Focused Care At Burnet Bay faces challenges in its CMS ratings, earning a D grade with a score of 51/100. The facility ranks in the 56th percentile among Texas nursing homes, suggesting significant room for improvement.
With 2.75 total nurse hours per resident per day, Focused Care At Burnet Bay 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 29 deficiencies at Focused Care At Burnet Bay, including 5 classified as serious — among the most concerning citation levels. The most notable finding involved: protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 2.75 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.32 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.74 | 0.7 | Average |
| Certified Nursing Assistants (CNA) | 1.69 | 2.4 | Below Average |
| Weekend Total Nursing | 2.45 | 3.8 | Below Average |
| Weekend RN Hours | 0.19 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0600 Severity EProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Mar 5, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0759 Severity EEnsure medication error rates are not 5 percent or greater.Mar 5, 2025 · Pharmacy Service Deficiencies
- Tag 0644 Severity DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Mar 5, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0695 Severity DProvide safe and appropriate respiratory care for a resident when needed.Mar 5, 2025 · Quality of Life and Care Deficiencies
- Tag 0761 Severity DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiMar 5, 2025 · Pharmacy Service 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 | 7.3% | 4.5% | Worse |
| Falls with major injury | 0.0% | 3.0% | Better |
| On antipsychotic medication | 8.5% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 9.3% | 14.0% | Better |
| Excessive weight loss | 1.1% | 7.5% | Better |
| New/worsened incontinence | 9.0% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $12,893
How This Grade Was Calculated
This facility's grade of D is based on a score of 51 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -1 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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