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LAVACA BAY NURSING AND REHABILITATION CENTER

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LAVACA BAY NURSING AND REHABILITATION CENTER is a government - hospital district facility in PORT LAVACA, TX with 130 certified beds and a 1-star overall CMS rating. The facility has 33 deficiency records on file. Total penalties: $22K.

118 TRINITY SHORES DRIVE, PORT LAVACA, TX 77979

Phone: 3615510500

Overall Rating

1/5

Health Inspection

2/5

Staffing

1/5

Quality Measures

2/5

Long-Stay Quality

2/5

Facility Information

Provider Number
676481
Ownership
Government - Hospital district
Provider Type
Medicare and Medicaid
Beds
130
Residents
93
In Hospital
No
County
Calhoun
Last Inspection
Dec 19, 2024

Staffing Data

RN Hours
0.29 (nat'l avg: 0.68)
LPN Hours
0.88
CNA Hours
1.71
Total Nursing Hours
2.88 (nat'l avg: 3.89)
PT Hours
0.00
Nursing Turnover
60.8%
RN Turnover
81.8%

What the CMS Record Reveals About LAVACA BAY NURSING AND REHABILITATION CENTER

LAVACA BAY NURSING AND REHABILITATION CENTER operates 130 certified beds in PORT LAVACA, TX with approximately 93 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (2★), staffing levels (1★), and quality measures (2★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 33 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 2 penalties totaling $22K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 2.88 total nursing hours per resident day (national average 3.89), with RN coverage at 0.29 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Government - Hospital district" ownership and operating as a "Medicare and Medicaid" provider, LAVACA BAY NURSING AND REHABILITATION CENTER falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 60.8%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (33 most recent)

D — Isolated - Minimal harm Nov 25, 2025 Tag: 0842

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 26, 2025

D — Isolated - Minimal harm Dec 19, 2024 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Dec 20, 2024

E — Pattern - Minimal harm Dec 19, 2024 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Dec 20, 2024

E — Pattern - Minimal harm Dec 19, 2024 Tag: 0949

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

Category: Administration Deficiencies

Corrected: Dec 20, 2024

E — Pattern - Minimal harm Dec 19, 2024 Tag: 0944

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Category: Administration Deficiencies

Corrected: Dec 20, 2024

E — Pattern - Minimal harm Dec 19, 2024 Tag: 0943

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Dec 20, 2024

D — Isolated - Minimal harm Dec 19, 2024 Tag: 0941

Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

Category: Administration Deficiencies

Corrected: Dec 20, 2024

D — Isolated - Minimal harm Dec 19, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Dec 20, 2024

D — Isolated - Minimal harm Dec 19, 2024 Tag: 0849

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Category: Administration Deficiencies

Corrected: Dec 20, 2024

E — Pattern - Minimal harm Dec 19, 2024 Tag: 0842

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 20, 2024

D — Isolated - Minimal harm Dec 19, 2024 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Dec 20, 2024

D — Isolated - Minimal harm Dec 19, 2024 Tag: 0755

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

Category: Pharmacy Service Deficiencies

Corrected: Dec 20, 2024

E — Pattern - Minimal harm Dec 19, 2024 Tag: 0727

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Category: Nursing and Physician Services Deficiencies

Corrected: Dec 20, 2024

D — Isolated - Minimal harm Dec 19, 2024 Tag: 0726

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Category: Nursing and Physician Services Deficiencies

Corrected: Dec 20, 2024

E — Pattern - Minimal harm Dec 19, 2024 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 20, 2024

D — Isolated - Minimal harm Dec 19, 2024 Tag: 0576

Ensure residents have reasonable access to and privacy in their use of communication methods.

Category: Resident Rights Deficiencies

Corrected: Dec 20, 2024

D — Isolated - Minimal harm Dec 19, 2024 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Dec 20, 2024

D — Isolated - Minimal harm Nov 22, 2024 Tag: 0842

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 12, 2024

C — Widespread - No harm Nov 22, 2024 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Dec 12, 2024

D — Isolated - Minimal harm Aug 2, 2024 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Aug 16, 2024

J — Isolated - Jeopardy May 3, 2024 Tag: 0578

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Category: Resident Rights Deficiencies

Corrected: Apr 26, 2024

D — Isolated - Minimal harm Oct 27, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Nov 15, 2023

E — Pattern - Minimal harm Oct 27, 2023 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 15, 2023

E — Pattern - Minimal harm Oct 27, 2023 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 15, 2023

D — Isolated - Minimal harm Oct 27, 2023 Tag: 0645

PASARR screening for Mental disorders or Intellectual Disabilities

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 15, 2023

D — Isolated - Minimal harm Oct 27, 2023 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 15, 2023

D — Isolated - Minimal harm Oct 27, 2023 Tag: 0604

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Nov 15, 2023

E — Pattern - Minimal harm Oct 27, 2023 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Nov 15, 2023

D — Isolated - Minimal harm Oct 12, 2023 Tag: 0755

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

Category: Pharmacy Service Deficiencies

Corrected: Oct 25, 2023

D — Isolated - Minimal harm Oct 12, 2023 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 25, 2023

E — Pattern - Minimal harm Oct 12, 2023 Tag: 0602

Protect each resident from the wrongful use of the resident's belongings or money.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Oct 10, 2023

J — Isolated - Jeopardy Sep 11, 2023 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Oct 10, 2023

F — Widespread - Minimal harm Aug 19, 2022 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Sep 8, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 24.2% Yes
Percentage of long-stay residents who lose too much weight Long Stay 3.3% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 0.9% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 5.6% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 98.6% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 2.6% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 27.4% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 24.8% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 87.2% No
Percentage of long-stay residents with pressure ulcers Long Stay 2.9% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 14.9% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 14.2% Yes

Penalty History 2 penalties totaling $22K

Date Type Amount
May 3, 2024 Fine $9K
Sep 11, 2023 Fine $13K

Frequently Asked Questions

What is the overall CMS rating for LAVACA BAY NURSING AND REHABILITATION CENTER?
LAVACA BAY NURSING AND REHABILITATION CENTER has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (2★), staffing levels (1★), and quality measures (2★).
What are the staffing levels at LAVACA BAY NURSING AND REHABILITATION CENTER?
LAVACA BAY NURSING AND REHABILITATION CENTER reports 2.88 total nursing hours per resident day (national average: 3.89). RN hours are 0.29 per resident day (national average: 0.68). Nursing staff turnover is 60.8%.
How many beds does LAVACA BAY NURSING AND REHABILITATION CENTER have?
LAVACA BAY NURSING AND REHABILITATION CENTER has 130 certified beds with approximately 93 residents. The facility is located at 118 TRINITY SHORES DRIVE, PORT LAVACA, TX 77979.
Does LAVACA BAY NURSING AND REHABILITATION CENTER have any deficiencies on record?
Yes, LAVACA BAY NURSING AND REHABILITATION CENTER has 33 deficiencies on record from recent inspections. Of these, 2 are classified as causing actual harm or jeopardy.
Has LAVACA BAY NURSING AND REHABILITATION CENTER received any fines or penalties?
Yes, LAVACA BAY NURSING AND REHABILITATION CENTER has received 2 penalties totaling $22K.
Who owns LAVACA BAY NURSING AND REHABILITATION CENTER?
LAVACA BAY NURSING AND REHABILITATION CENTER is classified as "Government - Hospital district" ownership. The facility type is "Medicare and Medicaid".
When was LAVACA BAY NURSING AND REHABILITATION CENTER last inspected?
The most recent health inspection for LAVACA BAY NURSING AND REHABILITATION CENTER was on Dec 19, 2024. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for LAVACA BAY NURSING AND REHABILITATION CENTER?
LAVACA BAY NURSING AND REHABILITATION CENTER is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial