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Nursing HomeMedicaid Investigative

The Lakes at Texas City

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

424 North Tarpey Road, Texas City, TX 77591120 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
2.8/5

based on 55 Google reviews

5
4
3
2
1
The Lakes at Texas City Nursing Home in Texas City, 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 (9 vs median 8.0)
  • High staff turnover (67%)
  • High RN turnover (83%)

Below average in Texas · Critically understaffed (RN) · Below chain average · $12,740 in fines

Source: Medicare data

What this means for your family

While some families report a loving environment, the prevalence of serious allegations regarding hygiene, theft, and medication errors is alarming. If you choose this facility, you must perform frequent, unannounced visits and closely monitor your loved one's physical hygiene and medication logs.

Google Reviews

Google Reviews

55 reviews on Google
Families should approach this facility with extreme caution due to serious and recurring allegations of neglect, including poor hygiene, unaddressed medical needs, and theft. While some long-term residents' families praise the staff's kindness and the facility's cleanliness, these positive accounts are heavily contested by multiple reports of pest infestations and inadequate care.

Quality Themes

Tap a score for details
Food5.0Staff3.0Clean2.0Activities5.0Meds1.0MemoryN/AComms2.0ValueN/A

Strengths

  • Friendly and welcoming administrative staff
  • Engaged resident activities
  • Cleanliness in certain areas/wings
  • Supportive attitude from some nursing staff

Concerns

  • Severe hygiene and sanitation issues (unclean bedding, odors, and pests) (mentioned by 4 reviewers)
  • Neglect regarding medication timing and medical needs (mentioned by 3 reviewers)
  • Allegations of theft and loss of personal belongings (mentioned by 2 reviewers)
  • Unprofessional or rude behavior from administrative/business office staff (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'17(1)'19(5)'21(2)'23(9)'25(9)'26(8)

Distribution · 60 analyzed

5
24
4
3
3
2
2
0
1
31

How They Respond to Reviews

13%response rate
Generic

The owner uses highly templated, boilerplate language that fails to address specific grievances or individual reviewers. Responses are standardized scripts designed to redirect complaints to the facility Administrator rather than engaging with the content of the reviews.

Questions for Your Tour

  • 1We've heard great things about how welcoming the administrative team is; how do you typically communicate updates to families regarding a resident's care?
  • 2Could you walk us through your daily protocols for cleaning resident rooms and managing linens to ensure everything stays fresh and sanitary?
  • 3What specific systems do you have in place to ensure medications are administered precisely on schedule every day?
  • 4We'd love to hear more about the resident activities available here—what are some of the favorite group events that keep residents engaged?
  • 5In the event of a medical emergency or a change in a resident's condition during the night, what is the immediate protocol for notifying the family?
  • 6How do you manage the security of personal belongings to ensure that residents' cherished items are kept safe and accounted for?

Personalized based on this facility's data


Key Review Excerpts

The staff all truly care about the residents and each other . My mother wouldn't want to be any where else.

Long-term resident's family · 2026★★★★★

My mom was is 4 days with the same dirty bed sheets and same diaper on for days, my mom called me every night asking HELP

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

The administrator Patrick and the staff were more than welcoming and tended to not only my fathers needs but mine as well.

Hospice patient's family · 2021★★★★★
Source: 55 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.30hrs
40%
Registered nurses for medical care
Total Nursing
2.85hrs
70%
All nurses + aides combined
Staff Turnover
62%
Lower is better (< 30% = good)
RN Turnover
79%
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

8

measures

Worse Than Avg

7

measures

Mixed Results

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.4%
Better than Avg
Here
0.4%
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 whose bladder or bowel control got worse

↓ Lower is better
This Facility21.6%
Worse than Avg
Here
21.6%
US
19.4%
TX
14.2%
Galveston
15.9%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility16.1%
Worse than Avg
Here
16.1%
US
15.4%
TX
9.4%
Galveston
10.5%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility91.9%
Worse than Avg
Here
91.9%
US
95.5%
TX
98.0%
Galveston
95.9%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility22.8%
Worse than Avg
Here
22.8%
US
19.5%
TX
18.4%
Galveston
18.2%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility12.5%
Better than Avg
Here
12.5%
US
14.4%
TX
16.1%
Galveston
14.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility90.4%
Better than Avg
Here
90.4%
US
81.8%
TX
89.2%
Galveston
84.3%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility81.8%
Mixed vs Avgs
Here
81.8%
US
79.7%
TX
88.0%
Galveston
78.9%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility4.0%
Worse than Avg
Here
4.0%
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

9deficiencies
1penalties
Near state avg (9.1)
7 complaint-triggered
$12,740 in fines

This facility shows concerning patterns with families filing seven complaints triggering federal violations, including issues with safety supervision, improper discharges, and neglect response failures. The most recurring problems involve resident assessment and care planning, medication management, and fire safety systems. While most past issues have been corrected, recent December 2025 inspections reveal ongoing deficiencies in care planning and medication services, suggesting persistent operational challenges that families should carefully consider.

Dec 4, 2025Routine
14
0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0645Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0688Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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

0761Potential for harm · PatternCorrected

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.

0914Potential for harm · PatternCorrected

Environmental Deficiencies

Provide bedrooms that don't allow residents to see each other when privacy is needed.

0345Potential for harm · PatternCorrected

Smoke Deficiencies

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

0355Potential for harm · PatternCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

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

0929Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

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.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Nov 24, 2025Complaint
1
0689Immediate jeopardy · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

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

Nov 26, 2024Complaint
1
0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

Sep 11, 2024Routine
8
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

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

0640Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

0791Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide or obtain dental services for each resident.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

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

0741Potential for harm · PatternCorrected

Miscellaneous Deficiencies

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

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.

Jun 5, 2024Complaint
3
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0925Potential for harm · WidespreadCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

0622Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Aug 4, 2023Routine
12
0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0655Potential for harm · PatternCorrected

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

0657Potential for harm · PatternCorrected

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.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

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

0929Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0636Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

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.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0825Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or get specialized rehabilitative services as required for a resident.

Federal Penalties

Fine

Nov 24, 2025

$8,281

Ownership & Operations

Who Operates This Facility

Owner / Operator

Hamilton County Hospital District

Organization Type

for profit

Management Company

BAY OAKS HC, LLC

Administrator

RHONDA PEMBERTON

Chain Affiliation

Chain Name

Hamilton County Hospital District

Chain Size

10 facilities nationwide

Chain avg rating: 2.7/5 · Rank 6 of 10

Ownership & Management

Key personnel

Hooper, GradyOfficer / DirectorBay Oaks Hc LLCManagerScheiner, EliezerManagerSilberstein, AriManager
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 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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