Focused Care at Allenbrook — nursing home in Baytown, TX

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 120 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 82.1 CMS, MDS-derived
CMS Certification Number: 675079
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Aug 1, 1992
Ownership type: For profit - Limited Liability company
Operator (legal business name): Fpacp Allenbrook LLC
CMS chain: Focused Post Acute Care Partners 25 facilities
Phone: (281) 422-3546
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

9

latest Mar 13, 2026

Citations

20

14 health · 6 fire

Harm or worse

2

1 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L·
Actual harm	G·	H1	I·
Potential harm	D8	E7	F1
Minimal	A·	B·	C2

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

1

$8,400

Payment denials

0

Latest

Sep 4, 2025

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 675079
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 120
First approved: Aug 1, 1992
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Texas.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Mar 13, 2026	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Mar 13, 2026	Health	Health Standard	3	Potential harm	—	Open →
Sep 4, 2025	Health	Health Complaint	1	Immediate jeopardy	—	Open →
Dec 11, 2024	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Dec 11, 2024	Health	Health Standard	4	Potential harm	—	Open →
Sep 30, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Dec 14, 2023	Health	Health Complaint	1	Actual harm	—	Open →
Nov 2, 2023	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Nov 2, 2023	Health	Health Standard	4	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Sep 4, 2025	Civil money penalty (fine)	$8,400	—	675079\|Fine\|135035

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L·
Actual harm	G·	H1	I·
Potential harm	D8	E7	F1
Minimal	A·	B·	C2

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Mar 13, 2026	K-0929	Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Apr 26, 2026
Mar 13, 2026	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 3, 2026
Mar 13, 2026	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Apr 3, 2026
Mar 13, 2026	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Apr 3, 2026
Sep 4, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	J · Immediate jeopardy Isolated	Past non-compliance	Complaint
Dec 11, 2024	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 31, 2024
Dec 11, 2024	F-0636	Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 31, 2024
Dec 11, 2024	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 31, 2024
Dec 11, 2024	F-0644	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 31, 2024
Dec 11, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Dec 31, 2024
Dec 11, 2024	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected Dec 13, 2024
Sep 30, 2024	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 18, 2024	Complaint
Dec 14, 2023	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	H · Actual harm Pattern	Corrected Jan 5, 2024	Complaint
Nov 2, 2023	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Nov 20, 2023
Nov 2, 2023	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Nov 20, 2023
Nov 2, 2023	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 20, 2023
Nov 2, 2023	F-0661	Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 20, 2023
Nov 2, 2023	F-0692	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Nov 20, 2023
Nov 2, 2023	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Nov 20, 2023
Nov 2, 2023	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected Nov 2, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 2.8

Health inspectionsstate 2.8

Staffingstate 1.9

Quality measuresstate 3.8

Long-stay QM

Short-stay QMNot rated

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.02

State avg 3.42US avg 3.90

Registered nurse (RN)0.23

State avg 0.44US avg 0.69

Licensed practical nurse0.70

State avg 0.94US avg 0.86

Nurse aide2.09

State avg 2.03US avg 2.35

Weekend total nurse2.78

State avg 2.99US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.04 (case-mix index 1.39).

Staff turnover

Total nursing staff turnover56.5%

State avg 50.8%US avg 45.3%

Registered nurse turnoverNot reported

State avg 49.8%US avg 42.5%

Administrators who left1

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Mar 13, 2026
Cycle 1 health score: 16
Total weighted score: 33

Operating entity

Fpacp Allenbrook LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Focused Post Acute Care Partners

25 facilities in 1 states. CMS chain ID 224.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2

Ownership disclosures

Disclosures

20

Organizations

3

Individuals

14

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Focused Post Acute Care Partners LLC	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Feb 1, 2017
Fpacp Allenbrook LLC	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Feb 1, 2017
Mark Mckenzie	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Feb 1, 2017
Loretta Strubbe	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jul 1, 2018

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Focused Post Acute Care Partners LLC	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Feb 1, 2017
Fpacp Allenbrook LLC	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Feb 1, 2017
Mark Mckenzie	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Feb 1, 2017
Loretta Strubbe	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jul 1, 2018
Focused Post Acute Care Partners LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 1, 2017
Focused Post Acute Care Partners Management, LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 1, 2017
Joshua Collins-Gaines	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 12, 2024
Shawn Conley	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 1, 2017
Mark Mckenzie	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 1, 2017
Savannah Powell	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jul 1, 2024
Matthew Roberts	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2024
Loretta Strubbe	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jul 1, 2018
Shawn Conley	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	May 1, 2018
Mark Mckenzie	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jul 1, 2018
Loretta Strubbe	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jul 1, 2018
Focused Post Acute Care Partners LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Mar 7, 2025
Focused Post Acute Care Partners Management, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Mar 7, 2025
Joshua Collins-Gaines	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 12, 2024
Savannah Powell	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jul 1, 2024
Matthew Roberts	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2024

Same chain in Texas

All 24 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Focused Care of Waxahachie 1413 W Main St, Waxahachie, TX 75165 CCN 455591Abuse icon	152	Aug 14, 2026	433 IJ1 harm1 open	$21k
Focused Care at Mount Pleasant 1606 Memorial Ave, Mount Pleasant, TX 75455 CCN 455900Abuse icon	122	May 20, 2026	945 IJ1 harm1 open	$199k
Focused Care at Lamesa 1201 N 15th St, Lamesa, TX 79331 CCN 455936	80	Jul 28, 2026	282 IJ	$11k
Focused Care at Clarksville 2407 West Main St., Clarksville, TX 75426 CCN 455944	120	Feb 25, 2026	401 harm	$5,211
Focused Care at Beechnut 12777 Beechnut St, Houston, TX 77072 CCN 675000	146	Apr 17, 2026	3910 IJ	$90k
Focused Care at Sherman 817 W Center, Sherman, TX 75090 CCN 675089	116	Jul 28, 2026	678 IJ	$120k
Focused Care at Humble 93 Isaacks Rd, Humble, TX 77338 CCN 675127Abuse icon	134	Jul 15, 2026	385 IJ1 harm	$98k
Focused Care at Hamilton 1315 E State Hwy 22, Hamilton, TX 76531 CCN 675140	78	Aug 6, 2026	18	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 4109 Allenbrook Dr, Baytown, TX 77521
ZIP: 77521
County: Harris County FIPS 48201
State: Texas
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Focused Care at Burnet Bay 3921 N. Main Street, Baytown, TX 77521 CCN 675849	0.8 km	120	Jul 22, 2026	303 IJ1 harm2 open	$16k
Rollingbrook Rehabilitation and Health Care Center 750 Rollingbrook Dr., Baytown, TX 77521 CCN 676442	0.9 km	130	Mar 26, 2026	131 IJ	$24k
Mont Belvieu Rehabilitation & Healthcare Center 14000 Lakes of Champions Blvd, Mont Belvieu, TX 77523 CCN 676484	1.2 km	124	Aug 26, 2026	402 IJ1 harm	$22k
Focused Care at Cedar Bayou 2000 W Baker Road, Baytown, TX 77521 CCN 676204	1.2 km	125	Aug 30, 2026	349 IJ2 harm2 open	$119k
St James House of Baytown 5800 W Baker Rd, Baytown, TX 77520 CCN 675999	5.4 km	105	Mar 26, 2026	181 IJ	$15k
Bay Ridge Healthcare Center 208 South Utah, La Porte, TX 77571 CCN 675052	11.9 km	58	Jun 26, 2026	395 IJ1 harm	$55k
Sylan Shores Health and Wellness 3950 Underwood Rd, La Porte, TX 77571 CCN 676490Abuse icon	16.5 km	124	Nov 24, 2025	201 IJ	$8,281
The Courtyards at Pasadena 4048 Red Bluff Road, Pasadena, TX 77503 CCN 676155	19.6 km	196	May 14, 2026	251 IJ	$8,827

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	675079	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	675079	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 675079

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction