St James House Of Baytown
5800 W BAKER RD, Baytown, TX, 77520
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation
- Certified beds
- 105 · avg 95 residents/day
- Total nursing staff turnover
- 47.6% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 85.7% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 2 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $14,901 total
State licensing & capacity
- License number
- 307298
- Service type
- Medicare/medicaid
- Licensed capacity
- 105 beds
- Bed type breakdown
- 105 Medicaid/Medicare
- Current license effective
- May 1, 2025
- Current license expires
- May 1, 2028
- Initial license date
- November 2, 1991
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- West Wharton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Baytown Transitional Care Center
- Administrator
- Kara Garman
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Disclosed owners (48 on record)
- Calvin h Jones Estate
Adp of The Snf · since 2025
- Baytown Transitional Care Center Llc
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2025
+ 42 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 8)
- E0842·Aug 20, 2025
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.
- E0760·Aug 20, 2025
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
- J0580·Jan 10, 2025Complaint
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.
- E0695·Oct 9, 2024Complaint
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- D0656·Jun 27, 2024
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.
- C0814·May 12, 2023Complaint
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
- E0812·May 12, 2023Complaint
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0842·Mar 8, 2023Complaint
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.
Federal penalties
By year
- 20251 fine · $15K
Most recent events
- Jan 10, 2025Fine · $15K
Fire-safety citations
8 Life-Safety-Code citations on file. Most recent: Aug 20, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
St James House of Baytown is a 105-bed nursing home in Baytown, Harris County, accepting Medicare and Medicaid. CMS rates it 4 stars overall, with strong marks on health inspections and short-stay quality measures. Staffing earns a 2-star rating — 17 fewer daily nursing minutes per resident than at a 4-star-staffing facility in Texas. Two administrators left in the past year, and RN turnover is among the highest in the state.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 2 stars — placing it among the bottom 32% of Texas nursing homes on this measure. Each resident receives about 224 minutes of nursing care per day, roughly 17 minutes less than at a 4-star-staffing facility in Texas. Of those minutes, only 20 come from a registered nurse, compared to 37 at the Texas 4-star threshold.
RN turnover runs at roughly 9 in 10 registered nurses leaving in the past year — the highest tier in Texas. A resident who stays six months will likely see their primary RN replaced entirely during that time.
Two administrators have left in the past year. Leadership changes at this frequency ripple through staffing decisions, care routines, and communication with families.
CMS recorded one fine totaling $14,901 — below the Texas median fine of $20,699 among facilities that received any fine at all.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Current administrator and tenure
With two administrators leaving in the past year, ask how long the current administrator has been in place and who oversees day-to-day operations.
RN staffing and coverage gaps
Registered nurses average 20 minutes per resident per day here; ask specifically how many RNs are on each shift and how gaps are filled when an RN calls out.
RN retention and hiring plans
About 9 in 10 RNs left in the past year; ask what the facility is doing differently now to hire and retain registered nurses.
Weekend nursing coverage
CMS data shows weekend nursing hours drop below the weekly average; ask how many nurses are scheduled on Saturdays and Sundays compared to weekdays.
The $14,901 CMS fine
One fine was issued in the review period; ask what the citation was for and what changes were made in response.
Resident Council participation
A Resident Council meets here but no Family Council exists; ask how families are formally notified of concerns raised by residents.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.