilities. Chain-wide average overall rating 2.2 / 5.
Disclosed owners (20 on record)
- Focused Post Acute Care Partners Llc
Adp of The Snf · since 2025
- Focused Post Acute Care Partners Management, Llc
Adp of The Snf · since 2025
- Fpacp Burnet Llc
Adp of The Snf · since 2025
- Eric Humphrey
Managing Control - Governing Body · since 2024
- Mary a Abernathy
Managing Control - Governing Body · since 2024
- Elizabeth Ann Newton
Corporate Officer · 100% · since 2024
+ 14 additional owners on the federal record.
Recent change of ownership
April 2022 (4 years ago) · acquired from Focused Care at Burnet Bay
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 29)
- D0880·Mar 6, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0803·Mar 6, 2025
Nutrition and Dietary Deficiencies
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.
- D0761·Mar 6, 2025
Pharmacy Service Deficiencies
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.
- E0759·Mar 6, 2025
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
- D0695·Mar 6, 2025
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- D0644·Mar 6, 2025
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- E0600·Mar 6, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- J0726·Apr 23, 2024Complaint
Nursing and Physician Services Deficiencies
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.
Federal penalties
By year
- 20231 fine · $13K
Most recent events
- Sep 25, 2023Fine · $13K
Fire-safety citations
4 Life-Safety-Code citations on file. Most recent: Mar 6, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Focused Care At Burnet Bay is a 120-bed Medicare/Medicaid nursing home in Baytown, Harris County, licensed through April 2028. CMS rates it 3 stars overall — health inspections rate 2 stars and staffing rates 2 stars, while quality measures rate 5 stars. The facility is operating at roughly 59% of licensed capacity. It is managed by Fpacp Burnet Llc under a hospital district licensee.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 2 stars. Each resident receives about 165 minutes of nursing care per day — roughly 76 minutes less than at a 4-star-staffing facility in Texas, which sits among the bottom third of Texas nursing homes on staffing. Residents here also require more hands-on care than at a typical facility — less mobile or more medically complex on average — so those 165 minutes stretch thinner than the raw number suggests.
RN turnover is a different story. About 2 in 10 registered nurses left in the past year — below Texas's 25th-percentile cutoff, meaning RN retention is better than roughly three-quarters of nursing homes in the state.
CMS recorded one fine totaling $12,893. That is below the Texas state median fine of $20,699 among facilities that received any fine.
The facility is running at roughly 59% of its 120 licensed beds, with about 70 residents on an average day. That low occupancy coincides with the 2-star staffing and 2-star health inspection ratings — context that may matter when evaluating what the numbers mean together.
Quality measures rate 5 stars — the top tier — for long-stay residents. That rating reflects outcomes like pressure wounds, falls, and medication management as reported to CMS.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on nights and weekends
Weekend nursing hours average 2.45 minutes per resident per hour — ask how staffing is scheduled on nights and weekends compared to weekday day shifts.
What's driving low occupancy
The facility is at roughly 59% capacity; ask whether that reflects a recent admission pause, referral changes, or something else affecting daily operations.
How 5-star quality outcomes are achieved
CMS rates long-stay quality measures 5 stars despite 2-star staffing — ask which specific protocols the team credits for outcomes like pressure wound prevention and fall reduction.
Resident and family input channels
CMS records no resident or family council here; ask how residents and families currently raise concerns or provide feedback to administration.
Management company's role day to day
The facility is licensed to a hospital district but managed by Fpacp Burnet Llc — ask which entity sets staffing budgets, hires the administrator, and handles complaints.
Health inspection findings from last survey
The health inspection rates 2 stars; ask to see the most recent state inspection report and what corrective steps were taken for any cited deficiencies.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.