Below average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Bayou Pines Care Center during CMS and state inspections, most recent first.
A medication aide continued to pass medications with an expired certification after her credential lapsed, despite the facility’s requirement for a current Texas medication aide certification and a policy allowing only state-licensed or permitted staff to administer medications. Personnel and timecard records showed she worked and was observed passing medications after expiration, while registry checks reflected an expired status. The medication aide reported she was unaware her certification had expired and cited renewal payment issues, and the DON acknowledged tracking expiration dates, knowing the aide’s certification was expired, and continuing to check TULIP, which showed the certification as expired but active.
An LVN failed to perform required hand hygiene during a bedtime medication pass for two residents. Video showed the LVN entering a shared room holding two medication cups in bare hands, placing both cups on one resident’s bedside table, and administering that resident’s medications while handling the beverage straw without washing hands, using ABHS, or donning gloves. The LVN then picked up the second cup from the same bedside table and administered medications to the second resident, again without any hand hygiene, and left the room without washing hands. Record review confirmed both residents had bedtime Atorvastatin orders (one also with Gabapentin) and that these doses were documented as given by the LVN, and staffing records verified the LVN was on duty during the observed shift.
A resident with epilepsy and profound disabilities did not receive prescribed Carbamazepine due to medication packets being set aside for destruction instead of being administered. Unopened medication packets were repeatedly found by nursing staff, but concerns were not investigated, and the MAR was falsely marked as given. The facility lacked a system to document or track destroyed medications, resulting in missed doses and a seizure episode.
Staff left computer screens displaying confidential resident health information unattended and visible at the nurse's station and on a medication cart, allowing residents, visitors, and staff to view MARs and other private details. Interviews confirmed that screens were not consistently locked, and the facility could not provide a written HIPAA policy.
A deficiency was cited when a resident's care plan did not address all assessed needs and lacked measurable timetables and specific actions. Review of documentation showed incomplete planning and insufficient detail to ensure comprehensive care.
A resident dependent on staff for ADLs, including toileting, was left in a soiled brief and saturated bed sheets for at least 10 hours, despite requesting assistance. The resident was not provided timely incontinence care, resulting in soiled linens, skin redness, and a lack of adherence to facility policy for necessary hygiene support.
Two newly admitted residents did not have baseline care plans developed within the required timeframe, despite having complex medical needs and cognitive impairments. Staff interviews and record reviews confirmed that baseline care plans were either missing or incomplete, leaving direct care staff without essential guidance for providing person-centered care.
A resident who was dependent on staff for ADLs, including toileting, was left in a soiled brief and bed linens saturated with urine for at least 10 hours, with incontinent care not provided until several hours later. The resident, who had limited mobility and required assistance, was not assisted in a timely manner despite requests for help, resulting in prolonged exposure to urine and redness to the buttocks.
The facility did not maintain adequate nursing staff on all halls, with observations and interviews revealing frequent short staffing, especially at night. Residents and family members reported long waits for assistance with ADLs and incontinence care, and staff confirmed ongoing difficulties in filling shifts. Management acknowledged the staffing shortages and lack of a current staffing policy, resulting in residents not consistently receiving timely care.
A resident with severe cognitive impairment and multiple medical conditions did not receive timely incontinent care, resulting in prolonged exposure to urine and feces, a rash, and soiled linens and clothing. Staff interviews confirmed the resident was left in this condition for several hours, and facility policy requiring checks every two hours was not followed.
Two residents with a history of recurrent UTIs did not have comprehensive, person-centered care plans addressing their condition, despite multiple documented infections and related interventions. Staff interviews and record reviews confirmed that necessary care areas, objectives, and timeframes were missing from the care plans, and facility policy requiring such planning was not followed.
The facility failed to accurately assess the functional capacities of three residents, leading to incorrect MDS assessments. One resident, with multiple health issues, was inaccurately recorded as having no oral problems despite being edentulous. Another resident, with dementia, was observed to have no teeth but was assessed as having no oral issues. A third resident, with Alzheimer's, also had no teeth and did not wear dentures due to discomfort, yet her assessment showed no oral problems. These inaccuracies were acknowledged by the MDS coordinator, who noted the assessments were done by a former staff member.
A resident with multiple mental health diagnoses, including bipolar disorder, was not referred for a Level II PASRR evaluation despite receiving new treatments. The oversight was due to an outdated PASRR Level 1 screening and a lack of familiarity with PASRR procedures among facility staff. The resident's records showed routine administration of antipsychotic and antidepressant medications, but no updated PASRR evaluation was conducted since the resident's readmission.
A facility failed to develop a comprehensive care plan for a resident with PTSD, omitting goals and interventions for cognitive behavioral therapy. Despite ongoing therapy sessions and a need for managing PTSD symptoms, the care plan lacked necessary components. Staff interviews confirmed the oversight, highlighting the importance of accurate care plans for proper resident care.
A resident with anxiety and severe cognitive impairment did not receive appropriate behavioral health services due to the facility's failure to follow up on a psychological consult ordered in the care plan. The facility lacked documentation of physician orders or referrals for psychiatric services, and staff interviews revealed a lack of awareness and follow-up on the care plan's interventions.
The facility failed to store food in accordance with professional standards, as expired Med Plus cartons and a dented can of tomato soup were found in the kitchen. The Dietary Manager removed these items but did not explain the presence of expired products. The facility's policy did not address expired or dented food items, placing residents at risk of foodborne illness.
Expired Medication Aide Certification Not Identified Before Medication Administration
Penalty
Summary
The facility failed to ensure that a medication aide had a current and valid medication aide certification before allowing her to administer medications. Personnel records showed that the medication aide was hired and that her medication aide certification expired on a specific date, yet timecard records indicated she continued working from the date of expiration through a later date. An observation documented that she was actively passing medications from the 100–400 medication cart during this period. Review of the Texas Nurse Aide Registry/Electronic Monitoring Registry showed the facility had checked the registry and that her certificate was listed as expired. The facility’s job description for a certified medication aide required a current medication administration certification from Texas, and the facility’s medication administration policy stated that only persons licensed or permitted by the state may prepare, administer, and document medications. In an interview, the medication aide stated she had been working at the facility off and on since 2015 and that her certification had been expired since December due to issues with her renewal payment. She reported that when she checked the TULIP database it showed she was still active with no new date, and she stated she did not know her certification had expired. She also stated that it was the DON’s responsibility to ensure her certification was current, although usually it was the staff member’s responsibility. In a separate interview, the DON stated she maintained a list of all medication aide certificate expiration dates and acknowledged that the medication aide’s certification had expired and that the aide continued to work while expired. The DON reported that during this time she kept checking TULIP, which showed the certification as expired but active, and acknowledged understanding the risk to residents of having a medication aide pass medications with an expired certification.
Failure to Perform Hand Hygiene During Medication Administration
Penalty
Summary
The deficiency involves a failure by LVN A to follow hand hygiene practices during medication administration to two residents, in violation of the facility’s infection prevention and control program. Video evidence from the evening medication pass showed LVN A entering the shared room of Resident #1 and Resident #2 holding two small clear medication cups in her bare, ungloved hands. LVN A placed both cups on Resident #1’s bedside table and, without washing her hands, using alcohol-based hand sanitizer (ABHS), or donning gloves, proceeded to administer Resident #1’s medications, including handling and maneuvering Resident #1’s beverage straw with bare hands before handing the resident the medication cup. The same video evidence showed that after administering medications to Resident #1, LVN A picked up the second medication cup from Resident #1’s bedside table and went to Resident #2’s bedside. Without performing hand hygiene or donning gloves, LVN A administered Resident #2’s medications from the same type of clear plastic administration cup and then left the room without washing her hands or using ABHS. Record review confirmed that Resident #1, an older female with peripheral vascular disease, secondary drug-induced Parkinsonism, emphysema, and moderate cognitive impairment, had orders for Atorvastatin and Gabapentin at bedtime, and that these were documented as administered by LVN A. Resident #2, an older female with pneumonia, dementia with severe cognitive impairment, and epilepsy, had a bedtime Atorvastatin order that was also documented as administered by LVN A. Staffing records confirmed LVN A was working the relevant shift when these medication administrations occurred.
Failure to Administer and Track Seizure Medication Leads to Missed Doses and Seizure
Penalty
Summary
A deficiency occurred when a resident with cerebral palsy, profound intellectual disabilities, and epilepsy did not receive her prescribed Carbamazepine as ordered. The resident, who was non-verbal, dependent on staff, and received all medications via g-tube, had her medication packets found unopened and stored in a bin for destruction rather than being administered. Multiple unopened medication packets for this resident were discovered in the medication cart and later in the DON's office, with dates indicating they should have been given. Despite these findings, the medication administration record (MAR) was marked as if the medication had been given. Nursing staff, including RNs and LVNs, reported finding these unopened medication packets on several occasions and brought the issue to the attention of the DON. However, the DON did not investigate further, relying on the MAR documentation and dismissing concerns because the resident had not recently had a seizure, according to her knowledge. There was also a lack of communication between shifts, and some staff admitted to removing unopened medication packets without reporting the issue. The pharmacy confirmed that no extra medication was sent, and the medication packets matched the physician's orders. The facility did not have a system in place to document or track the destruction of non-controlled medications, including the resident's Carbamazepine. When asked for records of destroyed medications, the DON was unable to provide documentation, stating that it was no longer required. The facility's policies required proper administration and investigation of medication errors, but these procedures were not followed, resulting in the resident missing doses of her seizure medication and experiencing a seizure episode.
Failure to Protect Resident Privacy and Confidentiality of Medical Records
Penalty
Summary
Facility staff failed to maintain personal privacy and confidentiality of residents' medical records on two of four halls reviewed. Observations revealed that computer monitors at the nurse's station, which were positioned facing outward toward walkways, were left unattended and displayed confidential health information, including medication administration records (MARs) with resident names, pictures, room numbers, and medication details. On multiple occasions, these screens were left visible to residents, visitors, and staff, including during a community event when guests and children were present in the building. Additionally, a medication cart laptop was left open and unattended in a public area, exposing resident information to passersby. Interviews with staff, including LVNs and the DON, confirmed that the facility's practice was to lock computer screens when unattended to comply with HIPAA requirements. However, staff admitted to sometimes leaving screens unlocked and visible, and the facility was unable to provide a written HIPAA policy when requested. The DON acknowledged that the physical barriers at the nurse's station were insufficient to prevent exposure of private information, and staff recognized the risk of leaving screens visible to unauthorized individuals.
Incomplete Care Plan Development and Implementation
Penalty
Summary
A deficiency was identified due to the failure to develop and implement a complete care plan that addresses all of a resident's needs. The care plan lacked measurable timetables and specific actions, resulting in incomplete documentation and planning for the resident's care. This omission was observed during the review of resident records and care planning documentation, where it was noted that the care plan did not comprehensively cover all assessed needs or include clear, measurable goals and interventions.
Failure to Provide Timely Incontinence Care and Maintain Resident Dignity
Penalty
Summary
A resident with a history of acute on chronic systolic congestive heart failure and major depressive disorder, who was cognitively intact but dependent on staff for activities of daily living (ADLs) including toileting, did not receive timely incontinence care. The resident experienced a decline in condition after a hospitalization, resulting in increased dependence for ADL care. On the evening in question, the resident was left in a soiled brief and saturated bed sheets for at least 10 hours, with urine soaking through to the mattress. Observations and interviews confirmed that the resident requested assistance to use the bathroom but was told by a CNA to remain in bed for the staff's convenience, and was not provided with incontinence care in a timely manner. Staff interviews and record reviews corroborated that the resident was found in the morning with soiled linens and a soaked brief, and that the resident had redness to her buttocks. The facility's own policy required appropriate support and assistance with ADLs for residents unable to perform them independently, but this was not followed. The incident was documented through direct observation, staff and responsible party interviews, and review of video evidence, all indicating a failure to provide necessary services to maintain the resident's hygiene and dignity.
Failure to Develop Baseline Care Plans for Newly Admitted Residents
Penalty
Summary
The facility failed to develop baseline care plans that included instructions to provide effective and person-centered care for two newly admitted residents. For one resident with multiple complex diagnoses, including hypertension, osteoarthritis, acute kidney failure, renal dialysis, heart failure, dementia, and depression, there was no evidence of a baseline care plan being developed following admission. This resident was noted to have severely impaired cognitive skills, moderate hearing difficulty, and was dependent on staff for all activities of daily living. Interviews with facility staff, including the MDS nurse, Corporate MDS, and DON, confirmed that the baseline care plan was not completed as required, and staff were unable to provide a reason for this omission. Another resident admitted with rhabdomyolysis and moderate cognitive impairment also did not have a completed baseline care plan. Record review showed an attempt to start the care plan, but it was left blank. Interviews with the MDS Coordinator and DON confirmed that the baseline care plan was either incomplete or missing, which could result in direct care staff not having the necessary information to provide appropriate care. Facility policy required that a baseline care plan be developed within 48 hours of admission to address immediate needs, but this was not followed for these residents.
Failure to Provide Timely Incontinence Care for Dependent Resident
Penalty
Summary
A resident with a history of acute on chronic systolic congestive heart failure and major depressive disorder, who was cognitively intact but dependent on staff for activities of daily living (ADLs) including toileting, did not receive timely incontinence care. The resident experienced a decline in condition after a hospitalization, resulting in increased dependence for ADL care. On the evening in question, the resident was left in a soiled brief and bed linens saturated with urine for at least 10 hours, with incontinent care not provided until 6 hours after the issue was first observed. Observations and interviews confirmed that the resident's brief and sheets were soaked, and redness was noted on the buttocks. Staff interactions documented that the resident requested to use the bathroom but was told by a CNA to remain in bed for ease of care, and the resident was not assisted in a timely manner. Multiple staff interviews corroborated the lack of care, with one CNA finding the resident in a soiled state at the start of her shift. The facility's own policy required appropriate support and assistance with ADLs for residents unable to perform them independently, but this was not followed in this instance.
Insufficient Nursing Staff Resulting in Delayed Resident Care
Penalty
Summary
The facility failed to provide sufficient nursing staff with the appropriate skill set to meet the needs of residents on all four halls, as evidenced by direct observation, interviews, and record review. On multiple occasions, staffing levels were observed to be below what was posted or scheduled, with some halls having only one CNA or none at all during rounds. Residents and their family members reported long wait times for assistance, including delays in responding to call lights and incontinence care, particularly during the night shift. Staff interviews confirmed frequent short staffing, especially at night, with some staff required to stay over due to call-ins and unfilled shifts. The Director of Nursing (DON) and Assistant Director of Nursing (ADON) acknowledged ongoing staffing shortages and difficulties in filling positions, despite offering incentives and implementing on-call shifts. Multiple residents and staff described the impact of inadequate staffing, including residents being left in soiled briefs and having to wait extended periods for help with activities of daily living (ADLs). Family members and residents noted a decline in care quality following a change in facility management, with several long-term staff reportedly quitting. The facility did not have a current staffing policy in place at the time of the survey, and management confirmed awareness of the staffing issues but had not resolved them. Observations and interviews consistently indicated that the lack of adequate staffing placed residents at risk of not receiving necessary care.
Failure to Provide Timely Incontinent Care and Maintain Personal Hygiene
Penalty
Summary
A deficiency occurred when a female resident with severe cognitive impairment, multiple medical diagnoses including dementia, muscle weakness, and a history of incontinence, did not receive timely incontinent care. The resident required extensive assistance with activities of daily living (ADLs), including toileting, personal hygiene, and bed mobility, as documented in her care plan. Despite these needs, the resident was left in a soiled brief and saturated linens for more than four hours, resulting in a rash on her buttocks and thighs, and feces present in the vaginal and inner thigh areas. The incident was discovered when the resident's family member arrived and found her in this condition, noting that she had not received a scheduled bath or a change of briefs until later that day. Staff interviews confirmed that the resident was found with a soaked and soiled brief at the start of a CNA's shift, and that the family member witnessed the resident being changed. Another CNA reported that the resident's wheelchair and dress were also soiled with bowel, and that the family member had requested more frequent changes due to diarrhea. The charge nurse was unaware of the resident's condition and could not verify if the resident had been bathed as scheduled. Facility policy required staff to check incontinent residents at least every two hours and provide perineal care to maintain cleanliness and comfort, prevent infection, and observe skin condition. However, staff interviews and documentation indicated that these procedures were not followed, resulting in the resident remaining in a soiled state for an extended period.
Failure to Develop and Implement Comprehensive Care Plans for Residents with Recurrent UTIs
Penalty
Summary
The facility failed to develop and implement comprehensive, person-centered care plans for two residents with a history of recurrent urinary tract infections (UTIs). Both residents had multiple documented episodes of UTIs within a short period, as evidenced by infection control tracking, laboratory results, and medication administration records. Despite this, their care plans did not include any care areas, measurable objectives, or timeframes specifically addressing the management or prevention of recurrent UTIs, as confirmed by record review and staff interviews. One resident, a male with significant neurological and physical impairments, including neurogenic bladder and a history of recurrent UTIs, experienced multiple infections over several months. His care plan, last revised shortly before his discharge, did not address his recurrent UTIs, even though he received multiple courses of antibiotics and interventions such as increased hydration via a gastrostomy tube. Staff interviews confirmed that interventions like encouraging fluids and providing timely incontinent care were practiced, but these were not documented in the care plan. The Director of Nursing (DON) and MDS staff acknowledged that the care plan lacked necessary updates related to his recurrent UTIs. The second resident, a female with cognitive impairment and a history of UTIs, also had multiple documented infections and hospitalizations for UTI-related sepsis. Her care plan similarly lacked any mention of her recurrent UTIs, despite her receiving antibiotics and staff being aware of her condition. Interviews with nursing and MDS staff revealed that care plans were not consistently updated to reflect residents' recurrent UTIs, and that this omission could result in staff being unaware of necessary interventions. Facility policy required identification and care planning for residents with recurrent UTIs, but this was not followed in these cases.
Inaccurate Resident Assessments in LTC Facility
Penalty
Summary
The facility failed to conduct accurate and comprehensive assessments of residents' functional capacities, specifically for three residents. Resident #19, a female with multiple diagnoses including heart failure and bipolar disorder, was inaccurately assessed in her annual comprehensive MDS assessment. Despite being identified as edentulous with loose and broken dentures by a dentist, her MDS assessment incorrectly indicated no oral or dental problems. Observations confirmed she had no natural teeth and experienced discomfort with her dentures. Resident #85, diagnosed with conditions such as heart failure and dementia, was also inaccurately assessed. Her MDS assessment showed no oral or dental issues, yet observations revealed she had no teeth and was unable to eat corn on the cob served during a meal. Similarly, Resident #87, with diagnoses including Alzheimer's disease and repeated falls, was inaccurately assessed. Her MDS indicated no oral problems, but observations showed she had no teeth and did not wear her dentures due to discomfort. The inaccuracies in the MDS assessments were acknowledged by the MDS coordinator, who noted that the assessments were completed by a former staff member. The facility's policy on MDS assessments emphasizes the importance of accurately describing a resident's capacity to perform daily life functions. The failure to accurately assess these residents could delay the provision of necessary services to maintain their well-being.
Failure to Refer Resident for PASRR Level II Evaluation
Penalty
Summary
The facility failed to refer a resident for a Level II PASRR review despite evidence of a newly evident mental disorder. The resident, a female with multiple diagnoses including bipolar disorder, was not referred to the state-designated authority for a PASRR evaluation after new treatments for her bipolar disorder were initiated. This oversight was identified during a review of the resident's records, which showed that the resident had been receiving antipsychotic and antidepressant medications on a routine basis. The resident's PASRR Level 1 screening, conducted in 2017, did not indicate a mental illness, and no updated PASRR evaluation had been completed since the resident's readmission to the facility. The MDS nurse, who was not employed at the facility during the initial admission, acknowledged the oversight and indicated that the resident's readmission did not trigger a new PASRR Level 1 evaluation due to the duration of hospitalization. The nurse admitted to not submitting the necessary Form 1012 or updating the PASRR Level 1 to reflect the resident's current mental health status. Interviews with facility staff revealed a lack of familiarity with PASRR requirements and procedures. The Director of Nursing (DON) admitted to not being well-versed in PASRR processes and confirmed that there was no specific corporate oversight for MDS responsibilities. The facility's policy on PASRR admission assessment coordination was reviewed, highlighting the requirement for coordination with local mental health authorities if a PASRR Level 1 screening indicates a potential mental illness.
Failure to Implement Comprehensive Care Plan for PTSD
Penalty
Summary
The facility failed to develop and implement a comprehensive care plan for a resident diagnosed with PTSD, which included measurable objectives and timetables to address the resident's psychological needs. Despite the resident's active diagnosis of PTSD and ongoing cognitive behavioral therapy sessions, the care plan did not include goals or interventions related to this condition. The resident's clinical chart indicated a need for managing PTSD symptoms to improve quality of life, with a plan that included medication and therapy. However, the care plan lacked these essential components, which are necessary for addressing the resident's psychological care. Interviews with facility staff, including the MDS coordinator and the Director of Nursing, revealed that the care plan had not been updated to reflect the resident's needs for PTSD management and cognitive behavioral therapy. The MDS coordinator acknowledged the oversight and noted that the care plan's accuracy is crucial for providing proper care. The facility's policy on care plans emphasizes the importance of incorporating goals and objectives to achieve the resident's highest level of independence, yet this was not reflected in the resident's care plan.
Failure to Provide Behavioral Health Services for Resident with Anxiety
Penalty
Summary
The facility failed to provide appropriate treatment and services to a resident diagnosed with a mental disorder, specifically anxiety, and psychosocial adjustment difficulties. The resident, a female admitted with a diagnosis of anxiety, exhibited severe impaired cognition, screaming, and aggressive behaviors towards other residents. Despite these issues, the facility did not ensure that the resident received individualized behavioral health services through a person-centered care plan. The care plan, last revised in September 2018, included a psychological consult as ordered by a physician, but there was no evidence that this order was initiated or followed up on. The facility's records showed no physician order for psychological services, no progress notes regarding notifications or coordination of psychiatric services, and no documentation of any referral to psychiatric services. Interviews with the Director of Nursing and MDS staff revealed a lack of awareness and follow-up on the care plan's goals and interventions. The facility's policy on care plans, which requires goals and objectives to be reviewed and revised at least quarterly, was not adhered to, leading to a deficiency in the resident's care.
Expired and Dented Food Products Found in Kitchen
Penalty
Summary
The facility failed to adhere to professional standards for food service safety by storing expired food products and dented cans in the kitchen's dry goods shelves. During a kitchen observation, surveyors found seven one-quart cartons of Med Plus with a use-by date that had passed, and a dented 16oz can of tomato soup. The Dietary Manager removed these items from the shelf but did not provide an explanation for the presence of expired food products. The Dietary Manager acknowledged that dented cans should not be used due to the risk of food poisoning. The facility Administrator confirmed that expired food products and dented cans should not be present in the kitchen. A review of the facility's policy, dated 2005, titled 'Food Service Problem,' revealed that it did not address the issue of expired food products and dented cans in the kitchen. This oversight placed residents at risk of foodborne illness.
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near La Marque
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Lakes At Texas City | 0.8 mi | ★★★★★ | 15 | 1 |
| The Shoal | 1.6 mi | ★★★★★ | 5 | 0 |
| Seabreeze Nursing And Rehabilitation | 1.9 mi | ★★★★★ | 8 | 0 |
| Harbor Point Skilled Nursing | 5.2 mi | ★★★★★ | 9 | 0 |
| The Phoenix Post-acute | 6.8 mi | ★★★★★ | 4 | 0 |
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