Focused Care At Cedar Bayou
Baytown, Harris County, Texas · CCN 676204 · For-profit (LLC) · part of Focused Post Acute Care Partners (25 facilities, chain average 1.9 stars)
CMS rates Focused Care At Cedar Bayou 1 of 5 overall as of August 2026. 125 certified beds, 80 residents a day on average. 25 citations on record from the current inspection cycles, 9 at immediate jeopardy; 4 fines totalling $99,628 and 1 payment denial.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★☆☆☆☆ 1 of 5 |
|---|---|
| Health inspections | ★☆☆☆☆ 1 of 5 |
| Staffing | ★☆☆☆☆ 1 of 5 |
| Quality measures | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 4 / — of 5 |
Staffing
| Total nurse staffing | 3.00665 hours per resident per day |
|---|---|
| Registered nurses | 0.455 hours per resident per day |
| Weekend total | 2.80678 hours per resident per day |
| Nursing staff turnover | 47.2% (registered nurses 50%) |
| Administrators who left | 2 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-06-18 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · tag F0636 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has no plan of correction |
| 2026-06-18 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has no plan of correction |
| 2026-06-18 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has no plan of correction |
| 2026-06-18 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has no plan of correction |
| 2026-04-22 complaint survey |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · tag F0580 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-15 |
| 2026-04-22 complaint survey |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · tag F0655 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-15 |
| 2025-05-09 complaint survey |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · tag F0580 |
K Immediate jeopardy to resident health or safety; pattern | Deficient, Provider has date of correction 2025-06-11 |
| 2025-05-09 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
K Immediate jeopardy to resident health or safety; pattern | Deficient, Provider has date of correction 2025-06-11 |
| 2025-05-09 complaint survey |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-06-27 |
| 2025-04-16 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
K Immediate jeopardy to resident health or safety; pattern | Deficient, Provider has date of correction 2025-04-17 |
| 2025-04-16 complaint survey |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
K Immediate jeopardy to resident health or safety; pattern | Deficient, Provider has date of correction 2025-04-17 |
| 2025-04-16 complaint survey |
Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760 |
K Immediate jeopardy to resident health or safety; pattern | Deficient, Provider has date of correction 2025-04-17 |
| 2024-02-12 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0697 |
K Immediate jeopardy to resident health or safety; pattern | Deficient, Provider has date of correction 2024-03-07 |
| 2024-02-12 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
K Immediate jeopardy to resident health or safety; pattern | Deficient, Provider has date of correction 2024-03-07 |
| 2024-02-12 complaint survey |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2024-03-07 |
| 2024-02-12 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2024-03-07 |
| 2024-02-12 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · tag F0655 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-07 |
| 2024-02-12 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-07 |
| 2024-02-12 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-07 |
| 2024-02-12 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · tag F0814 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-07 |
| 2022-12-02 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2022-12-02 |
| 2022-12-02 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · tag F0725 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2022-12-06 |
| 2022-12-02 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2022-12-02 |
| 2022-12-02 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · tag F0644 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-12-02 |
| 2022-12-02 | 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. Quality of Life and Care Deficiencies · tag F0693 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-01-02 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2025-04-16 | Payment denial for 43 days from 2025-05-15 | — |
| 2025-04-16 | Fine | $73,165 |
| 2024-02-12 | Fine | $8,821 |
| 2024-02-12 | Fine | $8,821 |
| 2024-02-12 | Fine | $8,821 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Focused Post Acute Care Partners LLC Organization | adp of the snf | — | 2025-04-03 |
| Focused Post Acute Care Partners Management, LLC Organization | adp of the snf | — | 2025-04-03 |
| Focused Post Acute Care Partners LLC Organization | direct ownership interest | — | 2019-05-20 |
| Fpacp Cedar Bayou LLC Organization | direct ownership interest | — | 2019-05-20 |
| Focused Post Acute Care Partners LLC Organization | operational/managerial control | — | 2019-05-20 |
| Focused Post Acute Care Partners Management, LLC Organization | operational/managerial control | — | 2019-05-20 |
| Fpacp Cedar Bayou LLC Organization | operational/managerial control | — | 2019-05-20 |
| Daniels, Sarah Individual | adp of the snf | — | 2023-10-13 |
| Davis, Jessica Individual | adp of the snf | — | 2025-04-03 |
| Roberts, Matthew Individual | adp of the snf | — | 2019-05-20 |
| Conley, Shawn Individual | corporate officer | — | 2019-03-07 |
| Mckenzie, Mark Individual | corporate officer | — | 2019-03-07 |
| Strubbe, Loretta Individual | corporate officer | — | 2019-03-07 |
| Conley, Shawn Individual | operational/managerial control | — | 2019-05-20 |
| Daniels, Sarah Individual | operational/managerial control | — | 2023-10-13 |
| Davis, Jessica Individual | operational/managerial control | — | 2022-05-30 |
| Lillie, Tiffany Individual | operational/managerial control | — | 2024-05-24 |
| Mckenzie, Mark Individual | operational/managerial control | — | 2019-05-20 |
| Roberts, Matthew Individual | operational/managerial control | — | 2019-05-20 |
| Strubbe, Loretta Individual | operational/managerial control | — | 2019-05-20 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Focused Care At Cedar Bayou.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Harris County.