B

Focused Care at Allenbrook

4109 Allenbrook Dr, Baytown, TX 77521
Score: 83 / 100

Focused Care At Allenbrook earns a solid B grade from CMS data, with a score of 83/100. Performing above average across most metrics, this Baytown facility ranks in the 92th percentile among Texas nursing homes.

With 3.12 total nurse hours per resident per day, Focused Care At Allenbrook falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.

Recent CMS inspections identified 15 deficiencies at Focused Care At Allenbrook, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents..

Score Breakdown

Overall CMS Rating 40 / 40 pts
5 ★ CMS rating
Health Inspections 20 / 25 pts
4 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 15 / 15 pts
5 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.12 3.8 Below Average
Registered Nurses (RN) 0.18 0.7 Below Average
Licensed Practical Nurses (LPN) 0.75 0.7 Average
Certified Nursing Assistants (CNA) 2.19 2.4 Average
Weekend Total Nursing 2.80 3.8 Below Average
Weekend RN Hours 0.26 0.7 Below Average

🔍 Inspection & Deficiency History

15
Total Deficiencies
Sep 3, 2025
Most Recent Inspection
🟠 14 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0689 Severity J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Sep 3, 2025 · Quality of Life and Care Deficiencies
  • Tag 0812 Severity E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Dec 10, 2024 · Nutrition and Dietary Deficiencies
  • Tag 0636 Severity D
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    Dec 10, 2024 · Resident Assessment and Care Planning Deficiencies
  • Tag 0641 Severity D
    Ensure each resident receives an accurate assessment.
    Dec 10, 2024 · Resident Assessment and Care Planning Deficiencies
  • Tag 0644 Severity D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    Dec 10, 2024 · Resident Assessment and Care Planning Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 7.6% 4.5% Worse
Falls with major injury 3.8% 3.0% Worse
On antipsychotic medication 11.1% 14.5% Better
Urinary tract infections 0.0% 2.5% Better
ADL decline (daily activities) 13.7% 14.0% Average
Excessive weight loss 0.4% 7.5% Better
New/worsened incontinence 15.0% 45.0% Better

How This Grade Was Calculated

This facility's grade of B is based on a score of 83 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 5★ → 40 pts (max 40)
  • Health Inspection Rating: 4★ → 20 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 5★ → 15 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
120
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Dec 10, 2024
Deficiencies (Cycle 1)
5