Federal inspection record · CMS data as of October 1, 2026

Bay Ridge Healthcare Center

208 South Utah, La Porte, TX · (281) 471-1810

CMS overall rating

1 of 5

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Certified beds
58
Residents per day
37
Ownership
For-Profit
Chain
Nexion Health
Medicare / Medicaid
Medicare + Medicaid
Certified since
June 10, 1992

1

How this home got 1 star

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change (already 1)

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    1 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Texas homes

Bay Ridge Healthcare Center carries 198.25 inspection points. That is fewer than 11% of Texas's 1,166 rated homes.

5★4★3★2★1★+35 homes above 292.505102550100200inspection points → fewer is better on the leftThis home · 198.25 pts · 1★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–26 pts
  • 4★ 26–51 pts
  • 3★ 51–85 pts
  • 2★ 85–145.75 pts
  • 1★ over 145.75 pts

Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

24 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 5 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 1 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 15 4 pts
E 3 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (6)

  1. J

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    June 26, 2026 · Complaint inspection · Resident Rights · F580 · Corrected July 23, 2026

  2. J

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    June 26, 2026 · Complaint inspection · Quality of Life and Care · F684 · Corrected July 23, 2026

  3. J

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

    November 13, 2025 · Complaint inspection · Quality of Life and Care · F689 · Not yet marked corrected

  4. G

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    March 22, 2024 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected March 23, 2024

  5. J

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    March 7, 2024 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected March 7, 2024

  6. J

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

    March 7, 2024 · Complaint inspection · Quality of Life and Care · F689 · Corrected March 7, 2024

Everything else, by area of care

Resident Assessment and Care Planning5E
  1. D

    Ensure each resident receives an accurate assessment.

    May 1, 2026 · Standard · F641 · Corrected May 20, 2026

  2. D

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

    May 1, 2026 · Standard · F656 · Corrected May 20, 2026

  3. E

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    November 25, 2025 · Complaint · F842 · Corrected January 27, 2026

  4. E

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

    February 20, 2025 · Standard · F656 · Corrected March 7, 2025

  5. D

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    August 7, 2024 · Complaint · F644 · Corrected September 6, 2024

Nutrition and Dietary4D
  1. D

    Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

    May 1, 2026 · Standard · F808 · Corrected May 20, 2026

  2. D

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    May 1, 2026 · Standard · F812 · Corrected May 20, 2026

  3. D

    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

    April 15, 2024 · Complaint · F802 · Corrected April 16, 2024

  4. D

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    April 15, 2024 · Complaint · F805 · Corrected April 16, 2024

Freedom from Abuse, Neglect, and Exploitation3D
  1. D

    Respond appropriately to all alleged violations.

    May 1, 2026 · Standard · F610 · Corrected May 20, 2026

  2. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    November 25, 2025 · Complaint · F609 · Corrected January 27, 2026

  3. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    March 22, 2024 · Complaint · F609 · Corrected March 23, 2024

Pharmacy Service2E
  1. E

    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.

    May 1, 2026 · Standard · F761 · Corrected May 20, 2026

  2. D

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

    November 25, 2025 · Complaint · F755 · Corrected January 27, 2026

Environmental1D
  1. D

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    May 1, 2026 · Standard · F921 · Corrected May 20, 2026

Resident Rights1D
  1. D

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    February 5, 2026 · Complaint · F628 · Corrected February 9, 2026

Quality of Life and Care1D
  1. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    March 13, 2024 · Complaint · F677 · Corrected March 14, 2024

Infection Control1D
  1. D

    Provide and implement an infection prevention and control program.

    December 29, 2023 · Complaint · F880 · Corrected January 5, 2024

Inspection history

  1. 2026-05-01

    14 health deficiencies · 3 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (3 deficiencies)

  2. 2025-02-20

    1 health deficiencies · 9 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (1 deficiency)

  3. 2023-12-29

    9 health deficiencies · 3 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 4 h 37 min of nursing staff time a day, 34 min of it from a registered nurse.

This home

4 h 37 min

Texas average

3 h 25 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 57% of nursing staff and 0% of registered nurses left in the past year, along with 1 administrator.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$54,678 in federal fines on record over the past three years.

DatePenaltyAmount
2026-06-26Fine$36,624
2024-01-25Fine$8,021
2024-01-25Fine$10,033
2024-01-25Payment Denial · 10 day denial$0

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.3 pts worse90.1%96.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.7 pts better97.7%97.0%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.5 pts worse3.7%3.2%3.2%
Percentage of long-stay residents who have depressive symptoms2.3 pts better0.0%2.3%13.5%
Percentage of long-stay residents who lose too much weight4 pts worse6.9%2.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication5.1 pts worse22.9%17.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication1.8 pts worse11.6%9.8%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened22.1 pts worse35.0%12.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased13.1 pts worse28.9%15.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts better0.2%0.3%0.7%
Percentage of long-stay residents with a urinary tract infection0.5 pts worse1.3%0.8%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.7 pts better10.8%12.5%18.3%
Percentage of long-stay residents with pressure ulcers0.3 pts worse4.0%3.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine36.8 pts worse51.9%88.7%82.3%
Percentage of short-stay residents who newly received an antipsychotic medication8.6 pts worse10.0%1.4%1.5%

·

Who owns and runs it

11 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Nexion Health Leasing, Inc.5% Or Greater Direct Ownership Interest · Organization100%33 facilities
Kirley, Francis5% Or Greater Indirect Ownership Interest · Individual0%50 facilities
Kirley, FrancisCorporate Director · Individual0%50 facilities
Kirley, FrancisCorporate Officer · Individual0%50 facilities
Lee, BrianCorporate Officer · Individual0%45 facilities
Liberatore, DanteCorporate Director · Individual0%2 facilities
Murray, DominiqueW-2 Managing Employee · Individual0%1 facilities
Nexion Health, Inc.5% Or Greater Indirect Ownership Interest · Organization0%33 facilities
Oswald, JohnCorporate Director · Individual0%13 facilities
Pierce, DanielCorporate Officer · Individual0%16 facilities
Riner, MeeraCorporate Officer · Individual0%46 facilities

·

Fire safety

15 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke6F
  1. E

    Properly select, install, inspect, or maintain portable fire extinguishes.

    May 1, 2026 · K355 · Corrected May 21, 2026

  2. F

    Inspect, test, and maintain automatic sprinkler systems.

    February 20, 2025 · K353 · Corrected March 6, 2025

  3. E

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    February 20, 2025 · K372 · Corrected March 10, 2025

  4. D

    Install an approved automatic sprinkler system.

    February 20, 2025 · K351 · Corrected March 7, 2025

  5. D

    Properly select, install, inspect, or maintain portable fire extinguishes.

    February 20, 2025 · K355 · Corrected February 22, 2025

  6. E

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    December 29, 2023 · K372 · Corrected December 30, 2023

Services5F
  1. F

    Have properly installed electrical wiring and gas equipment.

    May 1, 2026 · K511 · Corrected June 15, 2026

  2. C

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    May 1, 2026 · K521 · Corrected June 5, 2026

  3. D

    Have properly installed electrical wiring and gas equipment.

    February 20, 2025 · K511 · Corrected February 25, 2025

  4. C

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    February 20, 2025 · K521 · Corrected March 14, 2025

  5. C

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    December 29, 2023 · K521 · Corrected December 30, 2023

Gas, Vacuum, and Electrical Systems3F
  1. F

    Have generator or other power source capable of supplying service within 10 seconds.

    February 20, 2025 · K918 · Corrected February 28, 2025

  2. D

    Have proper medical gas storage and administration areas.

    February 20, 2025 · K923 · Corrected February 22, 2025

  3. F

    Have generator or other power source capable of supplying service within 10 seconds.

    December 29, 2023 · K918 · Corrected January 5, 2024

Miscellaneous1E
  1. E

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    February 20, 2025 · K741 · Corrected February 22, 2025

·

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