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The Lakes at Texas City

Nursing Home Facility

424 N Tarpey Rd, Texas City, TX 77591

Nursing Home Care Senior Living
The Lakes at Texas City

The Lakes at Texas City is a senior care community located in Texas City, TX. It provides nursing home care and senior living for older adults in the Texas City area. To learn more or schedule a tour, call (409) 938-8431.

Operated by Hamilton County Hospital District, which runs 7 communities in our directory.

With 120 beds, The Lakes at Texas City is one of the larger communities in the area, senior care communities in Texas City average about 76 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.

Federal reporting puts occupancy at about 64% of its licensed beds, so availability is more likely here than at busier communities nearby.

Medicare rates this community 2 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. The individual scores differ noticeably: 1 star for staffing against 3 stars for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in December 2025 and recorded 9 deficiencies.

Residents receive about 2.9 hours of nursing care per day on average, including 0.4 hours from a registered nurse. Nursing staff turnover over the past year was about 62%, which is high and can affect continuity of care.

The community is located in Galveston County, TX.

Medicare five-star ratings

  • Overall ★★★★★ 2/5
  • Health inspections ★★★★★ 3/5
  • Staffing ★★★★★ 1/5
  • Quality measures ★★★★★ 4/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 29 problems at The Lakes at Texas City. 1 finding involved harm to a resident, including 1 that put residents in immediate danger. 6 came from investigating complaints by residents or families.

In the last three years Medicare fined this home once, a total of $8,410.

Findings from the most recent inspection cycle

  • Put residents in immediate danger, one or a few residents Quality of Life and Care

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

    Inspected November 2025, after a complaint.

  • Could cause more than minimal harm, a pattern Resident Assessment and Care Planning

    PASARR screening for Mental disorders or Intellectual Disabilities

    Inspected December 2025. Corrected by January 4, 2026.

  • Could cause more than minimal harm, a pattern Resident Assessment and Care Planning

    Ensure services provided by the nursing facility meet professional standards of quality.

    Inspected December 2025. Corrected by January 4, 2026.

  • Could cause more than minimal harm, a pattern Quality of Life and Care

    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.

    Inspected December 2025. Corrected by January 4, 2026.

  • Could cause more than minimal harm, a pattern Pharmacy Service

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

    Inspected December 2025. Corrected by January 4, 2026.

  • Could cause more than minimal harm, a pattern Pharmacy Service

    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.

    Inspected December 2025. Corrected by January 4, 2026.

  • Could cause more than minimal harm, a pattern Environmental

    Provide bedrooms that don't allow residents to see each other when privacy is needed.

    Inspected December 2025. Corrected by January 4, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Ensure each resident receives an accurate assessment.

    Inspected December 2025. Corrected by January 4, 2026.

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  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

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

    Inspected December 2025. Corrected by January 4, 2026.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

The Lakes at Texas City offers nursing home care and senior living.

Facility details

  • Organization type For profit - Partnership
  • Beds / units 120
  • Occupancy 64%
  • Nursing hours per resident/day 2.9
  • Annual staff turnover 62%
  • Last health inspection December 2025

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