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Focused Care At Cedar Bayou

2000 W Baker Road, Baytown, TX 77521
2814279120
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Overall CMS Rating

1.0/5

vs State Average: 2.8 stars

1.0/5

Health Inspections

vs State Average: 2.8/5

1.0/5

Staffing Level

vs State Average: 2.1/5

4.0/5

Quality Measures

vs State Average: 3.8/5

5 penalties in last 3 years
Penalties
vs State Average: 1.8 penalties

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Ratings Deep Dive

Score
1.0
State Average
2.8
National Average
2.8
5 Deficiencies found in last inspections
5 Penalties in last 3 years
4 Fines issued
Citation Date Description Severity
May 9, 2025 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. K
May 9, 2025 Provide appropriate treatment and care according to orders, resident’s preferences and goals. K
May 9, 2025 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D
Apr 16, 2025 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. K
Apr 16, 2025 Provide appropriate treatment and care according to orders, resident’s preferences and goals. K
Score
1.0
State Average
2.1
National Average
2.9
0.3 RN Hours / Resident / Day
3.0 Total Nurse Hours / Resident / Day
83.3% RN Turnover Rate
Score
4.0
State Average
3.8
National Average
3.6
4.0 Long-Stay QM Rating
3.0 Short-Stay QM Rating
71.0 Avg Residents Per Day
Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

Ownership & Compliance

Ownership Info
5% OR GREATER DIRECT OWNERSHIP INTEREST FOCUSED POST ACUTE CARE PARTNERS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST FPACP CEDAR BAYOU LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST CONLEY, SHAWN
5% OR GREATER INDIRECT OWNERSHIP INTEREST MCKENZIE, MARK
5% OR GREATER INDIRECT OWNERSHIP INTEREST STRUBBE, LORETTA
OPERATIONAL/MANAGERIAL CONTROL FOCUSED POST ACUTE CARE PARTNERS LLC
OPERATIONAL/MANAGERIAL CONTROL FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC
OPERATIONAL/MANAGERIAL CONTROL FPACP CEDAR BAYOU LLC
OPERATIONAL/MANAGERIAL CONTROL CONLEY, SHAWN
OPERATIONAL/MANAGERIAL CONTROL DANIELS, SARAH
Recent Penalties
Date Type Fine
Apr 16, 2025 Fine $110,615
Apr 16, 2025 Payment Denial $0
Feb 12, 2024 Fine $8,821
Feb 12, 2024 Fine $8,821
Feb 12, 2024 Fine $8,821

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