Focused Care at Cedar Bayou
A nursing home in Baytown, Texas 77521
2000 W Baker Road, Baytown, Texas 77521. (281) 427-9120.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 1of 5 CMS’s overall rating
- 8 health citations at the latest inspection cycle Texas average: 9.6
- 3.62 nurse hours per resident per day Texas average: 3.42
- 5 fines in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
8 health citations at the latest inspection cycle
The Texas average is 9.6.
Last standard inspection Jun 18, 2026.
Most serious in three years: immediate jeopardy to health or safety (K), at a complaint inspection on May 9, 2025
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
22 citations in 6 months of the last 36. Last cited Aug 2026. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 22 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 12 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Aug 30, 2026: complaint inspection2 citations
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Provide safe, appropriate pain management for a resident who requires such services.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Jun 18, 2026: standard inspection4 citations
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Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
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Ensure each resident receives an accurate assessment.
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Ensure medication error rates are not 5 percent or greater.
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Provide and implement an infection prevention and control program.
Apr 22, 2026: complaint inspection2 citations
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted
May 9, 2025: complaint inspection3 citations
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
Apr 16, 2025: complaint inspection3 citations
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Ensure that residents are free from significant medication errors.
Feb 12, 2024: standard inspection6 citations
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Provide safe, appropriate pain management for a resident who requires such services.
-
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted
-
Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Ensure medication error rates are not 5 percent or greater.
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Dispose of garbage and refuse properly.
Feb 12, 2024: standard and complaint inspection2 citations
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Dec 8, 2008.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, limited liability company.
- 125 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 5 fines in the last three years, $119,238 in all.
- 1 Medicare payment denial in the last three years.
- 12 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Aug 30, 2026 | Fine | $19,610 |
| Apr 16, 2025 | Medicare payment denial | Not given |
| Apr 16, 2025 | Fine | $73,165 |
| Feb 12, 2024 | Fine | $8,821 |
| Feb 12, 2024 | Fine | $8,821 |
| Feb 12, 2024 | Fine | $8,821 |
Who does the caring?
3.62 nurse hours per resident per day
The Texas average is 3.42.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Texas average |
|---|---|---|
| Nurse hours per resident per day | 3.62 | 3.42 |
| Of which registered nurses | 0.65 | 0.44 |
| At weekends | 3.21 | 2.99 |
| Nursing staff turnover | 53.6% | 50.8% |
| Registered nurse turnover | 57.1% | 49.8% |
| Administrators who left | 1 | Not given |
Who owns it?
- Fpacp Cedar Bayou LLC owns 100% directly since May 20, 2019; Fpacp Cedar Bayou LLC owns 100% directly since May 20, 2019; Focused Post Acute CARE Partners LLC owns 100% directly since May 20, 2019; Focused Post Acute CARE Partners LLC owns 100% directly since May 20, 2019.
- Focused Post Acute CARE Partners Management, LLC and Fpacp Cedar Bayou LLC and Focused Post Acute CARE Partners LLC run it.
- 16 owners or officers are people: Mark S Mckenzie (corporate officer, 100%); Shawn L Conley (runs it (operational or managerial control), 100%); Loretta Strubbe (corporate officer, 100%); Loretta Strubbe (runs it (operational or managerial control), 100%); Mark S Mckenzie (owns 5% or more through other companies, 70%); Shawn L Conley (owns 5% or more through other companies, 15%); Shawn L Conley (corporate officer, 15%); Loretta Strubbe (owns 5% or more through other companies, 15%); Matthew Thomas Roberts (runs it (operational or managerial control)); Matthew Thomas Roberts (additional disclosable party (controls, leases property to, or provides services to the home)); Mark S Mckenzie (runs it (operational or managerial control)); Jessica T Davis (runs it (operational or managerial control)); Jessica T Davis (additional disclosable party (controls, leases property to, or provides services to the home)); Tiffany Lillie (runs it (operational or managerial control)); Sarah Whittington Daniels (runs it (operational or managerial control)); Sarah Whittington Daniels (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of Focused Post Acute CARE Partners (25 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- A real-estate investment trust is among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Focused Post Acute CARE Partners Management, LLC | Runs it (operational or managerial control) | 100% | May 20, 2019 |
| Fpacp Cedar Bayou LLC | Owns 5% or more directly | 100% | May 20, 2019 |
| Fpacp Cedar Bayou LLC | Owns a share directly | 100% | May 20, 2019 |
| Focused Post Acute CARE Partners LLC | Owns 5% or more directly | 100% | May 20, 2019 |
| Focused Post Acute CARE Partners LLC | Owns a share directly | 100% | May 20, 2019 |
| Focused Post Acute CARE Partners Management, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 3, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | May 20, 2019 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | May 20, 2019 | |
| Fpacp Cedar Bayou LLC | Runs it (operational or managerial control) | May 20, 2019 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | May 20, 2019 | |
| Focused Post Acute CARE Partners LLC | Runs it (operational or managerial control) | May 20, 2019 | |
| Focused Post Acute CARE Partners LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 3, 2025 |
How do residents fare?
- CMS rates its quality measures 4 of 5 (Texas average 3.8).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 2 of 5 |
| Quality measures | 4 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 13.2 miles, this one had the 3rd most health citations at the latest inspection cycle (8; the middle value was 5.5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Focused Care at Cedar Bayou This nursing home | 8 | |
| Rollingbrook Rehabilitation and Health Care Center | 0.7 | 3 |
| Focused Care at Allenbrook | 0.8 | 3 |
| Focused Care at Burnet Bay | 1.2 | 4 |
| Mont Belvieu Rehabilitation & Healthcare Center | 1.3 | 10 |
| St James House of Baytown | 2.6 | 5 |
| Bay Ridge Healthcare Center | 7.4 | 14 |
| Sylan Shores Health and Wellness | 10.0 | 4 |
| East View Healthcare | 11.0 | 6 |
| The Courtyards at Pasadena | 11.7 | 6 |
| Bridgecrest Rehabilitation Suites | 11.8 | 5 |
| Baywood Crossing Rehabilitation & Healthcare Cente | 13.2 | 6 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.