Nursing homeActive

Focused Care at Allenbrook

4109 Allenbrook Dr, Baytown, TX 775212814223546120 certified beds · 83 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
6
since 2023
Deficiencies
14
0122
Penalties · 3 yrs
$8,400
1 fine
Last survey
2026-03-13
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 4
Staffing 1
Quality 4
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Texas Health and Human Services Commission · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-03-13Standard030CMS-2567 (Care Compare)
2025-09-04Complaint001CMS-2567 (Care Compare)
2024-12-11Standard040CMS-2567 (Care Compare)
2024-09-30Complaint010CMS-2567 (Care Compare)
2023-12-14Complaint001CMS-2567 (Care Compare)
2023-11-02Standard040CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Texas Health and Human Services Commission publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-03-13Standard survey · 3 deficienciesOfficial report
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-03Record 675079-20260313-F641
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-03Record 675079-20260313-F759
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-04-03Record 675079-20260313-F812
2025-09-04Complaint survey · 1 deficiencyOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Correction not yet recordedRecord 675079-20250904-F689
2024-12-11Standard survey · 4 deficienciesOfficial report
F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-31Record 675079-20241211-F636
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-31Record 675079-20241211-F641
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-31Record 675079-20241211-F644
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-31Record 675079-20241211-F812
2024-09-30Complaint survey · 1 deficiencyOfficial report
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-18Record 675079-20240930-F684
2023-12-14Complaint survey · 1 deficiencyOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity HHarm
Care planningFalls
Pattern; actual harm that is not immediate jeopardy.Corrected 2024-01-05Record 675079-20231214-F689
2023-11-02Standard survey · 4 deficienciesOfficial report
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-20Record 675079-20231102-F656
F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-20Record 675079-20231102-F661
F692Provide enough food/fluids to maintain a resident's health.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-20Record 675079-20231102-F692
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-11-20Record 675079-20231102-F812

Penalties & enforcement

DateActionAmountSource
2025-09-04Civil money penalty$8,400CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.15
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day3.05
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours2.77
Facility
Texas
National
Texas 2.98 · National 3.42
Total nursing staff turnover52%
Facility
Texas
National
Texas 55% · National 46%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityTexasNational
Percentage of long-stay residents with pressure ulcers
lower is better
6.3%3.8%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
3.9%3.3%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
11.4%9.6%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.0%0.8%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.0%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
16.3%15.8%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
0.4%3.0%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
16.1%18.0%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Collins-Gaines, Joshua
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Conley, Shawn
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Focused Post Acute Care Partners LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Focused Post Acute Care Partners Management, LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Mckenzie, Mark
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Powell, Savannah
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Roberts, Matthew
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Strubbe, Loretta
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Collins-Gaines, Joshua
Individual
ADP OF THE SNFNOT APPLICABLE
Conley, Shawn
Individual
CORPORATE OFFICERNOT APPLICABLE
Focused Post Acute Care Partners LLC
Organization
DIRECT OWNERSHIP INTERESTNOT APPLICABLE
Focused Post Acute Care Partners LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Focused Post Acute Care Partners Management, LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Fpacp Allenbrook LLC
Organization
DIRECT OWNERSHIP INTERESTNOT APPLICABLE
Mckenzie, Mark
Individual
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Mckenzie, Mark
Individual
CORPORATE OFFICERNOT APPLICABLE
Powell, Savannah
Individual
ADP OF THE SNFNOT APPLICABLE
Roberts, Matthew
Individual
ADP OF THE SNFNOT APPLICABLE
Strubbe, Loretta
Individual
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Strubbe, Loretta
Individual
CORPORATE OFFICERNOT APPLICABLE
Part of a chain
Focused Post Acute Care Partners25 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Texas.

No county cost figures on file for Harris.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Focused Care At Burnet Bay
Baytown
0.5 mi2026-05-070205
Rollingbrook Rehabilitation And Healthcare Center
Baytown
0.6 mi2026-03-26091
Mont Belvieu Rehabilitation & Healthcare Center
Mont Belvieu
0.7 mi2026-03-182312
Focused Care at Cedar Bayou
Baytown
0.8 mi2026-06-180119
St James House Of Baytown
Baytown
3.4 mi2026-03-26071
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01