The Lakes At Texas City
424 NORTH TARPEY ROAD, Texas City, TX, 77591
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 · Chain: Hamilton County Hospital District
- Certified beds
- 109 · avg 76 residents/day
- Total nursing staff turnover
- 66.7% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 83.3% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $12,740 total
State licensing & capacity
- License number
- 311847
- Service type
- Medicare/medicaid
- Licensed capacity
- 120 beds
- Bed type breakdown
- 11 licensed-only · 24 Medicare-only · 85 Medicaid/Medicare
- Current license effective
- March 1, 2024
- Current license expires
- March 1, 2027
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Hamilton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Bay Oaks Hc, Llc
- Administrator
- Rhonda Pemberton
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Hamilton County Hospital District chain — 10 facilities. Chain-wide average overall rating 2.7 / 5.
Disclosed owners (5 on record)
- Ari Silberstein
Operational/managerial Control · since 2024
- Bay Oaks hc Llc
Operational/managerial Control · 100% · since 2024
- Eliezer Scheiner
Operational/managerial Control · since 2024
- Grady Hooper
Corporate Officer · since 2024
- Hamilton County Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2024
Recent change of ownership
February 2024 (2 years ago) · acquired from The Lakes at Texas City
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, 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 30)
- E0914·Dec 4, 2025
Environmental Deficiencies
Provide bedrooms that don't allow residents to see each other when privacy is needed.
- E0761·Dec 4, 2025
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.
- E0755·Dec 4, 2025
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E0688·Dec 4, 2025
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.
- E0658·Dec 4, 2025
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
- D0656·Dec 4, 2025
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.
- E0645·Dec 4, 2025
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
- D0641·Dec 4, 2025
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Federal penalties
By year
- 20251 fine · $13K
Most recent events
- Nov 24, 2025Fine · $13K
Fire-safety citations
11 Life-Safety-Code citations on file. Most recent: Dec 4, 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
The Lakes at Texas City is a 120-bed nursing home in Galveston County accepting Medicare and Medicaid. CMS rates it 2 stars overall — driven by a 1-star staffing rating that ranks among the bottom 38% of Texas nursing homes. Quality-of-care measures rate 4 stars. The facility is operating at roughly 70% of its licensed beds, and one CMS fine of $12,740 is on record.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star — the lowest tier, covering about 38% of Texas nursing homes. Each resident receives roughly 175 minutes of total nursing care per day, about 66 minutes less than at a 4-star-staffing facility in Texas. Of that, only 17 minutes comes from a registered nurse. Residents here also tend to need more hands-on care than at a typical facility — less mobile or medically complex on average — so those nursing hours stretch thinner than the raw minutes suggest.
About 7 in 10 nursing staff left in the past year. That rate sits above the 75th percentile for Texas nursing homes, meaning a long-stay resident will likely go through two or three primary caregivers. RN turnover is sharper still: roughly 8 in 10 registered nurses left in the same period — a level that affects care continuity for residents with more complex medical needs.
The facility is operating at about 70% of its licensed beds, with 76 residents on average against 109 CMS-certified beds. This level of vacancy, alongside the staffing and turnover figures, is a pattern families should ask management to explain.
One CMS fine of $12,740 has been issued. That is below the Texas median fine of $20,699 and represents a single enforcement action rather than a pattern.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on evenings and weekends
With 175 total nursing minutes per resident per day — 66 minutes below the Texas 4-star threshold — ask how many nurses and aides are on duty during evening shifts and weekends specifically.
RN retention and care continuity
Eight in 10 registered nurses left in the past year; ask which RN would be primarily responsible for your parent and how long that person has been in the role.
Why occupancy sits at 70%
The facility is running about 33 beds below its certified capacity; ask management directly what accounts for the lower census and whether it reflects staffing limits or other operational factors.
The $12,740 CMS fine
One fine was issued in the current record period; ask what the cited deficiency was, what corrective steps were taken, and whether the correction has been verified by a follow-up inspection.
Resident Council access and function
The facility has a Resident Council but no Family Council; ask how families are formally notified of concerns raised in council meetings and whether family attendance is ever permitted.
Management company's role in daily care
The licensee is a hospital district authority but day-to-day management runs through Bay Oaks HC, LLC; ask which entity sets staffing schedules and responds to care complaints.
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.