All citations for Focused Care at Cedar Bayou

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 Cedar Bayou

Last standard health inspection on record

June 18, 2026

Showing 1 to 25 of 32 citations

  1. Immediate jeopardy to resident health or safety

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

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

    Health citation F-0580, Resident Rights Deficiencies. Inspection of May 9, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 11, 2025).

  2. Immediate jeopardy to resident health or safety

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

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of May 9, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 11, 2025).

  3. Immediate jeopardy to resident health or safety

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

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of April 16, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 17, 2025).

  4. Immediate jeopardy to resident health or safety

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

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of April 16, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 17, 2025).

  5. Immediate jeopardy to resident health or safety

    Ensure that residents are free from significant medication errors.

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

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of April 16, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 17, 2025).

  6. Immediate jeopardy to resident health or safety

    Provide safe, appropriate pain management for a resident who requires such services.

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

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of February 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 7, 2024).

  7. Immediate jeopardy to resident health or safety

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

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of February 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 7, 2024).

  8. Immediate jeopardy to resident health or safety

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

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

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of February 12, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (March 7, 2024).

  9. Immediate jeopardy to resident health or safety

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of February 12, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (March 7, 2024).

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

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of June 18, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 15, 2026).

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

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of February 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 7, 2024).

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

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

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

    Fire safety citation K-0222, Egress Deficiencies. Inspection of June 18, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 15, 2026).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of February 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 7, 2024).

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of December 2, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 2, 2022).

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

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

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

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of December 2, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 6, 2022).

  16. 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.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of December 2, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 2, 2022).

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

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

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

    Health citation F-0636, Resident Assessment and Care Planning Deficiencies. Inspection of June 18, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 15, 2026).

  18. 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 June 18, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 15, 2026).

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

    Ensure medication error rates are not 5 percent or greater.

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

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of June 18, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 15, 2026).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of June 18, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 15, 2026).

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

    Properly select, install, inspect, or maintain portable fire extinguishes.

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

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of June 18, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 15, 2026).

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

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

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

    Health citation F-0580, Resident Rights Deficiencies. Inspection of April 22, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 15, 2026).

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

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

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

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of April 22, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 15, 2026).

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

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of May 9, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 27, 2025).

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

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

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

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of February 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 7, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.