The Lakes at Texas City
424 N Tarpey Rd · Texas City, TX · 77591 · 4099388431
109 certified beds For profit - Corporation Chain: Hamilton County Hospital District
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
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.
RN staffing in the bottom 10% nationally
0.30 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.85 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
62% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
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-day | 2.85 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.30 | 0.55–0.75 |
| Weekend hours / resident-day | 2.57 | ≈ weekday level |
| Nursing turnover / year | 62% | median 45% |
| Fines (3-yr window) | 1 · $8,410 |
Inspection citations (29 in the current record)
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Potential for harm · D December 4, 2025
Ensure each resident receives an accurate assessment.
Corrected January 4, 2026 · Resident Assessment and Care Planning
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Potential for harm · E December 4, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected January 4, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 4, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 4, 2026 · Resident Assessment and Care Planning
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Potential for harm · E December 4, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 4, 2026 · Resident Assessment and Care Planning
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Potential for harm · E December 4, 2025
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.
Corrected January 4, 2026 · Quality of Life and Care
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Potential for harm · E December 4, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 4, 2026 · Pharmacy Service
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Potential for harm · E December 4, 2025
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 January 4, 2026 · Pharmacy Service
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Potential for harm · E December 4, 2025
Provide bedrooms that don't allow residents to see each other when privacy is needed.
Corrected January 4, 2026 · Environmental
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Immediate jeopardy · J November 24, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Past Non-Compliance · Quality of Life and Care
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Potential for harm · E November 26, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected December 10, 2024 · Quality of Life and Care
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Potential for harm · E September 11, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 4, 2024 · Resident Rights
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Potential for harm · E September 11, 2024
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected October 4, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 11, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected October 4, 2024 · Resident Assessment and Care Planning
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Potential for harm · E September 11, 2024
Provide or obtain dental services for each resident.
Corrected October 4, 2024 · Quality of Life and Care
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Potential for harm · F September 11, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 4, 2024 · Nutrition and Dietary
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Potential for harm · D June 5, 2024 · found via complaint
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.
Corrected June 7, 2024 · Resident Rights
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Potential for harm · F June 5, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 7, 2024 · Nutrition and Dietary
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Potential for harm · F June 5, 2024 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected June 7, 2024 · Environmental
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Potential for harm · D August 4, 2023
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected September 3, 2023 · Resident Assessment and Care Planning
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Potential for harm · D August 4, 2023
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected September 3, 2023 · Resident Assessment and Care Planning
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Potential for harm · E August 4, 2023
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected September 3, 2023 · Resident Assessment and Care Planning
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Potential for harm · D August 4, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 3, 2023 · Resident Assessment and Care Planning
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Potential for harm · E August 4, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected September 3, 2023 · Resident Assessment and Care Planning
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Potential for harm · D August 4, 2023
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 3, 2023 · Pharmacy Service
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Potential for harm · D August 4, 2023
Ensure medication error rates are not 5 percent or greater.
Corrected September 3, 2023 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 24, 2025 | Fine | $8,410 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455490 · certified since September 12, 1984. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.