★★★★★CMS 5/5105 bedsFor-profitMedicaid
- Nurse hours
- 3.88 /day
- Staff turnover
- 46%
- Serious cites
- 0
St. James House of Baytown runs 105 certified beds under corporate ownership, and its inspection record is genuinely strong, a 4-out-of-5 health inspection score, with the most recent survey completed in August 2025. The catch is what that record contains: 10 deficiencies, including one at the harm or jeopardy level and three tied to abuse, plus a single fine of $14,901. Staffing tells a similar story. Total nurse hours sit right at the national average, but weekend coverage drops about 10% below the home's own weekday level, and turnover runs slightly above the national rate. Quality measures score well; direct care staffing does not. Worth asking about weekend shifts and staff retention before you decide.
★★☆☆☆CMS 2/5120 bedsFor-profitMedicaid
- Nurse hours
- 2.90 /day
- Staff turnover
- 30%
- Serious cites
- 0
Focused Care At Burnet Bay runs lean on nursing hours, 2.90 per resident day against a national average of 3.86, roughly a quarter less hands-on time, and weekends drop another 8% below its own weekdays. That thin coverage shows up in the inspection record: 25 deficiencies, five serious enough to put residents at harm or jeopardy, and two tied to abuse, with a $12,893 fine on file. What the numbers don't show is instability, 30% turnover is actually better than the 45.8% national figure, so the problem looks less like a constantly changing staff than too few of them. The last inspection was recent, May 2026, and ownership is for-profit corporate.
★★★☆☆CMS 3/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.05 /day
- Staff turnover
- 52%
- Serious cites
- 0
Focused Care At Allenbrook runs lean on nursing hours, 3.05 per resident day against a national average of 3.86, and weekends dip about 9% below its own weekday levels. Annual turnover sits at 51.6%, higher than the 45.8% national figure, so the staff you meet may not be there next year. Inspections are the brighter spot: a four-star health inspection rating and a recent visit in March 2026, with 14 deficiencies on record, two of them serious enough to reach harm level. The single fine of $8,400 is modest. Ownership is a for-profit limited liability company, and the 1-star staffing rating tells you where the pressure sits.
★★★☆☆CMS 3/5130 bedsGovernmentMedicaid
- Nurse hours
- 3.35 /day
- Staff turnover
- 70%
- Serious cites
- 0
Rollingbrook is owned by a hospital district, and its inspection record is genuinely solid, a 4/5 on health inspections, with the most recent visit in March 2026 and no abuse-related deficiencies. But the staffing side tells a different story. At 3.35 nurse hours per resident day, it runs about 13% under the national average, weekends dip roughly 10% below its own weekday levels, and annual turnover sits at 70.1% against a national average of 45.8%. Ten deficiencies are on the current record, one serious enough to involve harm or jeopardy, plus a $23,676 fine. Good inspections mean the home generally gets things right when surveyors arrive; thin, churning staffing is what families live with between visits.
★☆☆☆☆CMS 1/5125 bedsFor-profitMedicaid
- Nurse hours
- 3.01 /day
- Staff turnover
- 47%
- Serious cites
- 0
Focused Care At Cedar Bayou carries 23 deficiencies on its current record, and 9 of those reached harm or jeopardy level, one tied to abuse. That's the kind of inspection history that put this for-profit, limited-liability home into CMS's Special Focus Facility program, a designation reserved for the homes regulators watch most closely. The health inspection rating sits at 1 out of 5, and the last full look came in February 2024. Staffing tells its own story: 3.01 nurse hours per resident day, about 22% under the national average, with weekends running roughly 7% thinner than weekdays. Turnover is 47.2%, slightly above the national 45.8%. Four fines total $99,485. The 4/5 quality measure rating reflects resident assessments, but it doesn't offset what inspections and staffing show.