Texas › Galveston County › Texas City
The Lakes At Texas City
424 N Tarpey Rd, Texas City, TX 77591
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 109 beds, The Lakes At Texas City serves Texas City in Galveston County, Texas and has taken Medicare and Medicaid residents since 1984.
CMS gives it 2 of 5 stars overall, below the Texas median of 3; the health inspection rating is 3, staffing 1 and quality measures 4.
Inspectors recorded 29 health deficiencies across the three most recent survey cycles (9, 6, 14 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 26.6 per 100 beds, about the same as the state median of 22.5.
CMS lists 1 penalty in the period covered: fines totalling $8K.
Reported nurse staffing is 2.9 hours per resident per day (0.4 RN), close to the Texas median of 3.3; nursing staff turnover is 62.0%.
Compared with county, state and nation
| Measure | This facility | Galveston Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 29 | 15 | 25 | 28.7 |
| Citations per 100 beds | 26.6 | 14.4 | 22.5 | 26.8 |
| Total nurse hours per resident day | 2.9 | 3.4 | 3.3 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 62.0% | 59.3% | 52.1% | 45.8% |
| Fines listed | $8,410 | $8,410 | $16,801 | — |
County and state figures are medians across facilities (12 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 4 Dec 2025, 11 Sep 2024.
Severity mix: J ×1 D ×12 E ×12 F ×4
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 4 Dec 2025 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | E | Standard survey | 4 Jan 2026 |
| 4 Dec 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 4 Jan 2026 |
| 4 Dec 2025 | F0688 | 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. | E | Standard survey | 4 Jan 2026 |
| 4 Dec 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 4 Jan 2026 |
| 4 Dec 2025 | F0761 | 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. | E | Standard survey | 4 Jan 2026 |
| 4 Dec 2025 | F0914 | Provide bedrooms that don't allow residents to see each other when privacy is needed. | E | Standard survey | 4 Jan 2026 |
| 4 Dec 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 4 Jan 2026 |
| 4 Dec 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 4 Jan 2026 |
| 24 Nov 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | Past Non-Compliance |
| 26 Nov 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 10 Dec 2024 |
| 11 Sep 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 4 Oct 2024 |
| 11 Sep 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 4 Oct 2024 |
| 11 Sep 2024 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | E | Standard survey | 4 Oct 2024 |
| 11 Sep 2024 | F0791 | Provide or obtain dental services for each resident. | E | Standard survey | 4 Oct 2024 |
| 11 Sep 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 4 Oct 2024 |
| 5 Jun 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 7 Jun 2024 |
| 5 Jun 2024 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Complaint investigation | 7 Jun 2024 |
| 5 Jun 2024 | F0622 | 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. | D | Complaint investigation | 7 Jun 2024 |
| 4 Aug 2023 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 3 Sep 2023 |
| 4 Aug 2023 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Standard survey | 3 Sep 2023 |
| 4 Aug 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 3 Sep 2023 |
| 4 Aug 2023 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 3 Sep 2023 |
| 4 Aug 2023 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Complaint investigation | 3 Sep 2023 |
| 4 Aug 2023 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 3 Sep 2023 |
| 4 Aug 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 3 Sep 2023 |
| 4 Aug 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 3 Sep 2023 |
| 4 Aug 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 3 Sep 2023 |
| 4 Aug 2023 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 3 Sep 2023 |
| 4 Aug 2023 | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | Standard survey | 3 Sep 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 24 Nov 2025 | Fine | $8,410 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 62.0%, RNs 58.3%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 13.2% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.3% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.3% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.0% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.2% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 14.1% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.0% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 17.9% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Hamilton County Hospital District. Chain: Hamilton County Hospital District (10 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Bay Oaks Hc LLC | Operational/managerial control | NOT APPLICABLE | 02/29/2024 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Galveston County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Baywind Village Skilled Nursing & Rehab | League City | 107 | 5 | 5 | 4 | 15 | 14.0 | $8K | 22 May 2026 |
| Mrc the Crossings | League City | 48 | 5 | 5 | 5 | 5 | 10.4 | — | 13 Mar 2026 |
| The Shoal | Texas City | 134 | 5 | 5 | 2 | 12 | 9.0 | — | 11 Jun 2026 |
| Friendship Haven Healthcare and Rehabilitation Cen | Friendswood | 150 | 4 | 4 | 2 | 15 | 10.0 | $8K | 20 Feb 2026 |
| Harbor Point Skilled Nursing | Texas City | 129 | 4 | 5 | 1 | 10 | 7.8 | — | 17 Apr 2026 |
| The Meridian | Galveston | 96 | 3 | 4 | 4 | 14 | 14.6 | — | 30 Oct 2024 |
| The Phoenix Post-Acute | Texas City | 134 | 3 | 3 | 2 | 9 | 6.7 | $90K | 14 May 2026 |
| Bayou Pines Care Center | La Marque | 120 | 2 | 3 | 1 | 20 | 16.7 | $14K | 15 Jan 2026 |
All 12 facilities in Galveston County
Questions and answers
How many deficiencies has The Lakes At Texas City been cited for?
29 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has The Lakes At Texas City been fined?
Yes. CMS lists fines totalling $8K in the period covered.
How does staffing at The Lakes At Texas City compare?
Reported total nurse staffing is 2.9 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates The Lakes At Texas City?
It is part of the Hamilton County Hospital District chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Bay Oaks Hc LLC. Individual owners and managers are not listed on this site.
When was The Lakes At Texas City last inspected?
The most recent survey or investigation in the CMS record is dated 4 Dec 2025; the most recent standard health survey was 4 Dec 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.