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FOCUSED CARE AT BURNET BAY

πŸ“ 3921 N MAIN, baytown, TX 77521 πŸ“ž 2814229541 πŸ›οΈ 120 beds

Inspection History Overview

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2021 2 penalties totaling $3,905

$3,250
Aug 24, 2021

Fine

$655
Jun 7, 2021

Fine

2019 2 penalties totaling $27,924

$27,924
Aug 16, 2019

Fine

$0
Aug 16, 2019

Payment Denial

2018 1 penalties totaling $9,428

$9,428
Jun 6, 2018

Fine

Health Violations by Year

2025 7 violations

Tag 0600 E Mar 6, 2025

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Mar 10, 2025
Tag 0644 D Mar 6, 2025

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

βœ“ Corrected: Mar 10, 2025
Tag 0695 D Mar 6, 2025

Provide safe and appropriate respiratory care for a resident when needed.

βœ“ Corrected: Mar 10, 2025
Tag 0759 E Mar 6, 2025

Ensure medication error rates are not 5 percent or greater.

βœ“ Corrected: Mar 10, 2025
Tag 0761 D Mar 6, 2025

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

βœ“ Corrected: Mar 10, 2025
Tag 0803 D Mar 6, 2025

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

βœ“ Corrected: Mar 10, 2025
Tag 0880 D Mar 6, 2025

Provide and implement an infection prevention and control program.

βœ“ Corrected: Mar 10, 2025

2024 3 violations

Tag 0635 J Apr 23, 2024

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

βœ“ Corrected: May 10, 2024
Tag 0684 J Apr 23, 2024

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Jun 10, 2024
Tag 0726 J Apr 23, 2024

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

βœ“ Corrected: May 10, 2024

2023 13 violations

Tag 0641 D Dec 13, 2023

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Dec 28, 2023
Tag 0755 D Dec 13, 2023

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Dec 28, 2023
Tag 0813 D Dec 13, 2023

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

βœ“ Corrected: Dec 28, 2023
Tag 0851 F Dec 13, 2023

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

βœ“ Corrected: Dec 28, 2023
Tag 0925 D Dec 13, 2023

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

βœ“ Corrected: Dec 28, 2023
Tag 0940 D Dec 13, 2023

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

βœ“ Corrected: Dec 28, 2023
Tag 0941 D Dec 13, 2023

Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

βœ“ Corrected: Dec 28, 2023
Tag 0942 D Dec 13, 2023

Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

βœ“ Corrected: Dec 28, 2023
Tag 0943 D Dec 13, 2023

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

βœ“ Corrected: Dec 28, 2023
Tag 0944 E Dec 13, 2023

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

βœ“ Corrected: Dec 28, 2023
Tag 0949 D Dec 13, 2023

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

βœ“ Corrected: Dec 28, 2023
Tag 0655 J Sep 25, 2023

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

βœ“ Corrected: Oct 12, 2023
Tag 0689 J Sep 25, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Oct 12, 2023

2022 6 violations

Tag 0695 D Oct 5, 2022

Provide safe and appropriate respiratory care for a resident when needed.

βœ“ Corrected: Nov 4, 2022
Tag 0755 E Oct 5, 2022

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Nov 4, 2022
Tag 0756 E Oct 5, 2022

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

βœ“ Corrected: Nov 4, 2022
Tag 0761 E Oct 5, 2022

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

βœ“ Corrected: Nov 4, 2022
Tag 0812 E Oct 5, 2022

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Nov 4, 2022
Tag 0908 D Oct 5, 2022

Keep all essential equipment working safely.

βœ“ Corrected: Nov 4, 2022

2021 8 violations

Tag 0677 E Nov 9, 2021

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Nov 26, 2021
Tag 0656 D Aug 24, 2021

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Oct 4, 2021
Tag 0657 D Aug 24, 2021

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Oct 4, 2021
Tag 0677 D Aug 24, 2021

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Oct 4, 2021
Tag 0727 F Aug 24, 2021

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

βœ“ Corrected: Oct 4, 2021
Tag 0761 F Aug 24, 2021

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

βœ“ Corrected: Oct 4, 2021
Tag 0813 D Aug 24, 2021

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

βœ“ Corrected: Oct 4, 2021
Tag 0880 D Aug 24, 2021

Provide and implement an infection prevention and control program.

βœ“ Corrected: Oct 28, 2021

2020 3 violations

Tag 0656 D Apr 28, 2020

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: May 25, 2020
Tag 0687 D Apr 28, 2020

Provide appropriate foot care.

βœ“ Corrected: May 25, 2020
Tag 0842 D Apr 28, 2020

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

βœ“ Corrected: May 25, 2020

2019 19 violations

Tag 0677 E Oct 16, 2019

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Oct 21, 2019
Tag 0725 F Oct 16, 2019

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

βœ“ Corrected: Oct 21, 2019
Tag 0745 E Oct 16, 2019

Provide medically-related social services to help each resident achieve the highest possible quality of life.

βœ“ Corrected: Oct 17, 2019
Tag 0600 K Sep 14, 2019

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Sep 17, 2019
Tag 0657 D Sep 14, 2019

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Oct 21, 2019
Tag 0690 D Sep 14, 2019

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

βœ“ Corrected: Oct 11, 2019
Tag 0697 G Sep 14, 2019

Provide safe, appropriate pain management for a resident who requires such services.

βœ“ Corrected: Oct 21, 2019
Tag 0842 D Sep 14, 2019

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

βœ“ Corrected: Sep 17, 2019
Tag 0880 D Sep 14, 2019

Provide and implement an infection prevention and control program.

βœ“ Corrected: Oct 11, 2019
Tag 0645 D Aug 16, 2019

PASARR screening for Mental disorders or Intellectual Disabilities

βœ“ Corrected: Sep 16, 2019
Tag 0759 E Aug 16, 2019

Ensure medication error rates are not 5 percent or greater.

βœ“ Corrected: Sep 16, 2019
Tag 0761 E Aug 16, 2019

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

βœ“ Corrected: Sep 16, 2019
Tag 0773 D Aug 16, 2019

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

βœ“ Corrected: Sep 16, 2019
Tag 0812 F Aug 16, 2019

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Sep 16, 2019
Tag 0761 D Jun 12, 2019

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

βœ“ Corrected: Jun 28, 2019
Tag 0577 E May 30, 2019

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

βœ“ Corrected: Jun 24, 2019
Tag 0745 D May 30, 2019

Provide medically-related social services to help each resident achieve the highest possible quality of life.

βœ“ Corrected: Jun 24, 2019
Tag 0677 D May 19, 2019

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Jun 24, 2019
Tag 0689 E Mar 29, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Apr 29, 2019

2018 11 violations

Tag 0677 D Dec 28, 2018

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Jan 18, 2019
Tag 0657 E Aug 3, 2018

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Aug 24, 2018
Tag 0677 E Aug 3, 2018

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Aug 24, 2018
Tag 0695 E Aug 3, 2018

Provide safe and appropriate respiratory care for a resident when needed.

βœ“ Corrected: Aug 24, 2018
Tag 0745 E Aug 3, 2018

Provide medically-related social services to help each resident achieve the highest possible quality of life.

βœ“ Corrected: Aug 24, 2018
Tag 0791 E Aug 3, 2018

Provide or obtain dental services for each resident.

βœ“ Corrected: Aug 24, 2018
Tag 0812 E Aug 3, 2018

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Aug 24, 2018
Tag 0921 E Aug 3, 2018

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

βœ“ Corrected: Aug 24, 2018
Tag 0600 G Jun 6, 2018

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Jun 27, 2018
Tag 0773 E Jun 6, 2018

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

βœ“ Corrected: Jun 27, 2018
Tag 0656 E May 3, 2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: May 31, 2018

2017 16 violations

Tag 0241 E Aug 3, 2017

Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

βœ“ Corrected: Aug 21, 2017
Tag 0272 F Aug 3, 2017

Conduct initial and periodic assessments of each resident's functional capacity.

βœ“ Corrected: Aug 21, 2017
Tag 0279 F Aug 3, 2017

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Aug 21, 2017
Tag 0318 E Aug 3, 2017

Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.

βœ“ Corrected: Aug 21, 2017
Tag 0322 E Aug 3, 2017

Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.

βœ“ Corrected: Aug 21, 2017
Tag 0325 E Aug 3, 2017

Ensure residents maintain acceptable nutritional status.

βœ“ Corrected: Aug 21, 2017
Tag 0329 E Aug 3, 2017

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

βœ“ Corrected: Aug 21, 2017
Tag 0371 E Aug 3, 2017

Store, cook, and serve food in a safe and clean way.

βœ“ Corrected: Aug 21, 2017
Tag 0465 F Jun 28, 2017

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

βœ“ Corrected: Aug 3, 2017
Tag 0490 F Jun 28, 2017

Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident .

βœ“ Corrected: Aug 3, 2017
Tag 0225 E May 9, 2017

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

βœ“ Corrected: Aug 3, 2017
Tag 0278 F May 9, 2017

Ensure each resident receives an accurate assessment by a qualified health professional.

βœ“ Corrected: Aug 3, 2017
Tag 0371 E May 9, 2017

Store, cook, and serve food in a safe and clean way.

βœ“ Corrected: Aug 4, 2017
Tag 0425 F May 9, 2017

Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.

βœ“ Corrected: Aug 3, 2017
Tag 0441 E May 9, 2017

Have a program that investigates, controls and keeps infection from spreading.

βœ“ Corrected: Aug 3, 2017
Tag 0465 F May 9, 2017

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

βœ“ Corrected: Aug 3, 2017

Ownership Information

For profit - Corporation