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Nursing HomeMedicaid Investigative

Matagorda Nursing & Rehabilitation Center

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

4521 Avenue F, Bay City, TX 77414100 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.6/5

based on 36 Google reviews

5
4
3
2
1
Matagorda Nursing & Rehabilitation Center Nursing Home in Bay City, TX — Street View
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3/ 10
moderate Risk

Quality Concerns Identified

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

  • Low staffing rating (1/5 stars)
  • High staff turnover (60%)
  • High RN turnover (62%)

Above average in Texas · Critically understaffed (RN) · $16,280 in fines · Very few deficiencies

Source: Medicare data

What this means for your family

This facility is highly regarded for its compassionate staff and clean environment, making it a comforting choice for long-term care. However, families should be vigilant about hygiene standards and stay in close contact with management regarding any changes to facility access or staffing updates.

Google Reviews

Google Reviews

36 reviews analyzed
Families generally praise this facility for its compassionate, caring staff and its clean, welcoming environment. However, some recent concerns have been raised regarding inconsistent hygiene care and recent management changes that have reportedly led to staff turnover and communication issues regarding facility access.

Quality Themes

Tap a score for details
Food9.0Staff9.0Clean9.0ActivitiesN/AMedsN/AMemoryN/AComms4.0ValueN/A

Strengths

  • Compassionate and attentive nursing staff
  • Clean and well-maintained facility
  • Welcoming and friendly atmosphere
  • High-quality food and dining

Concerns

  • Inconsistent hygiene/personal care assistance
  • Staff turnover and management changes
  • Communication issues regarding facility access codes

Rating Trends

Tap a year to see what changed

2344.0'17(1)4.03.7'19(3)5.04.0'22(4)5.04.4'24(10)4.8'25(9)

Distribution

5
28
4
4
3
2
2
0
1
2

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1We've heard wonderful things about the quality of the food and the dining experience here; could you tell us more about the daily meal menus?
  • 2Since we want to ensure our loved one stays well-groomed, how do you manage consistent daily assistance with personal hygiene and grooming?
  • 3How does the nursing team communicate important medical updates or changes in condition to family members to ensure we are always in the loop?
  • 4What is the protocol for handling medical emergencies during the night or over the weekends?
  • 5How do you approach staff training and retention to ensure the friendly, compassionate atmosphere visitors love remains consistent?
  • 6What kind of social activities or daily outings are available to help residents stay engaged with the community?

Personalized based on this facility's data


Key Review Excerpts

They are very caring and attentive. The facility is very clean and is managed very well. We absolutely love that they care for him in a way that I can’t!

Long-term resident's family · 2024★★★☆☆

I’m am just blown away on how much this group of wonderful people care for their residents. Words cannot express or explain how much these people love and adore life . It is so relieving mentally for me to know my mom is in the best hands .

Long-term resident's family · 2023★★★★★

A friend recommended Matagorda Nursing & reb. I am glad to say it was the right choice. Hospice was there to assist and the staff was wonderful. Thanks to them, the passing of my Mother was easier on me.

Hospice patient's family · 2023★★★★★
Source: 36 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.36hrs
49%
Registered nurses for medical care
Total Nursing
3.54hrs
86%
All nurses + aides combined
Staff Turnover
94%
Lower is better (< 30% = good)
RN Turnover
83%
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
3/ 5
Better Than Avg

14

measures

Worse Than Avg

3

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility0.7%
Better than Avg
Here
0.7%
US
15.4%
TX
9.4%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility5.7%
Better than Avg
Here
5.7%
US
19.5%
TX
18.4%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.6%
Better than Avg
Here
0.6%
US
12.1%
TX
2.5%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility8.0%
Better than Avg
Here
8.0%
US
19.4%
TX
14.2%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility21.7%
Worse than Avg
Here
21.7%
US
14.4%
TX
16.1%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
79.7%
TX
88.0%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.6%
Better than Avg
Here
99.6%
US
81.8%
TX
89.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.3%
Better than Avg
Here
1.3%
US
1.6%
TX
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

3deficiencies
1penalties
Well below state avg (9.1)
1 complaint-triggered
$16,280 in fines

This facility has significant concerns with families filing multiple complaints that triggered federal inspections in 2023, revealing serious issues with medication management, care planning, and infection control that resulted in 7 complaint-based deficiencies. The most recurring problems involve food safety and dietary services (appearing across all three surveys), medication errors and pharmacy services, and fire safety systems. While all deficiencies show correction dates, the pattern of family complaints about medication errors and inadequate care planning warrants careful consideration during any visit.

Jan 1, 2026Complaint
1
0689SevereCorrected

Quality of Life and Care Deficiencies

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

May 29, 2025Routine
3
0812ModerateCorrected

Nutrition and Dietary Deficiencies

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

0929ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

0645MinorCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

Apr 18, 2024Routine
4
0918ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

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

0372ModerateCorrected

Smoke Deficiencies

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

0755MinorCorrected

Pharmacy Service Deficiencies

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

Mar 2, 2023Routine
8
0812ModerateCorrected

Nutrition and Dietary Deficiencies

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

0641MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0656MinorCorrected

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.

0759MinorCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0760MinorCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0761MinorCorrected

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.

0882MinorCorrected

Infection Control Deficiencies

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

0345MinorCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

Federal Penalties

Fine

Jan 1, 2026

$16,555

Ownership & Operations

Who Operates This Facility

Owner / Operator

West Wharton County Hospital District

Organization Type

for profit

Management Company

BAY CITY I ENTERPRISES, LLC

Administrator

DARLENE BLOUNT

Chain Affiliation

Chain Name

Creative Solutions in Healthcare

Chain Size

149 facilities nationwide

Chain avg rating: 2.7/5 · Rank 62 of 148

Ownership & Management

Key personnel

Bowers, SeanManaging Control - Governing BodyCisneros, AlfredManaging Control - Governing BodyCobb, TravisManaging Control - Governing BodyCooper, StephenManaging Control - Governing BodyHardin, SherrieManaging Control - Governing Body
Source: Medicare provider data

Contact

Get in Touch

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

References & Resources

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. 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.

Safer Alternatives Nearby

Based on current clinical data, we identified 3 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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