Nursing home
The Lakes at Texas City
424 N Tarpey Rd, Texas City, TX 77591 · Map
For profit - Corporation · Part of Hamilton County Hospital District (10 facilities) · 109 certified beds
The Lakes at Texas City is a Medicare-certified nursing home in Texas City, Texas. CMS rates it 2 out of 5 stars overall (1/5 for staffing, 3/5 for health inspections). Nurse staffing is 2.91 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Dec 4, 2025 cited 9 deficiencies.
- 1 fine totaling $12,740In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How The Lakes at Texas City compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 2.91 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.28 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.96 | 2.01 | 2.34 | below avg |
| Nursing staff turnover | 66.7% | 51.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 9.0 | 9.1 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the December 4, 2025 inspection was corrected by January 4, 2026
Penalties in CMS records: 1 fine totaling $12,740, 1 total penalty.
What inspectors found at The Lakes at Texas City
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide bedrooms that don't allow residents to see each other when privacy is needed.
Environmental Deficiencies · Dec 4, 2025 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Dec 4, 2025 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Dec 4, 2025 · Full report (PDF) - Potential for harm
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.
Quality of Life and Care Deficiencies · Dec 4, 2025 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Dec 4, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Dec 4, 2025 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Dec 4, 2025 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Dec 4, 2025 · Full report (PDF) - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Nov 24, 2025 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Nov 26, 2024 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Sep 11, 2024 · Full report (PDF) - Potential for harm
Provide or obtain dental services for each resident.
Quality of Life and Care Deficiencies · Sep 11, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 424 N Tarpey Rd
Texas City, TX 77591 - CMS certification #
- 455490
- Ownership
- For profit - Corporation
- Certified beds
- 109
- Avg residents/day
- 76.2
- Provider type
- Medicare and Medicaid
- First certified
- 1984-09-12
- Chain
- Hamilton County Hospital District (10 facilities)
- Setting
- Urban
Part of Hamilton County Hospital District
Hamilton County Hospital District operates 10 nursing facilities across the United States. View all Hamilton County Hospital District facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around The Lakes at Texas City using Google Maps.
Other public records
- Staff pay 1 federal wage case with violations found, since 2016
- Emergency In hurricane evacuation zone Zip-Zone A
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Dec 8, 2016 to Feb 1, 2018. Violations found: Fair Labor Standards Act (pay and hours). Employer as DOL recorded it: The Lakes at Texas City (Bay Oaks SNF LLC). Case 1843218.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Houston Methodist Clear Lake Hospital, Nassau Bay. 12.3 miles away, straight line. CMS overall hospital rating: 5 of 5 stars.
- Nearest Medicare nursing home
- Bayou Pines Care Center, La Marque. 0.8 miles away, straight line.
- Nearest home health agency office
- Choice Health At Home, Texas City. 0.9 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- H-E-B Pharmacy. 3.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 77591 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Mainland Dialysis, La Marque, 1.0 mile away, straight line (CMS rating 3 of 5 stars)
Fresenius Kidney Care Sandcastle Dialysis Center, Texas City, 1.1 miles away, straight line (CMS rating 3 of 5 stars)
Usrc Texas City Dialysis, Texas City, 1.3 miles away, straight line (CMS rating 2 of 5 stars) - Hospice
- 54 Medicare hospices tell CMS they serve ZIP code 77591.
Hopestone Hospice & Palliative Care, office in Texas City, 0.9 miles away, straight line
Choice Health At Home, office in Texas City, 1.1 miles away, straight line (CMS family survey rating 2 of 5 stars)
Hospice Care Team Inc, office in Texas City, 2.5 miles away, straight line - Nearest geriatric medicine practice
- Optimal Health Primary Care PLLC, Galveston. 12.8 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Hurricane evacuation zone
- Zip-Zone A on the Houston-Galveston hurricane evacuation ZIP-Zones. (Houston-Galveston Area Council, map updated Jul 30, 2026)
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane relatively moderate, inland flooding relatively low, coastal flooding relatively low, wildfire very low, tornado relatively moderate, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | See above | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
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Frequently asked questions
Is The Lakes at Texas City a good nursing home?
CMS gives The Lakes at Texas City an overall rating of 2 out of 5 stars, including 1/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is The Lakes at Texas City staffed?
The Lakes at Texas City reports 2.91 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has The Lakes at Texas City had inspection problems?
Its most recent CMS inspection cited 9 deficiencies.
How many beds does The Lakes at Texas City have?
The Lakes at Texas City is certified for 109 beds.