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Nursing HomeMedicaid Investigative

Bayou Pines Care Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

4905 Fleming Street, La Marque, TX 77568120 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.3/5

based on 41 Google reviews

5
4
3
2
1
Bayou Pines Care Center Nursing Home in La Marque, TX — Street View
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6/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (11 vs median 8.0)
  • High staff turnover (71%)
  • High RN turnover (77%)

Below average in Texas · Critically understaffed (RN) · Very high staff turnover · $21,645 in fines

Source: Medicare data

What this means for your family

This facility has a proven history of providing deeply compassionate nursing and excellent physical therapy. However, families should be extremely vigilant regarding staffing levels and communication, as recent trends show significant issues with call button response times and administrative responsiveness to billing disputes.

Google Reviews

Google Reviews

41 reviews on Google
Families often praise the compassionate nursing and therapy staff, with several long-term residents' families highlighting the facility as a 'Godsend.' However, recent reviews raise significant concerns regarding staffing shortages, slow response times to call buttons, and poor food quality.

Quality Themes

Tap a score for details
Food3.0Staff8.0Clean7.0Activities5.0MedsN/AMemoryN/AComms2.0Value1.0

Strengths

  • Compassionate and dedicated nursing staff
  • Effective physical therapy department
  • Clean environment with no noticeable odors
  • Professional administrative and office staff

Concerns

  • Staffing shortages and slow response to call buttons (mentioned by 2 reviewers)
  • Poor food quality (mentioned by 2 reviewers)
  • Difficulties with billing and communication from administration (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'16(2)'18(1)'20(8)'22(1)'24(2)'26(3)

Distribution · 46 analyzed

5
33
4
5
3
1
2
2
1
5
10 reviews posted between Oct 24, 2019Oct 24, 2019 · 9 were 5-star

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1I've heard wonderful things about the compassion of your nursing staff; how do you ensure that level of care is maintained during busy shifts?
  • 2What steps is the facility taking to improve response times for call buttons and ensure residents are attended to quickly?
  • 3Could you tell me more about the dining experience and what kind of menu variety is available for residents?
  • 4How does the administration handle communication with families regarding billing or updates on a resident's care?
  • 5What kind of daily activities or social programs are available to keep residents engaged and active?
  • 6In the event of a medical emergency after hours, what is the protocol for getting immediate care for a resident?

Personalized based on this facility's data


Key Review Excerpts

The staff went above and beyond to make her feel loved and comfortable. A special thank you to Charlotte, Shannon, and Bernice for their kindness, compassion, and dedication—they treated my mother like family, and that means the world to us.

Long-term resident's family · 2025★★★★★

Physical therapy worked to get her legs stronger to walk, the dining hall is great and food is always smelling good! the activities keep her busy and everyone there seems to care and takes part in keeping residents active and healthy!

Long-term resident's family · 2020★★★★★

They are always short staffed and do not answer call buttons. It took 45 minutes one day for someone to come to the room. The food served is absolutely horrible.

Resident's family · 2024★★☆☆☆
Source: 41 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.32hrs
43%
Registered nurses for medical care
Total Nursing
3.03hrs
74%
All nurses + aides combined
Staff Turnover
66%
Lower is better (< 30% = good)
RN Turnover
70%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

9

measures

Worse Than Avg

6

measures

Mixed Results

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
TX
2.5%
Galveston
5.7%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility23.5%
Worse than Avg
Here
23.5%
US
14.4%
TX
16.1%
Galveston
13.2%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility21.8%
Worse than Avg
Here
21.8%
US
19.4%
TX
14.2%
Galveston
15.9%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.4%
Better than Avg
Here
99.4%
US
93.4%
TX
96.9%
Galveston
93.3%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility0.4%
Better than Avg
Here
0.4%
US
5.3%
TX
3.2%
Galveston
5.7%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility10.4%
Mixed vs Avgs
Here
10.4%
US
15.4%
TX
9.4%
Galveston
11.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility68.8%
Worse than Avg
Here
68.8%
US
79.7%
TX
88.0%
Galveston
80.2%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility95.0%
Better than Avg
Here
95.0%
US
81.8%
TX
89.2%
Galveston
83.9%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility3.8%
Worse than Avg
Here
3.8%
US
1.6%
TX
1.5%
Galveston
1.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

10deficiencies
1penalties
Above state avg (9.1)
7 complaint-triggered
$21,645 in fines

Families have filed multiple reports at Bayou Pines, with eight complaint-triggered deficiencies spanning care planning, nursing staffing, and infection control. The facility shows persistent problems with resident assessment and care planning across multiple surveys, plus recurring issues with adequate nursing staff levels. Two recent deficiencies from January 2026 remain uncorrected with no plan submitted, raising concerns about the facility's responsiveness to identified problems.

Jan 15, 2026Complaint
2
0839Potential for harm · PatternCorrected

Administration Deficiencies

Employ staff that are licensed, certified, or registered in accordance with state laws.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Sep 16, 2025Complaint
2
0755Immediate jeopardy · IsolatedCorrected

Pharmacy Service Deficiencies

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

0583Potential for harm · PatternCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

Aug 1, 2025Routine
5
0656Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Jun 11, 2025Complaint
2
0725Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

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

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Apr 2, 2025Complaint
1
0656Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

Jul 31, 2024Routine
7
0641Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0742Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0741Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Federal Penalties

Fine

Sep 16, 2025

$21,645

Ownership & Operations

Who Operates This Facility

Owner / Operator

Winniestowell Hospital District

Organization Type

for profit

Management Company

TDT LAMARQUE MGMTCO LLC

Administrator

JONATHAN CLARK

Ownership & Management

Key personnel

Murrell, EdwardOfficer / DirectorTdt Lamarque Opco LLCManagerSchindele, WilliamManagerBilly Schindele 2020 Irrv TrAdp of the SnfSherry Schindele Irrv TrAdp of the Snf
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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