All citations for Focused Care at Burnet Bay

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Focused Care at Burnet Bay

Last standard health inspection on record

May 7, 2026

Showing 1 to 14 of 14 citations

  1. Immediate jeopardy to resident health or safety

    Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0635, Resident Assessment and Care Planning Deficiencies. Inspection of April 23, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 10, 2024).

  2. Immediate jeopardy to resident health or safety

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of April 23, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 10, 2024).

  3. Immediate jeopardy to resident health or safety

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0726, Nursing and Physician Services Deficiencies. Inspection of April 23, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 10, 2024).

  4. No harm, with potential for more than minimal harm

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    Widespread (many residents). CMS level F.

    Health citation F-0851, Administration Deficiencies. Inspection of December 13, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (December 28, 2023).

  5. No harm, with potential for more than minimal harm

    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0944, Administration Deficiencies. Inspection of December 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 28, 2023).

  6. No harm, with potential for more than minimal harm

    Ensure each resident receives an accurate assessment.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of December 13, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (December 28, 2023).

  7. No harm, with potential for more than minimal harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of December 13, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (December 28, 2023).

  8. No harm, with potential for more than minimal harm

    Have a policy regarding use and storage of foods brought to residents by family and other visitors.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0813, Nutrition and Dietary Deficiencies. Inspection of December 13, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (December 28, 2023).

  9. No harm, with potential for more than minimal harm

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0925, Environmental Deficiencies. Inspection of December 13, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (December 28, 2023).

  10. No harm, with potential for more than minimal harm

    Develop, implement, and/or maintain an effective training program for all new and existing staff members.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0940, Administration Deficiencies. Inspection of December 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 28, 2023).

  11. No harm, with potential for more than minimal harm

    Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0941, Administration Deficiencies. Inspection of December 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 28, 2023).

  12. No harm, with potential for more than minimal harm

    Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0942, Resident Rights Deficiencies. Inspection of December 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 28, 2023).

  13. No harm, with potential for more than minimal harm

    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0943, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of December 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 28, 2023).

  14. No harm, with potential for more than minimal harm

    Provide behavior health training consistent with the requirements and as determined by a facility assessment.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0949, Administration Deficiencies. Inspection of December 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 28, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.