Focused Care at Cedar Bayou
2000 W Baker Road
Baytown, TX, 77521
2814279120
CCN: 676204
1
Overall1
Health1
Staffing4
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
| Name | Role | % |
|---|---|---|
| FOCUSED POST ACUTE CARE PARTNERS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| FPACP CEDAR BAYOU LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| CONLEY, SHAWN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 15% |
| MCKENZIE, MARK | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 70% |
| STRUBBE, LORETTA | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 15% |
| STRUBBE, LORETTA | CORPORATE OFFICER | NOT APPLICABLE |
| CONLEY, SHAWN | CORPORATE OFFICER | NOT APPLICABLE |
| MCKENZIE, MARK | CORPORATE OFFICER | NOT APPLICABLE |
| CONLEY, SHAWN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| DANIELS, SARAH | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| DAVIS, JESSICA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| LILLIE, TIFFANY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MCKENZIE, MARK | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| ROBERTS, MATTHEW | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| STRUBBE, LORETTA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| FOCUSED POST ACUTE CARE PARTNERS LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| FPACP CEDAR BAYOU LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Penalties (3)
| Date | Type | Amount |
|---|---|---|
| 2025-04-16 | Fine | $72K |
| 2025-04-16 | Payment Denial | 43 days |
| 2024-02-12 | Fine | $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/Day3.68
3.05
RN Hrs/Resident/Day0.54
0.34
LPN Hrs/Resident/Day0.81
0.85
CNA Hrs/Resident/Day2.33
1.86
PT Hrs/Resident/Day0.12
0.00
Data as of 2026-03-01