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A middle-range Medicare rating. Review each component and visit in person before deciding.
based on 58 Google reviews
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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
No Medicare penalties on record
College Street Health Care Center has a middle-range Medicare overall rating. Strengths include compassionate and attentive nursing staff. Some reviewers note concerns about medication administration errors or delays (mentioned by 2 reviewers). Review the health-inspection, staffing, and quality-measure components separately, then visit in person.
Families often praise the facility for its compassionate, family-like staff and engaging activities led by dedicated directors. However, there are serious allegations regarding medication errors, neglectful nighttime care, and poor responsiveness to resident needs.
Quality Themes
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Concerns
Rating Trends
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Distribution · 64 analyzed
The owner provides highly personalized and warm responses to positive reviews, often referencing specific staff members or the facility's non-profit mission. For negative reviews, the owner remains professional, though they occasionally use a defensive tone by questioning the reviewer's identity or denying the validity of the claims.
Personalized based on this facility's data
Key Review Excerpts
“I love that the staff treats the residents with dignity. They speak to them in a kind matter. Jennifer goes out of her way to find things for them to enjoy.”
“Even though he arrived late due to transportation (though no fault of his own) he was denied his insulin. He was told that he couldn't get his insulin because he came in too late.”
“The staff here goes Above and Beyond the call of duty. From Administration to the Nurses and Personnel, they are Outstanding. They care for you more like a family member, not just another customer.”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
7
measures
7
measures
3
measures
Residents whose walking got worse
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Residents needing more daily help over time
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents who lost too much weight
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
This facility has a concerning pattern of repeated deficiencies across medication management, care planning, and infection control, with families filing complaints that led to findings of abuse/neglect and misuse of resident belongings. The same issues persist across multiple surveys from 2023-2025, including medication errors, inadequate care planning, and infection control failures. While the facility addresses violations when cited, the recurring nature of core care problems suggests ongoing systemic issues that families should carefully consider.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Egress Deficiencies
Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
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.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Kirbyville I Enterprises, LLC
for profit
HSMTXBEAUMONT, LLC
LORI DESORMEAUX
Health Services Management
16 facilities nationwide
Chain avg rating: 3.2/5 · Rank 4 of 10
Owners
Liberty County Hospital District no.1
Owner · Organization
Baxter, Kevin
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact this facility directly and verify the details that matter most to your family.
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
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Google Reviews
58 reviews from families & visitors
Official Website
Visit collegestreethealthcarecenter.com
Medicare data downloads
Original nursing home datasets
EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
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