Focused Care at Allenbrook
4109 Allenbrook Dr, Baytown, TX 77521
Focused Care at Allenbrook is a nursing home in Baytown, Texas. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
CMS star ratings
- 3 of 5CMS overall star rating
- 4 of 5CMS health inspection star rating
- 1 of 5CMS staffing star rating
- 4 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (281) 422-3546
- Last standard health inspection
- March 13, 2026 (7 months ago)
- Certified beds
- 120
- Residents per day, on average
- 82.1
- Ownership type
- For profit - Limited Liability company
- Legal business name
- Fpacp Allenbrook LLC
- Chain
- Focused Post Acute Care Partners
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Texas average (14 vs 28).
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of April 29, 2026
Star rating
The CMS overall star rating changed from 5 of 5 to 3 of 5.
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
3 citations
Health inspection on March 13, 2026
CMS lists this as a standard inspection.
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on April 3, 2026.
CMS has cited this home for F0812 3 times since 2023.
Citation F0641. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives an accurate assessment.
CMS lists it as corrected on April 3, 2026.
CMS has cited this home for F0641 2 times since 2024.
Citation F0759. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure medication error rates are not 5 percent or greater.
CMS lists it as corrected on April 3, 2026.
1 citation
Fire safety inspection on March 13, 2026
CMS lists this as a standard inspection.
Citation K0929. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
CMS lists it as corrected on April 26, 2026.
CMS update of January 14, 2026
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 4 of 5.
CMS update of December 15, 2025
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 3 of 5.
CMS update of November 20, 2025
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
1 citation
Health inspection on September 4, 2025
CMS lists this as a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
407 of 1,177 Texas homes (35%) got a citation at the immediate jeopardy level in 2025.
Citation F0689. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS has cited this home for F0689 2 times since 2023.
Fine
September 4, 2025 (1 year ago)
CMS fine of $8,400 on September 4, 2025.
CMS update of July 30, 2025
Star rating
The CMS overall star rating changed from 3 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
CMS update of April 30, 2025
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
CMS update of February 26, 2025
Star rating
The CMS health inspection star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 5 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
4 citations
Health inspection on December 11, 2024
CMS lists this as a standard inspection.
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on December 31, 2024.
Citation F0636. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
CMS lists it as corrected on December 31, 2024.
Citation F0641. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives an accurate assessment.
CMS lists it as corrected on December 31, 2024.
Citation F0644. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
CMS lists it as corrected on December 31, 2024.
2 citations
Fire safety inspection on December 11, 2024
CMS lists this as a standard inspection.
Citation K0511. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have properly installed electrical wiring and gas equipment.
CMS lists it as corrected on December 31, 2024.
Citation K0521. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS lists it as corrected on December 13, 2024.
CMS has cited this home for K0521 2 times since 2023.
CMS update of October 30, 2024
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
Staffing
Total nurse staffing reported to CMS went from 3.3 to 2.9 hours per resident per day.
1 citation
Health inspection on September 30, 2024
CMS lists this as a complaint inspection.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on October 18, 2024.
CMS update of July 31, 2024
Star rating
The CMS health inspection star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of January 31, 2024
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
1 citation
Health inspection on December 14, 2023
CMS lists this as a complaint inspection.
Severity H is the second-highest of CMS's four levels. It means a resident was harmed.
59 of 1,177 Texas homes (5%) got a citation at the actual harm level in 2023.
Citation F0689. Severity H: actual harm, pattern.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on January 5, 2024.
4 citations
Health inspection on November 2, 2023
CMS lists this as a standard inspection.
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on November 20, 2023.
Citation F0692. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide enough food/fluids to maintain a resident's health.
CMS lists it as corrected on November 20, 2023.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on November 20, 2023.
Citation F0661. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
CMS lists it as corrected on November 20, 2023.
3 citations
Fire safety inspection on November 2, 2023
CMS lists this as a standard inspection.
Citation K0211. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on November 20, 2023.
Citation K0372. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
CMS lists it as corrected on November 20, 2023.
Citation K0521. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS lists it as corrected on November 2, 2023.
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- FOCUSED POST ACUTE CARE PARTNERS LLCDirect ownership interest · not applicable · since 02/01/2017
- FPACP ALLENBROOK LLCDirect ownership interest · not applicable · since 02/01/2017
- MCKENZIE, MARKIndirect ownership interest · not applicable · since 02/01/2017
- STRUBBE, LORETTAIndirect ownership interest · not applicable · since 07/01/2018
- FOCUSED POST ACUTE CARE PARTNERS LLCOperational/managerial control · not applicable · since 02/01/2017
- FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLCOperational/managerial control · not applicable · since 02/01/2017
- COLLINS-GAINES, JOSHUAOperational/managerial control · not applicable · since 02/12/2024
- CONLEY, SHAWNOperational/managerial control · not applicable · since 02/01/2017
- MCKENZIE, MARKOperational/managerial control · not applicable · since 02/01/2017
- POWELL, SAVANNAHOperational/managerial control · not applicable · since 07/01/2024
- ROBERTS, MATTHEWOperational/managerial control · not applicable · since 01/01/2024
- STRUBBE, LORETTAOperational/managerial control · not applicable · since 07/01/2018
Questions
When was Focused Care at Allenbrook last inspected?
CMS lists March 13, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Focused Care at Allenbrook have?
CMS lists 14 health citations since November 2, 2023. CMS also calls these deficiencies.
Has Focused Care at Allenbrook been fined?
CMS lists 1 fine in the past three years, $8,400 in total.
What is the CMS star rating of Focused Care at Allenbrook?
Its CMS overall star rating is 3 of 5.
Is Focused Care at Allenbrook a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.