La Porte, TX

Bay Ridge Healthcare Center

3-star overall rating with 3-star inspections with $18,054 in total fines with 5 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle

208 South Utah, La Porte, TX

(281) 471-1810

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Nexion Health

Operator or chain grouping

Approved since

1992-06-10

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

52 facilities

Chain averages 2 overall / 2 health / 3 staffing / 3 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.40

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

1.07

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

2.05

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

3.52

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.47

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

3.03

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.30

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.14

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.50

CMS adjusted RN staffing hours

Adjusted total hours

4.36

CMS adjusted total nurse staffing hours

Case-mix index

1.10

Higher values indicate more complex resident acuity

RN turnover

71%

Annual RN turnover · state 52% · national 45%

Total nurse turnover

52%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,770

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

15.37

Composite VBP score used to determine payment impact.

Payment multiplier

0.9815

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

Performance 68.18% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

3.07

Baseline 3.13 hours · Performance 3.95 hours · Measure score 3.07 · Achievement 3.07 · Improvement 2.61

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 7 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 1 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	Not Available	1.02	Too few residents or stays to report publicly.
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 16 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 5 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 55
Staff flu vaccination coverage	0%	42% 42 pts worse	Numerator 0 · Denominator 57
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	92.1%	97.1% 5 pts worse	93.4% 1.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 94.1% · Q2 92.7% · Q3 91.3% · Q4 90.7% · 4Q avg 92.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	97.7%	97.9% 0.2 pts worse	95.5% 2.2 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 97.7%
Percentage of long-stay residents experiencing one or more falls with major injury	3.0%	3.3% 0.3 pts better	3.3% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 4.3% · Q4 7.0% · 4Q avg 3.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	2.7% 2.7 pts better	11.4% 11.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight	5.5%	3.3% 2.2 pts worse	5.4% 0.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 0.0% · Q3 10.3% · Q4 7.7% · 4Q avg 5.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	19.9%	18.9% 1 pts worse	19.6% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.8% · Q2 21.1% · Q3 14.6% · Q4 19.5% · 4Q avg 19.9%
Percentage of long-stay residents who received an antipsychotic medication	10.2%	10.8% 0.6 pts better	16.7% 6.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.0% · Q2 8.0% · Q3 7.4% · Q4 11.5% · 4Q avg 10.2% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	32.4%	15.4% 17 pts worse	16.3% 16.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q2 39.9% · Q3 32.5% · Q4 33.9% · 4Q avg 32.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	28.1%	16.1% 12 pts worse	14.9% 13.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 34.5% · Q2 13.9% · Q3 34.1% · Q4 30.0% · 4Q avg 28.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.6%	0.5% 1.1 pts worse	1.0% 0.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 2.1% · Q3 2.0% · Q4 0.0% · 4Q avg 1.6% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.9%	0.8% 1.1 pts worse	1.7% 0.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 0.0% · Q3 2.3% · Q4 2.4% · 4Q avg 1.9% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	12.0%	15.0% 3 pts better	19.8% 7.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 15.4% · Q3 14.3% · Q4 8.7% · 4Q avg 12.0%
Percentage of long-stay residents with pressure ulcers	4.3%	4.2% 0.1 pts worse	5.1% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.8% · Q2 4.7% · Q3 5.2% · Q4 0.0% · 4Q avg 4.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	60.8%	89.7% 28.9 pts worse	81.7% 20.9 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 75.0% · Q2 58.3% · 4Q avg 60.8%
Percentage of short-stay residents who newly received an antipsychotic medication	9.1%	1.5% 7.6 pts worse	1.6% 7.5 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 9.1% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	66.7%	88.0% 21.3 pts worse	79.7% 13 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 66.7%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-20 · Fire 2025-02-20

5 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

9 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2023-12-29 · Fire 2023-12-29

9 health deficiencies

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

3 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2022-09-25 · Fire 2022-09-25

17 health deficiencies

Top issue: Resident Rights (5 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-02-20

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-03-06

F · Potential for more than minimal harm 2025-02-20

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-02-28

E · Potential for more than minimal harm 2025-02-20

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-03-10

E · Potential for more than minimal harm 2025-02-20

K741 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2025-02-22

D · Potential for more than minimal harm 2025-02-20

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2025-03-07

D · Potential for more than minimal harm 2025-02-20

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-02-22

D · Potential for more than minimal harm 2025-02-20

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-02-25

D · Potential for more than minimal harm 2025-02-20

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-02-22

C · Minimal harm 2025-02-20

K521 · Services Deficiencies

Fire Safety

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

Corrected 2025-03-14

F · Potential for more than minimal harm 2023-12-29

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-01-05

E · Potential for more than minimal harm 2023-12-29

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-12-30

C · Minimal harm 2023-12-29

K521 · Services Deficiencies

Fire Safety

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

Corrected 2023-12-30

D · Potential for more than minimal harm 2022-09-25

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2022-10-03

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-11-25

F842 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2026-01-27

D · Potential for more than minimal harm 2025-11-25

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2026-01-27

D · Potential for more than minimal harm 2025-11-25

F755 · Pharmacy Service Deficiencies

Health

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

Corrected 2026-01-27

J · Immediate jeopardy 2025-11-13

F689 · Quality of Life and Care Deficiencies

Health

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

Not marked corrected

E · Potential for more than minimal harm 2025-02-20

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-03-07

D · Potential for more than minimal harm 2024-08-07

F644 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-09-06

D · Potential for more than minimal harm 2024-04-15

F802 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-04-16

D · Potential for more than minimal harm 2024-04-15

F805 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-04-16

G · Actual harm 2024-03-22

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2024-03-23

D · Potential for more than minimal harm 2024-03-22

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2024-03-23

D · Potential for more than minimal harm 2024-03-13

F677 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-03-14

J · Immediate jeopardy 2024-03-07

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2024-03-07

J · Immediate jeopardy 2024-03-07

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-03-07

D · Potential for more than minimal harm 2023-12-29

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-01-05

K · Immediate jeopardy 2022-09-25

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2022-10-03

K · Immediate jeopardy 2022-09-25