For profit - Limited Liability company · 125 certified beds · CMS number 676204
Focused Care at Cedar Bayou, Baytown, TX
CMS records 25 health deficiencies at Focused Care at Cedar Bayou in Baytown, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jun 18, 2026. The highest severity cited is K (immediate jeopardy to resident health or safety). 9 citations were at the immediate jeopardy level. CMS lists 4 fines totaling $99,628 and 1 payment denial in the last three years.
- 25deficiencies, 3 cycles (TX median 25)
- 6in the latest cycle (TX median 8)
- Khighest severity · Immediate jeopardy
- $99,628fines, last 3 years
- 1CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Focused Care at Cedar Bayou as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Focused Care at Cedar Bayou may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (6 deficiencies)
Standard inspection Jun 18, 2026. CMS counts 6 health deficiencies and 3 fire safety deficiencies in this cycle.
Jun 18, 2026 · Standard inspection
4 deficiencies, highest D
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 15, 2026
F759 · Medication error rate under 5 percent
Requirement cited (CMS): Ensure medication error rates are not 5 percent or greater.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 15, 2026
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 15, 2026
F636 · Full assessment at admission and yearly
Requirement cited (CMS): Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 15, 2026
Apr 22, 2026 · Complaint inspection
2 deficiencies, highest D
F655 · Baseline care plan within 48 hours
Requirement cited (CMS): Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 15, 2026
F580 · Telling residents and families about changes
Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 15, 2026
Previous cycle: 14 deficiencies (standard inspection Feb 12, 2024)
Standard inspection Feb 12, 2024. CMS counts 14 health deficiencies and 3 fire safety deficiencies in this cycle.
May 9, 2025 · Complaint inspection
3 deficiencies, highest K
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Jun 11, 2025
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 27, 2025
F580 · Telling residents and families about changes
Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Jun 11, 2025
Apr 16, 2025 · Complaint inspection
3 deficiencies, highest K
F760 · No significant medication errors
Requirement cited (CMS): Ensure that residents are free from significant medication errors.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Apr 17, 2025
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Apr 17, 2025
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Apr 17, 2025
Feb 12, 2024 · Standard + complaint inspection
8 deficiencies, highest K
F814 · Garbage disposal
Requirement cited (CMS): Dispose of garbage and refuse properly.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 7, 2024
F759 · Medication error rate under 5 percent
Requirement cited (CMS): Ensure medication error rates are not 5 percent or greater.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 7, 2024
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Mar 7, 2024
F697 · Pain management
Requirement cited (CMS): Provide safe, appropriate pain management for a resident who requires such services.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Mar 7, 2024
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Mar 7, 2024
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 7, 2024
F655 · Baseline care plan within 48 hours
Requirement cited (CMS): Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 7, 2024
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Mar 7, 2024
Earlier cycle: 5 deficiencies (standard inspection Dec 2, 2022)
Standard inspection Dec 2, 2022. CMS counts 5 health deficiencies and 1 fire safety deficiency in this cycle.
Dec 2, 2022 · Standard inspection
5 deficiencies, highest E
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 2, 2022
F725 · Enough nursing staff every shift
Requirement cited (CMS): Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 6, 2022
F693 · Feeding tube use and care
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 2, 2023
F644 · Coordinating with PASARR screening
Requirement cited (CMS): Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 2, 2022
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 2, 2022
Tags cited in more than one inspection
7 tags cited on more than one inspection date at Focused Care at Cedar Bayou; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F755 Pharmacy services and a consultant pharmacist | 3 | Apr 16, 2025; Feb 12, 2024; Dec 2, 2022 |
| F580 Telling residents and families about changes | 2 | Apr 22, 2026; May 9, 2025 |
| F641 Accurate resident assessments | 2 | Jun 18, 2026; Dec 2, 2022 |
| F655 Baseline care plan within 48 hours | 2 | Apr 22, 2026; Feb 12, 2024 |
| F656 Comprehensive person-centered care plan | 2 | May 9, 2025; Feb 12, 2024 |
| F684 Quality of care | 2 | May 9, 2025; Apr 16, 2025 |
| F759 Medication error rate under 5 percent | 2 | Jun 18, 2026; Feb 12, 2024 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Apr 16, 2025 | Fine | $73,165 |
| Apr 16, 2025 | Payment Denial | 43 days from May 15, 2025 |
| Feb 12, 2024 | Fine | $8,821 |
| Feb 12, 2024 | Fine | $8,821 |
| Feb 12, 2024 | Fine | $8,821 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.01 h (below the Texas median of 3.27 h)
- RN hours per resident per day
- 0.46 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.81 h
- Nursing staff turnover
- 47.2% (Texas median 52.1%)
- Administrators who left
- 2
- CMS overall rating
- 1 of 5
- Health inspection rating
- 1 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 4 of 5
CMS figures for Focused Care at Cedar Bayou, copied as published; Texas medians are ours.
Facility details
- Address
- 2000 W Baker Road, Baytown, TX 77521
- Phone
- (281) 427-9120
- County
- Harris
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Chain (CMS)
- Focused Post Acute Care Partners
- Certified beds
- 125
- Average residents per day
- 80.2
- In Medicare/Medicaid since
- Dec 8, 2008
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How are new medication orders filled, and how quickly can urgent medications arrive? (F755, cited 3 times)
- How quickly is the family called if a resident falls or their condition changes? (F580, cited 2 times)
- How does the home check that resident assessments match what staff actually observe? (F641, cited 2 times)
- Can a resident or their family review the baseline care plan during the first few days? (F655, cited 2 times)
Other nursing homes in Baytown and the same chain
- Focused Care at Burnet Bay
Baytown · 27 deficiencies - Focused Care at Allenbrook
Baytown · 14 deficiencies - Rollingbrook Rehabilitation and Health Care Center
Baytown · 10 deficiencies - St James House of Baytown
Baytown · 10 deficiencies - Focused Care at Mount Pleasant
Mount Pleasant · 84 deficiencies - Focused Care at Linden
Linden · 62 deficiencies - Focused Care of Gilmer
Gilmer · 49 deficiencies - Focused Care at Hogan Park
Midland · 48 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.