The Lakes at Texas City
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 55 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.
- 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
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 detailsStrengths
- 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
Distribution · 60 analyzed
How They Respond to Reviews
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.”
“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”
“The administrator Patrick and the staff were more than welcoming and tended to not only my fathers needs but mine as well.”
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
8
measures
7
measures
2
measures
Residents with depression symptoms
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
Residents on antipsychotic medication
Residents vaccinated for the flu
Residents on anti-anxiety or sleep medication
Residents needing more daily help over time
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
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, 2025Routine14
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
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.
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 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.
Environmental Deficiencies
Provide bedrooms that don't allow residents to see each other when privacy is needed.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
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.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
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.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Nov 24, 2025Complaint1
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, 2024Complaint1
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Sep 11, 2024Routine8
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
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, 2024Complaint3
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
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, 2023Routine12
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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
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.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
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.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
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.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
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
Hamilton County Hospital District
for profit
BAY OAKS HC, LLC
RHONDA PEMBERTON
Chain Affiliation
Hamilton County Hospital District
10 facilities nationwide
Chain avg rating: 2.7/5 · Rank 6 of 10
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
55 reviews from families & visitors
Official Website
Visit lakestexascity.com
Medicare data downloads
Original nursing home datasets
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