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

Oak Village Healthcare

204 Oak Drive S, Lake Jackson, TX · (979) 297-0425

CMS overall rating

4 of 5

Compare with a nearby home →
Certified beds
74
Residents per day
58
Ownership
For-Profit
Chain
Gulf Coast Ltc Partners
Medicare / Medicaid
Medicare + Medicaid
Certified since
March 21, 2012

1

How this home got 4 stars

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

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

  4. Overall

    4 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Texas homes

Oak Village Healthcare carries 29 inspection points. That is fewer than 86% 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 · 29 pts · 4★

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

9 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 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

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

Potential for harmNo one was hurt, but could have been

D 6 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.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Resident Assessment and Care Planning4E
  1. E

    Ensure each resident receives an accurate assessment.

    April 30, 2025 · Standard · F641 · Corrected May 14, 2025

  2. D

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

    April 30, 2025 · Standard · F656 · Corrected May 25, 2025

  3. D

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    March 6, 2024 · Standard · F636 · Corrected March 26, 2024

  4. D

    Ensure each resident receives an accurate assessment.

    March 6, 2024 · Standard · F641 · Corrected March 26, 2024

Quality of Life and Care2D
  1. D

    Assist a resident in gaining access to vision and hearing services.

    June 10, 2026 · Complaint · F685 · Corrected July 2, 2026

  2. D

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

    June 10, 2026 · Complaint · F689 · Corrected June 12, 2026

Environmental1E
  1. E

    Keep all essential equipment working safely.

    June 10, 2026 · Complaint · F908 · Corrected June 10, 2026

Nutrition and Dietary1E
  1. E

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

    April 30, 2025 · Standard · F812 · Corrected May 25, 2025

Pharmacy Service1D
  1. D

    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.

    January 12, 2023 · Standard · F761 · Corrected January 16, 2023

Inspection history

  1. 2025-04-30

    6 health deficiencies · 3 fire-safety deficiencies

    Top issue: Quality of Life and Care (2 deficiencies)

  2. 2024-03-06

    2 health deficiencies · 3 fire-safety deficiencies

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

  3. 2023-01-12

    1 health deficiencies · 3 fire-safety deficiencies

    Top issue: Pharmacy Service (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 3 h 27 min of nursing staff time a day, 29 min of it from a registered nurse.

This home

3 h 27 min

Texas average

3 h 25 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 53% of nursing staff and 50% of registered nurses left in the past year.

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

5

Resident outcomes

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

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.7 pts better1.32.01.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.8 pts better1.22.01.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.6 pts better100.0%96.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.1 pts better98.1%97.0%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.1 pts worse4.3%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 weight4.2 pts worse7.1%2.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication13 pts better4.8%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 worsened1.5 pts worse14.4%12.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased0.2 pts better15.6%15.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts worse1.0%0.3%0.7%
Percentage of long-stay residents with a urinary tract infection0.2 pts better0.6%0.8%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence8.4 pts worse20.9%12.5%18.3%
Percentage of long-stay residents with pressure ulcers1.6 pts worse5.3%3.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.3 pts better100.0%88.7%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit6.7 pts better5.5%12.2%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better0.0%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine11.2 pts better96.6%85.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission1.9 pts worse27.4%25.5%23.4%

·

Who owns and runs it

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

Show ownership list
NameRoleShareHomes
Alkarra, NhemeAdp Of The SNF · Individual0%4 facilities
Bergeron, BobbyOperational/Managerial Control · Individual0%15 facilities
Darthard, LindsayAdp Of The SNF · Individual0%1 facilities
Murrell, EdwardCorporate Officer · Individual0%77 facilities
Nicholson, LouisOperational/Managerial Control · Individual0%14 facilities
Oak Village Healthcare Ltc Partners, IncOperational/Managerial Control · Organization0%1 facilities
Ovtx Real Estate Holdings, LLC5% Or Greater Mortgage Interest · Organization0%1 facilities
Ovtx Real Estate Holdings, LLCAdp Of The SNF · Organization0%1 facilities
Pellerin, Richard5% Or Greater Mortgage Interest · Individual0%3 facilities
Pellerin, RichardAdp Of The SNF · Individual0%3 facilities

·

Fire safety

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

Smoke5F
  1. F

    Inspect, test, and maintain automatic sprinkler systems.

    April 30, 2025 · K353 · Corrected May 1, 2025

  2. E

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

    April 30, 2025 · K372 · Corrected May 1, 2025

  3. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    March 6, 2024 · K345 · Corrected March 22, 2024

  4. E

    Provide properly protected cooking facilities.

    March 6, 2024 · K324 · Corrected March 22, 2024

  5. E

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

    March 6, 2024 · K372 · Corrected March 22, 2024

Egress2E
  1. E

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    January 12, 2023 · K211 · Corrected January 13, 2023

  2. E

    Have properly located and lighted "Exit" signs.

    January 12, 2023 · K293 · Corrected January 13, 2023

Miscellaneous1E
  1. E

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

    April 30, 2025 · K741 · Corrected May 10, 2025

Services1C
  1. C

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

    January 12, 2023 · K521 · Corrected January 13, 2023

·

Other homes nearby

  1. Brazos Healthcare Center

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    F
    Nursing / resident / day
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  2. Creekside Village

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    Nursing / resident / day
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  3. Woodlake Nursing Center

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