The Colonnades at Reflection Bay
On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.
based on 71 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Special Focus Facility (under heightened CMS scrutiny)
- Low overall rating (2/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (19 vs median 8.0)
- High staff turnover (52%)
Below average in Texas · Below recommended RN staffing · Below chain average · $115,667 in fines · Special Focus Facility (CMS)
What this means for your family
This facility offers a beautiful and clean environment with a staff that many families find exceptionally warm and welcoming. However, you must be extremely vigilant regarding medical oversight, as multiple reviewers have reported serious issues with medication timing and dietary compliance. We recommend asking for specific protocols on how they track physician-ordered dietary restrictions and medication schedules.
Google Reviews
Google Reviews
71 reviews on Google“Families often praise the facility for its beautiful, clean environment and the warm, professional demeanor of the nursing and administrative staff. However, there are serious reports regarding inconsistent medication administration, understaffing during certain shifts, and critical lapses in dietary management for residents with specific medical needs.”
Quality Themes
Tap a score for detailsStrengths
- Clean and beautiful well-maintained facilities
- Compassionate and professional nursing staff
- Welcoming and attentive administrative team
- High-quality memory care environment
Concerns
- Understaffing and slow response times (mentioned by 2 reviewers)
- Inconsistent medication administration (mentioned by 2 reviewers)
- Failure to follow dietary/medical restrictions
- Difficulty accessing paid supplemental services
Rating Trends
Tap a year to see what changed
Distribution · 73 analyzed
How They Respond to Reviews
The owner provides personalized responses that frequently use the reviewer's name and acknowledge specific details mentioned in the text, such as food quality or specific staff members. While some responses follow a professional template, they are tailored to the context of the feedback.
Questions for Your Tour
- 1We've heard wonderful things about how beautiful and well-maintained the facility is; could you show us some of the common areas where residents relax?
- 2With the high quality of your memory care environment, what specific daily activities or social programs are available to keep residents engaged?
- 3How does your nursing team ensure that medication schedules are followed precisely and that all dietary or medical restrictions are strictly honored?
- 4What is your process for managing resident needs during the night or in the event of a medical emergency after hours?
- 5We noticed your administrative team is very welcoming; how do you handle communication between the staff and families regarding any changes in a resident's care?
- 6Could you tell us more about the dining experience and how the kitchen manages specific mealtime requests or nutritional needs?
Personalized based on this facility's data
Key Review Excerpts
“The team at The Landing memory Care at watercrest consistently demonstrate a high level of professionalism, compassion and dedication to resident-centered care.”
“My father spent just 13 days at the Landing at Watercrest. Due to the poor care he received he is currently in the hospital.”
“We searched long and hard 3 years ago for a place for my precious Mother In-Law. When we discover the Landing at Watercrest it was first by bringing her once a week for Adult Day Care.”
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
14
measures
3
measures
Residents whose bladder or bowel control got worse
Residents on antipsychotic medication
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 vaccinated for the flu
Residents vaccinated for pneumonia
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
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility shows a concerning pattern with 33 of 50 deficiencies triggered by family complaints, indicating ongoing issues that prompted formal reports. The most frequent problems involve basic care quality, medication management, and infection control. While most violations show correction dates, several issues persist across multiple surveys, and some recent deficiencies from November 2025 remain without correction plans, suggesting unresolved safety concerns.
Nov 20, 2025Complaint3
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.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Oct 24, 2025Complaint8
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Jun 6, 2025Complaint3
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Apr 21, 2025Complaint2
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 and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Feb 18, 2025Complaint2
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Feb 18, 2025Routine5
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Federal Penalties
Fine
Oct 24, 2025
$15,940
Fine
Oct 24, 2025
$26,685
Fine
Jun 6, 2025
$44,298
Fine
Feb 18, 2025
$29,782
Fine
Dec 8, 2023
$9,525
Fine
Oct 6, 2023
$8,210
Ownership & Operations
Who Operates This Facility
Sweeny Hospital District
for profit
COLONNADES HEALTH CARE CENTER LTD CO
FRANCES PAGGEOT
Chain Affiliation
Cantex Continuing Care
38 facilities nationwide
Chain avg rating: 3.2/5 · Rank 28 of 37
Ownership & Management
Owners
Sweeny Hospital District
Owner · Organization
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
71 reviews from families & visitors
Official Website
Visit integratedseniorlifestyles.com
Medicare data downloads
Original nursing home datasets
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