CONTACT INFORMATION REVIEWS & MORE DATA
Focused Care at Burnet Bay
- Date Updated: February 01, 2025
- CMS Overall 5-Star Rating:
-
Address: 3921 N MAIN
BAYTOWN TX 77521 Map - Phone: 281-422-9541
- Website: N/A
- Medicare Provider Number: 675849
- Participating in Medicare Since: November 01, 2000
- No. of Certified Beds: 120
- No. of Residents: N/A
- Occupancy: N/A
- Amount Fined: $12,892.60
- Complaints Filed: 10
- Accepts: Medicare and Medicaid
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. It is not part of a continuing care retirement community. It is not located in a hospital. Focused Care At Burnet Bay offers a range of services including skilled nursing, long-term care, short-term rehabilitation, and specialized memory care. The center is equipped with modern amenities and a supportive environment designed to enhance the quality of life for its residents. With a focus on personalized care plans and community engagement.
- Focused Care at Burnet Bay is ranked #5 out of 8 facilities within a 10 mile radius and #40 out of 49 facilities within a 25 mile radius. See Ranking Report
- Review Specific City Measures
- CMS 5-Star Overall Rating is (1 out of 5):
- Current Trend: Worsening
-
Total Nursing Hours Spent Per Resident Per Day: 2.61
(The national average is 3.85 ) - The percentage of short-stay residents who were re-hospitalized after a nursing home admission is 24.63% .
- There is no indication of abuse occuring at Focused Care at Burnet Bay. (CMS flags facilities where abuse has either happened or is very likely.)
Focused Care at Burnet Bay Owner & Operator Information
Business Entity Name:
CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1
Owners:
- CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1 (DIRECT- 100%)
Managers and Directors:
- GERALDINE BROWN (CORPORATE DIRECTOR)
- CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1 (OPERATIONAL/MANAGERIAL CONTROL)
- SHAWN CONLEY (OPERATIONAL/MANAGERIAL CONTROL)
- KIMBERLY COOPER (CORPORATE DIRECTOR)
- MICHAEL EMMONS (CORPORATE DIRECTOR)
- FPACP BURNET LLC (OPERATIONAL/MANAGERIAL CONTROL)
- STEPHEN LEGG (CORPORATE DIRECTOR)
- MARK MCKENZIE (OPERATIONAL/MANAGERIAL CONTROL)
- ELIZABETH NEWTON (CORPORATE DIRECTOR)
- LORETTA STRUBBE (OPERATIONAL/MANAGERIAL CONTROL)
- LINDA TINNERMAN (CORPORATE DIRECTOR)
- LESLIE TURNER (CORPORATE DIRECTOR)
Focused Care at Burnet Bay Ratings and Inspection Scores
Centers for Medicare and Medicaid (CMS) regularly inspects every skilled nursing facility. The results of the multi-day inspection is a series of star ratings. The health inspection scores are an absolute value, so you can compare one facility's score directly to another.
Ratings
| Overall Rating | 1: |
| Health Inspection Rating | 1: |
| Quality Rating | 4: |
| Staffing Rating | 1: |
Inspection Scores
| Cycle 1 Score (as of December 13, 2023) | 235 |
| Cycle 2 Score (as of October 05, 2022) | 165 |
| Cycle 3 Score (as of August 24, 2021) | 52 |
| Weighted All Cycles Score | 181 |
Complaints by Residents
This table shows complaints filed by residents in Focused Care at Burnet Bay:
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | 06/10/2024 |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | 05/10/2024 |
| 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. | 05/10/2024 |
| Ensure each resident receives an accurate assessment. | 12/28/2023 |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | 12/28/2023 |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | 12/28/2023 |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | 12/28/2023 |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | 12/28/2023 |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | 10/12/2023 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | 10/12/2023 |
Nursing Hours Spent Per Patient
CMS provides detailed information about how long nursing staff spends with residents. This data includes nursing subcategories of Registered Nurse, Licensed Practical Nurse, and non-nursing Certified Nursing Assistants. More hours spend per patient should can indicate a better facility or it could indicate more complicated situations.
The nursing staff of Focused Care at Burnet Bay spends LESS time on average with its residents than the state average and LESS time than the national average for total nursing hours spent per resident.
| Type | Facility | State / National Avg |
|---|---|---|
| Registered Nurse (RN) | ||
| Hours | 0.28 | 0.41 / 0.67 |
| Case Mix | 0.64 | 0.63 / 0.66 |
| Adjusted | 0.29 | NA / NA |
| Licensed Practical Nurse (LPN) | ||
| Hours | 0.73 | 0.97 / 0.87 |
| Case Mix | 0.84 | NA / NA |
| Adjusted | 0.75 | NA / NA |
| Certified Nursing Assistants (CNA) | ||
| Hours | 1.60 | 1.98 / 2.32 |
| Case Mix | 2.23 | NA / NA |
| Adjusted | 1.65 | NA / NA |
| Total Licensed Staff | ||
| Hours | 1.01 | 1.39 / 1.53 |
| Physical Therapist (PT) | ||
| Hours | 0.00 | 0.07 / 0.07 |
| Total Nursing Hours Spent per Resident on Average | ||
| Hours | 2.61 | 3.36 / 3.85 |
| Case Mix | 3.71 | 3.67 / 3.83 |
| Adjusted | 2.69 | NA / NA |
Quality Measures
Quality measures are based both on patient survey information and on the results of actual claims that are filed with CMS. It is not clear what period is covered in the measures.
| Desc. | Perc./ State Avg. / Comparison | |
|---|---|---|
|
Percentage of short-stay residents who were rehospitalized after a nursing home admission (qm521)
This measure is considered when computing the 5-Star Overall Rating |
24.6%
/
26.2% Better |
|
|
Percentage of short-stay residents who had an outpatient emergency department visit (qm522)
This measure is considered when computing the 5-Star Overall Rating |
3.6%
/
12.8% Better |
|
|
Number of hospitalizations per 1000 long-stay resident days (qm551)
This measure is considered when computing the 5-Star Overall Rating |
Not Available | |
|
Number of outpatient emergency department visits per 1000 long-stay resident days (qm552)
This measure is considered when computing the 5-Star Overall Rating |
Not Available | |
| Percentage of long-stay residents whose need for help with daily activities has increased (qm401) |
2.3%
/
20.3% Better |
|
| Percentage of long-stay residents who lose too much weight (qm404) |
10.5%
/
4.4% Worse |
|
| Percentage of long-stay residents with a catheter inserted and left in their bladder (qm406) |
0.9%
/
1.0% Better |
|
| Percentage of long-stay residents with a urinary tract infection (qm407) |
0.5%
/
0.9% Better |
|
| Percentage of long-stay residents who have depressive symptoms (qm408) |
0.0%
/
4.3% Better |
|
| Percentage of long-stay residents who were physically restrained (qm409) |
0.0%
/
0.0% Better |
|
| Percentage of long-stay residents experiencing one or more falls with major injury (qm410) |
0.0%
/
3.3% Better |
|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (qm415) |
100.0%
/
97.4% Better |
|
| Percentage of long-stay residents who received an antipsychotic medication (qm419) |
9.3%
/
8.3% Worse |
|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (qm430) |
98.1%
/
90.1% Better |
|
| Percentage of short-stay residents who newly received an antipsychotic medication (qm434) |
2.0%
/
1.4% Worse |
|
| Percentage of long-stay residents whose ability to walk independently worsened (qm451) | 10.0% / NA | |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication (qm452) |
19.2%
/
22.8% Better |
|
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (qm454) |
100.0%
/
97.7% Better |
|
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (qm472) |
99.7%
/
85.8% Better |
|
| Percentage of long-stay residents with pressure ulcers (qm479) | 10.4% / NA | |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence (qm480) | 18.6% / NA | |
Hospitals Near Focused Care at Burnet Bay
Quite often skilled nursing facilities and hospitals work closely together to help patients recover or manage a terminal illness. Hospitals deals with acute care while nursing homes treat patients for a longer period of time. New residents at skilled nursing homes typically come from a hospital and nursing home residents may be readmitted to a hospital if their recovery does not proceed well. (Hospital readmission rates are closely monitored by CMS.) Consequently it is important that you consider which hospitals are near a nursing home which choosing one. Below is a list of hospitals near Focused Care at Burnet Bay.
Focused Care at Burnet Bay is near several hospitals, each with its own rating based on overall performance:
| Hospital | 5-Star Overall Rating |
|---|---|
|
ST JOSEPH MEDICAL CENTER 1401 ST. JOSEPH PARKWAY HOUSTON, TX 77002 |
2 |
|
MEMORIAL HERMANN NORTHEAST HOSPITAL 18951 MEMORIAL NORTH HUMBLE, TX 77338 |
2 |
|
HCA HOUSTON HEALTHCARE CLEAR LAKE 500 MEDICAL CENTER BLVD WEBSTER, TX 77598 |
3 |
|
HCA HOUSTON HEALTHCARE KINGWOOD 22999 US HWY 59 KINGWOOD, TX 77325 |
3 |
|
HCA HOUSTON HEALTHCARE SOUTHEAST 4000 SPENCER HWY PASADENA, TX 77504 |
4 |
|
ST LUKE'S PATIENTS MEDICAL CENTER 4600 EAST SAM HOUSTON PARKWAY SOUTH PASADENA, TX 77505 |
4 |
|
HOUSTON METHODIST CLEAR LAKE HOSPITAL 18300 HOUSTON METHODIST DR NASSAU BAY, TX 77058 |
5 |
|
HOUSTON METHODIST BAYTOWN HOSPITAL 4401 GARTH ROAD BAYTOWN, TX 77521 |
5 |
|
HOUSTON PHYSICIANS' HOSPITAL 333 N TEXAS AVENUE WEBSTER, TX 77598 |
Not Available |
|
BAYSIDE COMMUNITY HOSPITAL 200 HOSPITAL DRIVE ANAHUAC, TX 77514 |
Not Available |
|
ALTUS BAYTOWN HOSPITAL 1626 W BAKER ROAD BAYTOWN, TX 77521 |
Not Available |
|
SURGERY SPECIALTY HOSPITALS OF AMERICA SE HOUSTON 4301 B VISTA PASADENA, TX 77504 |
Not Available |
|
LIBERTY DAYTON REGIONAL MEDICAL CENTER 1353 N TRAVIS ST LIBERTY, TX 77575 |
Not Available |
|
TOWNSEN MEMORIAL HOSPITAL 1475 FM 1960 BYPASS E HUMBLE, TX 77338 |
Not Available |
|
HARRIS COUNTY PSYCHIATRIC CENTER 2800 MACGREGOR WAY HOUSTON, TX 77021 |
Not Available |
|
AD HOSPITAL EAST, LLC 12950 EAST FREEWAY, SUITE 100 HOUSTON, TX 77015 |
Not Available |
|
KINGWOOD PINES HOSPITAL 2001 LADBROOK KINGWOOD, TX 77339 |
Not Available |
|
OCEANS BEHAVIORAL HOSPITAL OF PASADENA 4001 PRESTON AVENUE PASADENA, TX 77505 |
Not Available |
|
MEDICAL BEHAVIORAL HOSPITAL OF CLEAR LAKE, LLC 16850 BUCCANEER LN CLEAR LAKE CITY, TX 77058 |
Not Available |
|
MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOOD 300 KINGWOOD MEDICAL DRIVE KINGWOOD, TX 77339 |
Not Available |
Ratings History for Focused Care at Burnet Bay
Medical Professionals Associated with Focused Care at Burnet Bay
These are the doctors who are affiliated with Focused Care at Burnet Bay. The data is from the most recent period. Historical data is not available.
We did not find any medical professionals associated with Focused Care at Burnet Bay.
Local Nursing Homes
When evaluating nursing homes, it's important to consider other nearby facilities to understand the available options and make comparisons. Below is a list of nursing homes near Brookline Healthcare and Rehabilitation, including Brookline itself. This list is ranked based on each home's health inspection scores, also known as the "weighted all cycles score." Additionally, we provide the facility's 5-star overall rating for a more complete view of its performance. If a nursing home has been flagged by CMS for abuse, you'll see a special icon () next to its name.
The data is based on the dataset as of February 01, 2025.
Our Analysis
Best and Worst Nursing Homes in BAYTOWN, TX
Here is our analysis of the Best Nursing Homes in BAYTOWN and Worst Nursing Homes in BAYTOWN so that you can make better decisions when choosing a nursing home. You should also use these lists after choosing a home to stay abreast of changes.
Ownership Details for Focused Care at Burnet Bay
A list of all of the registered owners for Focused Care at Burnet Bay. This includes direct and indirect owners and managers.
Noted Deficiencies for Focused Care at Burnet Bay
A list of all of the deficiencies for the facility. This includes a description, type of deficiency, incident date and when the facility reports that the incident was corrected.
Nursing Hours Analysis for Focused Care at Burnet Bay
How long a nurse spends with a resident can be an important factor in their recovery. This page shows the average nursing hours spent per resident for RNs, LPNs, CNAs, PTs and all licensed staff.
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