37/100
Poor
2000 W Baker Road, Baytown, TX 77521
These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.
Abuse icon on record
CMS flags this facility for citations of abuse that caused harm, or potential for harm, to residents.
Special Focus Facility
CMS has placed this home in its Special Focus Facility program for a persistent pattern of poor care. These homes get inspected twice as often.
9 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
$99,485 in federal fines
CMS has fined this facility across 4 penalty action(s).
Last inspection was more than 2 years ago
Ratings here are based on older survey data than at most facilities.
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Grade ceiling applied
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: February 12, 2024 (2 years ago).
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Immediate jeopardy to resident health or safety
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Immediate jeopardy to resident health or safety
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.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Immediate jeopardy to resident health or safety
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Immediate jeopardy to resident health or safety
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Immediate jeopardy to resident health or safety
Part of FOCUSED POST ACUTE CARE PARTNERS, which operates 25 homes. Staffing budgets are usually set at chain level, not in the building.
| Owner | Type | Role | Since |
|---|---|---|---|
| FOCUSED POST ACUTE CARE PARTNERS LLC | Organization | DIRECT OWNERSHIP INTEREST | — |
| FPACP CEDAR BAYOU LLC | Organization | DIRECT OWNERSHIP INTEREST | — |
| CONLEY, SHAWN | Individual | CORPORATE OFFICER | — |
| MCKENZIE, MARK | Individual | CORPORATE OFFICER | — |
| STRUBBE, LORETTA | Individual | CORPORATE OFFICER | — |
| FOCUSED POST ACUTE CARE PARTNERS LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| FPACP CEDAR BAYOU LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| CONLEY, SHAWN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| DANIELS, SARAH | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| DAVIS, JESSICA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| LILLIE, TIFFANY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
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Focused Care At Cedar Bayou holds an ElderGrade of F (37 out of 100), which we describe as "poor". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 3.01 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 9 of the 23 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, Focused Care At Cedar Bayou is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.