nursing home in Texas City, TX
Avir at the Lakes
424 N Tarpey Rd, Texas City, TX 77591 · (409) 938-8431
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★1
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Avir at the Lakes at a glance
Avir at the Lakes is a 109-bed for-profit nursing home in Texas City, Texas (Galveston County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.
Residents receive about 2.9 hours of nursing care per day (0.4 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (December 4, 2025) found 9 health citations. The Texas average is 9.4.
Federal regulators fined it 1 time in the past three years, totaling $8,410.
Nursing staff turnover is 62% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 109
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Hamilton County Hospital District
- Medicare-certified since
- September 12, 1984
- Resident/family council
- Resident
- County
- Galveston County
- CMS Certification Number
- 455490
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.7 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 4 / 5 | 3.8 / 5 | Average |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 2.86 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.40 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.84 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.50 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 62% | 55.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 58.3% | 54.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 9 | 9 | 9 | Average |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 79 | 102 | 80.6 | Average |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $8,410 | $44,141 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 2 | 1 | Average |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 109 | 113 | 107 | |
| Average residents per day | 70 | 76 | 86 | |
| Occupancy | 64.2% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 4% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 17.9% | 9.6% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0.3% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.3% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 13.2% | 15.8% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 14.1% | 14% | 14.1% | Average |
| Long-stay residents who lose too much weight (lower is better) | 2.5% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0.3% | 0% | 0.1% | Worse |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 21.1% | 18% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 21.2% | 13.4% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 91.9% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 95.7% | 96.6% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 2.2% | 1.5% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 81.8% | 88% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 92.9% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 29 health deficiencies and 11 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| December 4, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected January 5, 2026 |
| December 4, 2025 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | E Potential harm, pattern | Corrected December 19, 2025 |
| December 4, 2025 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected December 19, 2025 |
| December 4, 2025 Fire safety | Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0929 | E Potential harm, pattern | Corrected December 19, 2025 |
| December 4, 2025 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | E Potential harm, pattern | Corrected December 19, 2025 |
| December 4, 2025 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected December 26, 2025 |
| December 4, 2025 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected January 4, 2026 |
| December 4, 2025 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | E Potential harm, pattern | Corrected January 4, 2026 |
| December 4, 2025 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | E Potential harm, pattern | Corrected January 4, 2026 |
| December 4, 2025 Standard | 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 · Tag F0761 | E Potential harm, pattern | Corrected January 4, 2026 |
| December 4, 2025 Standard | 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 · Tag F0688 | E Potential harm, pattern | Corrected January 4, 2026 |
| December 4, 2025 Standard | Provide bedrooms that don't allow residents to see each other when privacy is needed. Environmental Deficiencies · Tag F0914 | E Potential harm, pattern | Corrected January 4, 2026 |
| December 4, 2025 Standard | 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 · Tag F0656 | D Potential harm, isolated | Corrected January 4, 2026 |
| December 4, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected January 4, 2026 |
| November 24, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Past Non-Compliance |
| November 26, 2024 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected December 10, 2024 |
| September 11, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected October 4, 2024 |
| September 11, 2024 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | E Potential harm, pattern | Corrected October 4, 2024 |
| September 11, 2024 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected October 4, 2024 |
| September 11, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected October 4, 2024 |
| September 11, 2024 Standard | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Tag F0640 | E Potential harm, pattern | Corrected October 4, 2024 |
| September 11, 2024 Standard | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Tag F0791 | E Potential harm, pattern | Corrected October 4, 2024 |
| September 11, 2024 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected October 4, 2024 |
| September 11, 2024 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected October 4, 2024 |
| June 5, 2024 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected June 7, 2024 |
| June 5, 2024 Complaint | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | F Potential harm, widespread | Corrected June 7, 2024 |
| June 5, 2024 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. Resident Rights Deficiencies · Tag F0622 | D Potential harm, isolated | Corrected June 7, 2024 |
| August 4, 2023 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected August 31, 2023 |
| August 4, 2023 Fire safety | Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0929 | E Potential harm, pattern | Corrected August 31, 2023 |
| August 4, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected September 3, 2023 |
| August 4, 2023 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | E Potential harm, pattern | Corrected September 3, 2023 |
| August 4, 2023 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | E Potential harm, pattern | Corrected September 3, 2023 |
| August 4, 2023 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected September 3, 2023 |
| August 4, 2023 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected September 3, 2023 |
| August 4, 2023 Standard | Provide or get specialized rehabilitative services as required for a resident. Quality of Life and Care Deficiencies · Tag F0825 | D Potential harm, isolated | Corrected September 3, 2023 |
| August 4, 2023 Standard | 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 · Tag F0656 | D Potential harm, isolated | Corrected September 3, 2023 |
| August 4, 2023 Standard | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Tag F0636 | D Potential harm, isolated | Corrected September 3, 2023 |
| August 4, 2023 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected September 3, 2023 |
| August 4, 2023 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected September 3, 2023 |
| August 4, 2023 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected September 3, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $8,410 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| November 24, 2025 | Fine | $8,410 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| HOOPER, GRADY Individual | corporate officer | NOT APPLICABLE | 02/29/2024 |
| BAY OAKS HC LLC Organization | operational/managerial control | NOT APPLICABLE | 02/29/2024 |
| SCHEINER, ELIEZER Individual | operational/managerial control | NOT APPLICABLE | 02/29/2024 |
| SILBERSTEIN, ARI Individual | operational/managerial control | NOT APPLICABLE | 02/29/2024 |
Other nursing homes near Avir at the Lakes
- ★★★★★2Below average
The Shoal
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★★★★★5Much above averageSeabreeze Nursing and Rehabilitation
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- Abuse citation
★★★★★1Much below averageHarbor Point Skilled Nursing
1720 N Logan St, Texas City, TX 77590 · 4.6 mi
For-profit · 129 beds · Part of Fundamental Healthcare
★★★★★4Above averageThe Phoenix Post-Acute
519 Ninth Ave N, Texas City, TX 77590 · 6.3 mi
For-profit · 134 beds · Part of The Ensign Group
★★★★★3AverageThe Heights of League City
2620 West Walker Street, League City, TX 77573 · 8.3 mi
Government · 194 beds · Part of Touchstone Communities
★★★★★1Much below average
Frequently asked questions
What is Avir at the Lakes's rating?
Avir at the Lakes has 2 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Avir at the Lakes receive?
Its most recent standard health inspection found 9 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Avir at the Lakes accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Avir at the Lakes?
It is for profit - corporation and part of Hamilton County Hospital District. The ownership section on this page lists the owners and managers reported to CMS.
Where is Avir at the Lakes and how do I contact it?
Avir at the Lakes is at 424 N Tarpey Rd, Texas City, TX 77591. Phone: (409) 938-8431.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.