Federal inspection record · CMS data as of October 1, 2026
Focused Care at Allenbrook
4109 Allenbrook Dr, Baytown, TX · (281) 422-3546
- Certified beds
- 120
- Residents per day
- 82
- Ownership
- For-Profit
- Chain
- Focused Post Acute Care Partners
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 1, 1992
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
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Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Focused Care at Allenbrook carries 33 inspection points. That is fewer than 83% of Texas's 1,166 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–51 pts
- 3★ 51–85 pts
- 2★ 85–145.75 pts
- 1★ over 145.75 pts
Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
14 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
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J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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H
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Resident Assessment and Care Planning6D
- D
Ensure each resident receives an accurate assessment.
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Ensure each resident receives an accurate assessment.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Nutrition and Dietary3F
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care2E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide enough food/fluids to maintain a resident's health.
Pharmacy Service1D
- D
Ensure medication error rates are not 5 percent or greater.
Inspection history
2026-03-13
3 health deficiencies · 1 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2024-12-11
5 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2023-11-02
6 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 1 min of nursing staff time a day, 14 min of it from a registered nurse.
This home
3 h 1 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 57% of nursing staff and 0% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$8,400 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-09-04 | Fine | $8,400 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.6 pts better | 100.0% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.8 pts worse | 96.2% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.6 pts worse | 4.8% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.8 pts better | 1.5% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.1 pts better | 0.8% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.1 pts worse | 17.9% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.4 pts worse | 12.2% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened9.6 pts worse | 22.5% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.1 pts worse | 18.9% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts better | 0.0% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.7 pts worse | 18.2% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers4.2 pts worse | 7.9% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine4.7 pts better | 93.4% | 88.7% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.4 pts worse | 1.8% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine2.1 pts worse | 83.3% | 85.4% | 80.1% |
·
Who owns and runs it
20 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Collins-Gaines, Joshua | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Collins-Gaines, Joshua | Adp Of The SNF · Individual | 0% | 1 facilities |
| Conley, Shawn | Corporate Officer · Individual | 0% | 25 facilities |
| Conley, Shawn | Operational/Managerial Control · Individual | 0% | 25 facilities |
| Focused Post Acute Care Partners LLC | Direct Ownership Interest · Organization | 0% | 23 facilities |
| Focused Post Acute Care Partners LLC | Operational/Managerial Control · Organization | 0% | 23 facilities |
| Focused Post Acute Care Partners LLC | Adp Of The SNF · Organization | 0% | 23 facilities |
| Focused Post Acute Care Partners Management, LLC | Operational/Managerial Control · Organization | 0% | 25 facilities |
| Focused Post Acute Care Partners Management, LLC | Adp Of The SNF · Organization | 0% | 25 facilities |
| Fpacp Allenbrook LLC | Direct Ownership Interest · Organization | 0% | 1 facilities |
| Mckenzie, Mark | Indirect Ownership Interest · Individual | 0% | 25 facilities |
| Mckenzie, Mark | Corporate Officer · Individual | 0% | 25 facilities |
| Mckenzie, Mark | Operational/Managerial Control · Individual | 0% | 25 facilities |
| Powell, Savannah | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Powell, Savannah | Adp Of The SNF · Individual | 0% | 1 facilities |
| Roberts, Matthew | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Roberts, Matthew | Adp Of The SNF · Individual | 0% | 3 facilities |
| Strubbe, Loretta | Indirect Ownership Interest · Individual | 0% | 25 facilities |
| Strubbe, Loretta | Corporate Officer · Individual | 0% | 25 facilities |
| Strubbe, Loretta | Operational/Managerial Control · Individual | 0% | 25 facilities |
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Fire safety
6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Services3E
- E
Have properly installed electrical wiring and gas equipment.
- C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Gas, Vacuum, and Electrical Systems1E
- E
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Egress1E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke1E
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
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Other homes nearby
-
Focused Care at Burnet Bay
Baytown, TX · Focused Post Acute Care Partners
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 2 h 55 min
- Fines
- $16,350
-
Rollingbrook Rehabilitation and Health Care Center
Baytown, TX · Momentum Skilled Services
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 19 min
- Fines
- $23,676
-
Mont Belvieu Rehabilitation & Healthcare Center
Mont Belvieu, TX
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 15 min
- Fines
- $21,995