C80

Focused Care at Allenbrook

Grade C 80/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
5/5
Health Insp.
4/5
Quality
5/5
Staffing
2/5
RN Staffing
Not rated

Certified Beds

120

Ownership

For profit - Limited Liability company

Total Fines

None

Last Survey

N/A

4109 Allenbrook Dr, Baytown, TX 77521
2814223546

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.22h
LPN
0.94h
CNA
2.75h
Total
3.92h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

FOCUSED POST ACUTE CARE PARTNERS LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Dec 2016

FPACP ALLENBROOK LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Feb 2017

CONLEY, SHAWN

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jul 2018

15%

MCKENZIE, MARK

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jul 2018

70%

STRUBBE, LORETTA

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jul 2018

15%

FOCUSED POST ACUTE CARE PARTNERS LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Feb 2017

FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Feb 2017

COLLINS-GAINES, JOSHUA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2024

CONLEY, SHAWN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2017

MCKENZIE, MARK

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2017

POWELL, SAVANNAH

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jul 2024

ROBERTS, MATTHEW

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2024

STRUBBE, LORETTA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jul 2018

CONLEY, SHAWN

IndividualCORPORATE OFFICERSince May 2018

MCKENZIE, MARK

IndividualCORPORATE OFFICERSince Jul 2018

STRUBBE, LORETTA

IndividualCORPORATE OFFICERSince Jul 2018

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (15)

September 4, 2025Health1 deficiency1 severe
0689JImmediate jeopardy, Isolated

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

Quality of Life and Care Deficiencies

December 11, 2024Health4 deficiencies
0636DMinimal harm, Isolated

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

Corrected Dec 31, 2024
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Dec 31, 2024
0644DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Dec 31, 2024
0812EMinimal harm, Pattern

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

Nutrition and Dietary Deficiencies

Corrected Dec 31, 2024
September 30, 2024Health1 deficiency
0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Oct 18, 2024
December 14, 2023Health1 deficiency1 severe
0689HActual harm, Pattern

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

Quality of Life and Care Deficiencies

Corrected Jan 5, 2024
November 2, 2023Health4 deficiencies
0656DMinimal harm, Isolated

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

Corrected Nov 20, 2023
0661DMinimal harm, Isolated

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Resident Assessment and Care Planning Deficiencies

Corrected Nov 20, 2023
0692EMinimal harm, Pattern

Provide enough food/fluids to maintain a resident's health.

Quality of Life and Care Deficiencies

Corrected Nov 20, 2023
0812FMinimal harm, Widespread

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

Nutrition and Dietary Deficiencies

Corrected Nov 20, 2023
August 25, 2022Health4 deficiencies
0626DMinimal harm, Isolated

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Resident Rights Deficiencies

Corrected Aug 26, 2022
0755EMinimal harm, Pattern

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

Pharmacy Service Deficiencies

Corrected Aug 26, 2022
0758DMinimal harm, Isolated

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Pharmacy Service Deficiencies

Corrected Aug 26, 2022
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Oct 1, 2022

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Frequently Asked Questions

What is the CareGrader rating for Focused Care at Allenbrook?

Focused Care at Allenbrook in Baytown, Texas has a CareGrader grade of C (Average), with a composite score of 79.5 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for Focused Care at Allenbrook?

Focused Care at Allenbrook has an overall CMS star rating of 5 out of 5, a health inspection rating of 4/5, and a staffing rating of 2/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does Focused Care at Allenbrook have?

Focused Care at Allenbrook has 15 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does Focused Care at Allenbrook have?

Focused Care at Allenbrook has 120 certified beds with approximately 74 current residents (62% occupancy). The facility is located at 4109 Allenbrook Dr, Baytown, Texas 77521. It is a for profit - limited liability company facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.