Focused Care at Burnet Bay

BAYTOWN, TX • CMS Certification: 675849

  • Date Updated: May 01, 2026
  • Overall Rating: 3 Stars
  • Address: 3921 N MAIN, BAYTOWN TX 77521
  • Phone: 2814229541
Affiliations Staffing Ratings

About Focused Care at Burnet Bay

Focused Care At Burnet Bay, located in BAYTOWN, TX, is a for-profit organization that accepts Medicare and Medicaid.

Why Families Choose Focused Care at Burnet Bay

Key Performance Indicators

  • CMS Overall Rating 3 Stars
  • Nursing Hours 2.83 hrs
  • Safety Record Clean

Chain Affiliations & Network

This facility is part of the FOCUSED POST ACUTE CARE PARTNERS network. This chain operates 25 facilities.

Chain Performance Overview

Inspection
2.0
Staffing
1.4
Quality
4.4

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Nursing Staff Analysis

Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).

Below Average Staffing

Focused Care at Burnet Bay provides less care hours than the state average and less than the national average.

Registered Nurses (RN)

0.40 hrs/day
State: 0.42 US: 0.68
Case Mix Adj: 0.68
Quality Adj: 0.40

Licensed Practical Nurses

1.13 hrs/day
State: 1.37 US: 1.54
Case Mix Adj: 0.86
Quality Adj: 0.72

Certified Assistants

1.71 hrs/day
State: 2.02 US: 2.33
Case Mix Adj: 2.33
Quality Adj: 1.70

CMS Quality Ratings

Category Rating Stars
Overall Rating 3
Health Inspection 2
Quality Measures 5
Staffing 2

Health Inspection History

Inspection Cycle Score Date
Cycle 1 (Most Recent) 28 Mar 06, 2025
Weighted Average 113 Combined Score
Lower scores are better. Scores are based on health inspections and complaint investigations.

Detailed Quality Measures

Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.

Medicare claims-based measures

Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.

Measure Rate
Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) N/A
Percentage of short-stay residents who had an outpatient emergency depar... (QM522) N/A
Number of hospitalizations per 1000 long-stay resident days (QM551) N/A
Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) N/A

MDS-based measures

Resident assessment data; often used for long-stay care quality.

Measure Rate
Percentage of long-stay residents whose need for help with daily activit... (QM401) 20.4%
Percentage of long-stay residents who lose too much weight (QM404) 1.1%
Percentage of long-stay residents with a catheter inserted and left in t... (QM406) 0.0%
Percentage of long-stay residents with a urinary tract infection (QM407) 0.9%
Percentage of long-stay residents who have depressive symptoms (QM408) 0.5%
Percentage of long-stay residents who were physically restrained (QM409) 0.0%
Percentage of long-stay residents experiencing one or more falls with ma... (QM410) 0.0%
Percentage of long-stay residents assessed and appropriately given the p... (QM415) 100.0%
Percentage of short-stay residents assessed and appropriately given the... (QM430) 99.5%
Percentage of short-stay residents who newly received an antipsychotic m... (QM434) 0.4%
Percentage of long-stay residents whose ability to walk independently wo... (QM451) 11.3%
Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) 7.0%
Percentage of long-stay residents assessed and appropriately given the s... (QM454) 100.0%
Percentage of short-stay residents who were assessed and appropriately g... (QM472) 100.0%
Percentage of long-stay residents with pressure ulcers (QM479) 6.0%
Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) 8.9%
Percentage of long-stay residents who received an antipsychotic medicati... (QM481) 5.2%

Complaints & Deficiencies

Complaint History by Year

This chart shows the number of complaints filed each year.

Summary:

  • 2023: 7 complaints
  • 2024: 3 complaints
  • 2025: 1 complaint
  • Total: 11 complaints on record

Recent Complaints (Since Jan 2023)

Date Description
Mar 10, 2025 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Jun 10, 2024 Provide appropriate treatment and care according to orders, resident?s preferences and goals.
May 10, 2024 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.
May 10, 2024 Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Dec 28, 2023 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Dec 28, 2023 Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Dec 28, 2023 Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Dec 28, 2023 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Dec 28, 2023 Ensure each resident receives an accurate assessment.
Oct 12, 2023 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Oct 12, 2023 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Note: Table shows only complaints filed since Jan 1, 2023. See chart for historical trends.

Nearby Hospitals

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Owner & Operator Information

Business Entity

CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1

Ownership Structure

Management & Direction

Associated Doctors

No associated doctor information available.

Local Comparison

Facility Distance Rating
Mrc The Crossings N/A 5
Ignite Medical Resort Webster, LLC N/A 5
East View Healthcare N/A 5
Baywind Village Skilled Nursing and Rehab N/A 5
Park Manor of South Belt N/A 4
Rollingbrook Rehabilitation and Healthcare Center N/A 3
Baywood Crossing Rehabilitation and Healthcare Cente N/A 4
Sylan Shores Health and Wellness N/A 1
Friendship Haven Healthcare and Rehabilitation Cen N/A 4
Tuscany Village N/A 4

Related Analysis

Best Nursing Homes in BAYTOWN, TX

Compare Focused Care at Burnet Bay to the top-rated facilities in the area.

Ownership Details

Complete list of registered owners, including direct and indirect ownership.

Noted Deficiencies

Detailed history of deficiencies with descriptions and correction dates.

Nursing Hours Analysis

Detailed breakdown of staffing hours per resident by role.

Frequently Asked Questions

Focused Care at Burnet Bay has a 3-star CMS overall rating out of 5, which indicates good quality care meeting industry standards. The nursing staff spends 2.83 hours per resident daily, compared to the national average of 3.87 hours.

Focused Care at Burnet Bay is certified to accept Medicare and Medicaid and provides comprehensive nursing home services including:
  • Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
  • Long-term Residential Care: Assistance with daily living activities for extended stays
  • Short-term Rehabilitation: Recovery services after hospital stays or surgeries
  • Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
The facility has 120 certified beds.

Focused Care at Burnet Bay accepts Medicare and Medicaid, which helps cover costs for eligible residents. Specific pricing varies based on:
  • Level of care needed (skilled nursing vs. long-term care)
  • Room type (private vs. semi-private)
  • Insurance coverage (Medicare, Medicaid, private insurance)
  • Length of stay and specific services required

For current rates and to discuss payment options, contact Focused Care at Burnet Bay directly at 2814229541. Their admissions team can help determine coverage and out-of-pocket expenses.

When visiting Focused Care at Burnet Bay, pay attention to these important factors:

Environment & Cleanliness

  • Overall cleanliness and odors
  • Resident room conditions
  • Common area maintenance
  • Safety features and accessibility

Staff & Care Quality

  • Staff-to-resident ratios
  • How staff interact with residents
  • Response time to resident needs
  • Staff knowledge and professionalism

Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.

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