Focused Care at Cedar Bayou

2000 W Baker Road
Baytown, TX, 77521
2814279120
CCN: 676204
1
Overall
1
Health
1
Staffing
4
Quality
ChainFOCUSED POST ACUTE CARE PARTNERS
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
FOCUSED POST ACUTE CARE PARTNERS LLC5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
FPACP CEDAR BAYOU LLC5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
CONLEY, SHAWN5% OR GREATER INDIRECT OWNERSHIP INTEREST15%
MCKENZIE, MARK5% OR GREATER INDIRECT OWNERSHIP INTEREST70%
STRUBBE, LORETTA5% OR GREATER INDIRECT OWNERSHIP INTEREST15%
STRUBBE, LORETTACORPORATE OFFICERNOT APPLICABLE
CONLEY, SHAWNCORPORATE OFFICERNOT APPLICABLE
MCKENZIE, MARKCORPORATE OFFICERNOT APPLICABLE
CONLEY, SHAWNOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
DANIELS, SARAHOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
DAVIS, JESSICAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
LILLIE, TIFFANYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MCKENZIE, MARKOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
ROBERTS, MATTHEWOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
STRUBBE, LORETTAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
FOCUSED POST ACUTE CARE PARTNERS LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
FPACP CEDAR BAYOU LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Penalties (3)
DateTypeAmount
2025-04-16Fine$72K
2025-04-16Payment Denial43 days
2024-02-12Fine$9K
Health Deficiencies (22)
2025-05-09 · Health
K
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
K
F580 · Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
2025-04-16 · Health
K
F760 · Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
K
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
K
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2024-02-12 · Health
D
F814 · Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
D
F759 · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
K
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
K
F697 · Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
J
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
F655 · Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
J
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2023-04-25 · Health
D
F626 · Resident Rights Deficiencies
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
2022-12-02 · Health
E
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
F725 · Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
D
F693 · Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
F644 · Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
E
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
2021-09-30 · Health
E
F842 · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
3.05
3.68
RN Hrs/Resident/Day
0.34
0.54
LPN Hrs/Resident/Day
0.85
0.81
CNA Hrs/Resident/Day
1.86
2.33
PT Hrs/Resident/Day
0.00
0.12
Data as of 2026-03-01