St James House of Baytown
Strong Medicare quality ratings; families often praise compassionate and attentive nursing staff. Still worth an in-person visit.
based on 40 Google reviews
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What this means for your family
While many families find the nursing staff to be incredibly warm and attentive, there are alarming, recurring reports of theft, medication errors, and physical safety risks. If you choose this facility, you must implement a strict system for monitoring your loved one's personal belongings and closely supervise their medication and physical safety during visits.
Google Reviews
Google Reviews
40 reviews on Google“Families often praise the facility for its compassionate nursing staff and the genuine, friendly nature of long-term employees. However, there are extremely serious allegations regarding patient safety, including reports of physical injury, medication errors, and frequent falls. Additionally, some reviewers have reported significant issues with the theft of personal belongings and poor communication from the admissions department.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and attentive nursing staff
- Long-term, stable employee base
- Effective communication from office staff regarding progress
- Welcoming environment for rehabilitation patients
Concerns
- Serious patient safety incidents including physical injury and medication errors (mentioned by 2 reviewers)
- Theft of resident personal property (clothing, dentures, etc.) (mentioned by 2 reviewers)
- Inadequate fall prevention protocols (mentioned by 2 reviewers)
- Poor responsiveness from the admissions department
Rating Trends
Tap a year to see what changed
Distribution · 42 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1We've heard wonderful things about how compassionate and attentive the nursing staff is here; how do you ensure that level of care remains consistent across all shifts?
- 2What specific protocols do you have in place to ensure medication is administered accurately and to prevent any errors?
- 3Since we want to ensure a safe environment, could you walk us through your current fall prevention strategies and how you monitor resident movement?
- 4How does the facility handle the security of residents' personal belongings, like clothing or dentures, to ensure nothing goes missing?
- 5What does a typical day of social activities and engagement look like for the residents here?
- 6In the event of a medical emergency after hours, what is the immediate process for notifying the family and coordinating care?
Personalized based on this facility's data
Key Review Excerpts
“The office staff has been so good to keep us informed about Dad’s progress as well as insurance updates. The nursing staff and all workers who help patients are very open, genuine”
“St. James house took amazing care of my grandfather in his final days in hospice. Everyone was so genuine and friendly and seemed like they were really happy to be there taking care of the residents and patients.”
“2 weeks into her residence there, her teeth were stolen. When they were finally replaced with new teeth, those were almost immediately stolen. Clothing, underwear, quilts, eyeglasses, even her bras and panties... all stolen.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
10
measures
4
measures
3
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents needing more daily help over time
Residents on antipsychotic medication
Residents vaccinated for pneumonia
Residents whose walking got worse
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed multiple complaint reports triggering inspections, resulting in deficiencies for resident communication failures, respiratory care issues, food safety problems, and medical records management. The facility has recurring issues with fire safety equipment and smoke barriers across multiple surveys, though all violations have been corrected by the provider with documented dates.
Mar 26, 2026Complaint3
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Aug 20, 2025Routine4
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
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.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Jan 10, 2025Complaint1
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.
Oct 9, 2024Complaint1
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Jun 27, 2024Routine5
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
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.
May 12, 2023Routine2
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Federal Penalties
Fine
Jan 10, 2025
$14,901
Ownership & Operations
Who Operates This Facility
West Wharton County Hospital District
for profit
BAYTOWN TRANSITIONAL CARE CENTER
KARA GARMAN
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
40 reviews from families & visitors
Official Website
Visit stjameshouse.org
Medicare data downloads
Original nursing home datasets
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