Matagorda Nursing & Rehabilitation Center

4521 Ave F · Bay City, TX · 77414 · 9792457369

100 certified beds For profit - Corporation Chain: Creative Solutions in Healthcare

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
  • Inspection results are getting worse cycle over cycle, not better.

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Red flags

1 immediate-jeopardy citation in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

94% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 48
Serious harm & abuse 20% 70
Staffing 20% 51
Federal penalties 15% 73
Trend 10% 18
Context 5% 75

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.543.48 min · 4.1 strong
RN hours / resident-day0.360.55–0.75
Weekend hours / resident-day3.04≈ weekday level
Nursing turnover / year94%median 45%
Fines (3-yr window)1 · $16,555

Inspection citations (12 in the current record)

  • Immediate jeopardy · J January 1, 2026 · found via complaint

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

    Corrected January 2, 2026 · Quality of Life and Care

  • Potential for harm · D May 29, 2025

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected June 30, 2025 · Resident Assessment and Care Planning

  • Potential for harm · F May 29, 2025

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

    Corrected June 30, 2025 · Nutrition and Dietary

  • Potential for harm · D April 18, 2024

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

    Corrected May 10, 2024 · Pharmacy Service

  • Potential for harm · E April 18, 2024

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

    Corrected May 10, 2024 · Nutrition and Dietary

  • Potential for harm · D March 2, 2023

    Ensure each resident receives an accurate assessment.

    Corrected March 3, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D March 2, 2023

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected March 3, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D March 2, 2023

    Ensure medication error rates are not 5 percent or greater.

    Corrected March 6, 2023 · Pharmacy Service

  • Potential for harm · D March 2, 2023

    Ensure that residents are free from significant medication errors.

    Corrected March 6, 2023 · Pharmacy Service

  • Potential for harm · D March 2, 2023

    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.

    Corrected March 6, 2023 · Pharmacy Service

  • Potential for harm · E March 2, 2023

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

    Corrected March 22, 2023 · Nutrition and Dietary

  • Potential for harm · D March 2, 2023

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Corrected March 7, 2023 · Infection Control

Federal penalties

DateTypeAmount / length
January 1, 2026Fine$16,555

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675899 · certified since January 16, 2002. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.