Focused Care at Allenbrook
4109 Allenbrook Dr, Baytown, TX 77521 · Harris County · 120 certified beds · avg 83 residents/day · certified since Aug 1, 1992
Part of chain: FOCUSED POST ACUTE CARE PARTNERS (25 facilities, chain avg rating 1.9★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Sep 4, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
▲ Actual harm, repeated · Dec 14, 2023 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (H): Multiple residents were actually harmed by the same failure — a pattern of real harm, not an isolated incident.
Corrected: Jan 5, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (14)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 13, 2026 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Mar 13, 2026 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Mar 13, 2026 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Sep 4, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Dec 11, 2024 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Dec 11, 2024 | D · Potential for harm, one-off | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. |
| Dec 11, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Dec 11, 2024 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Sep 30, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Dec 14, 2023 | ▲ H · Actual harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Nov 2, 2023 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Nov 2, 2023 | E · Potential for harm, repeated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Nov 2, 2023 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Nov 2, 2023 | D · Potential for harm, one-off | When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 5 | 1 | H ▲ |
| 2024 | 5 | 0 | E |
| 2025 | 1 | 1 | J ▲ |
| 2026 | 3 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $8,400.
| Date | Type | Amount / length |
|---|---|---|
| Sep 4, 2025 | Fine | $8,400 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Texas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.17 | 3.46 | 3.95 | bottom 36% in Texas; bottom 20% in the U.S. |
| Registered Nurse hours | 0.16 | 0.44 | 0.69 | bottom 3% in Texas; bottom 1% in the U.S. |
| Weekend total nurse staffing | 2.87 | 3.04 | 3.50 | bottom 45% in Texas; bottom 24% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.15 | 0.34 | 0.48 | bottom 9% in Texas; bottom 5% in the U.S. |
| Total nursing staff turnover (%) | 51.6 | 55.3 | 45.8 | top 49% in Texas; bottom 33% in the U.S. |
| RN turnover (%) | 0.0 | 54.6 | 42.9 | — |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.05, RN 0.15, weekend 2.77. Staffing rating: 1/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Focused Post Acute Care Partners LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 02/01/2017 |
| Fpacp Allenbrook LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 02/01/2017 |
| McKenzie, Mark | Individual | Indirect Ownership Interest | NOT APPLICABLE | 02/01/2017 |
| Strubbe, Loretta | Individual | Indirect Ownership Interest | NOT APPLICABLE | 07/01/2018 |
| Collins-Gaines, Joshua | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/12/2024 |
| Collins-Gaines, Joshua | Individual | ADP of the SNF | NOT APPLICABLE | 02/12/2024 |
| Conley, Shawn | Individual | Corporate Officer | NOT APPLICABLE | 05/01/2018 |
| Conley, Shawn | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2017 |
| Focused Post Acute Care Partners LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/01/2017 |
| Focused Post Acute Care Partners LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/07/2025 |
| Focused Post Acute Care Partners Management, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/01/2017 |
| Focused Post Acute Care Partners Management, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/07/2025 |
| McKenzie, Mark | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2018 |
| McKenzie, Mark | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2017 |
| Powell, Savannah | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2024 |
| Powell, Savannah | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2024 |
| Roberts, Matthew | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2024 |
| Roberts, Matthew | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
| Strubbe, Loretta | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2018 |
| Strubbe, Loretta | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2018 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "How soon after admission is a full assessment completed, and how are the findings shared with the family?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Focused Care at Burnet Bay | 0.5 mi | Baytown, TX | ★★☆☆☆ | 2/5 | |
| Rollingbrook Rehabilitation and Healthcare Center | 0.6 mi | Baytown, TX | ★★★☆☆ | 4/5 | |
| Mont Belvieu Rehabilitation & Healthcare Center | 0.7 mi | Mont Belvieu, TX | ★☆☆☆☆ | 2/5 | |
| Focused Care at Cedar Bayou | 0.8 mi | Baytown, TX | ★☆☆☆☆ | 1/5 | |
| St James House of Baytown | 3.4 mi | Baytown, TX | ★★★★★ | 4/5 | |
| Bay Ridge Healthcare Center | 7.4 mi | La Porte, TX | ★☆☆☆☆ | 1/5 | |
| Sylan Shores Health and Wellness | 10.3 mi | La Porte, TX | ★☆☆☆☆ | 2/5 | abuse |
| East View Healthcare | 11.7 mi | Houston, TX | ★★★★★ | 5/5 | |
| The Courtyards at Pasadena | 12.2 mi | Pasadena, TX | ★★★☆☆ | 3/5 | |
| Bridgecrest Rehabilitation Suites | 12.5 mi | Houston, TX | ★★★☆☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 675079.