Focused Care at Cedar Bayou
Grade F — 52/100 composite score
CMS Star Ratings
Certified Beds
125
Ownership
For profit - Limited Liability company
Total Fines
$137,078
Last Survey
N/A
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Staffing Hours & Turnover
Hours per Resident per Day (PBJ)
Turnover Rates
Ownership
FOCUSED POST ACUTE CARE PARTNERS LLC
FPACP CEDAR BAYOU LLC
CONLEY, SHAWN
15%
MCKENZIE, MARK
70%
STRUBBE, LORETTA
15%
FOCUSED POST ACUTE CARE PARTNERS LLC
FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC
FPACP CEDAR BAYOU LLC
CONLEY, SHAWN
DANIELS, SARAH
DAVIS, JESSICA
LILLIE, TIFFANY
MCKENZIE, MARK
ROBERTS, MATTHEW
STRUBBE, LORETTA
CONLEY, SHAWN
MCKENZIE, MARK
STRUBBE, LORETTA
Penalties & Fines (5)
| Date | Type | Description | Amount |
|---|---|---|---|
| Apr 16, 2025 | Fine | — | $110,615 |
| Apr 16, 2025 | Payment Denial | — | — |
| Feb 12, 2024 | Fine | — | $8,821 |
| Feb 12, 2024 | Fine | — | $8,821 |
| Feb 12, 2024 | Fine | — | $8,821 |
Health Inspection Deficiencies (22)
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies
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
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Resident Rights Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
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Frequently Asked Questions
What is the CareGrader rating for Focused Care at Cedar Bayou?
Focused Care at Cedar Bayou in Baytown, Texas has a CareGrader grade of F (Poor), with a composite score of 51.5 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.
What is the CMS star rating for Focused Care at Cedar Bayou?
Focused Care at Cedar Bayou has an overall CMS star rating of 1 out of 5, a health inspection rating of 1/5, and a staffing rating of 1/5. CareGrader combines this with additional data to calculate an A-F grade.
How many health deficiencies does Focused Care at Cedar Bayou have?
Focused Care at Cedar Bayou has 22 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). This facility has abuse citations on record. View the full inspection timeline above for details on each deficiency.
Has Focused Care at Cedar Bayou been fined?
Yes. Focused Care at Cedar Bayou has $137,078 in total fines from CMS enforcement actions across 5 penalties.
How many beds does Focused Care at Cedar Bayou have?
Focused Care at Cedar Bayou has 125 certified beds with approximately 71 current residents (57% occupancy). The facility is located at 2000 W Baker Road, Baytown, Texas 77521. It is a for profit - limited liability company facility.
Data Disclaimer
Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.