Avir at the Lakes — nursing home in Texas City, TX

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 109 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 70.0 CMS, MDS-derived
CMS Certification Number: 455490
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Sep 12, 1984
Ownership type: For profit - Corporation
Operator (legal business name): Hamilton County Hospital District
CMS chain: Hamilton County Hospital District 10 facilities
Phone: (409) 938-8431
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

9

latest Dec 4, 2025

Citations

40

29 health · 11 fire

Harm or worse

1

1 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L·
Actual harm	G·	H·	I·
Potential harm	D13	E20	F6
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

1

$8,410

Payment denials

0

Latest

Nov 24, 2025

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 455490
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 109
First approved: Sep 12, 1984
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Texas.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Dec 4, 2025	Fire safety	Fire Safety Standard	6	Potential harm	—	Open →
Dec 4, 2025	Health	Health Standard	8	Potential harm	—	Open →
Nov 24, 2025	Health	Health Complaint	1	Immediate jeopardy	—	Open →
Nov 26, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Sep 11, 2024	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Sep 11, 2024	Health	Health Standard	5	Potential harm	—	Open →
Jun 5, 2024	Health	Health Complaint	3	Potential harm	—	Open →
Aug 4, 2023	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Aug 4, 2023	Health	Health Standard	11	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Nov 24, 2025	Civil money penalty (fine)	$8,410	—	455490\|Fine\|136042

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L·
Actual harm	G·	H·	I·
Potential harm	D13	E20	F6
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Dec 4, 2025	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 19, 2025
Dec 4, 2025	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 19, 2025
Dec 4, 2025	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 19, 2025
Dec 4, 2025	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jan 5, 2026
Dec 4, 2025	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 26, 2025
Dec 4, 2025	K-0929	Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 19, 2025
Dec 4, 2025	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 4, 2026
Dec 4, 2025	F-0645	PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jan 4, 2026
Dec 4, 2025	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 4, 2026
Dec 4, 2025	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jan 4, 2026
Dec 4, 2025	F-0688	Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jan 4, 2026
Dec 4, 2025	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Jan 4, 2026
Dec 4, 2025	F-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. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Jan 4, 2026
Dec 4, 2025	F-0914	Provide bedrooms that don't allow residents to see each other when privacy is needed. Environmental Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jan 4, 2026
Nov 24, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	J · Immediate jeopardy Isolated	Past non-compliance	Complaint
Nov 26, 2024	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Dec 10, 2024	Complaint
Sep 11, 2024	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Oct 4, 2024
Sep 11, 2024	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 4, 2024
Sep 11, 2024	K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Oct 4, 2024
Sep 11, 2024	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Oct 4, 2024
Sep 11, 2024	F-0640	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Oct 4, 2024
Sep 11, 2024	F-0644	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 4, 2024
Sep 11, 2024	F-0791	Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Oct 4, 2024
Sep 11, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Oct 4, 2024
Jun 5, 2024	F-0622	Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 7, 2024	Complaint
Jun 5, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Jun 7, 2024	Complaint
Jun 5, 2024	F-0925	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jun 7, 2024	Complaint
Aug 4, 2023	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 31, 2023
Aug 4, 2023	K-0929	Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 31, 2023
Aug 4, 2023	F-0636	Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 3, 2023
Aug 4, 2023	F-0644	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 3, 2023
Aug 4, 2023	F-0645	PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 3, 2023
Aug 4, 2023	F-0655	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Sep 3, 2023
Aug 4, 2023	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 3, 2023
Aug 4, 2023	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Sep 3, 2023
Aug 4, 2023	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Sep 3, 2023
Aug 4, 2023	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Sep 3, 2023
Aug 4, 2023	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Sep 3, 2023
Aug 4, 2023	F-0825	Provide or get specialized rehabilitative services as required for a resident. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 3, 2023
Aug 4, 2023	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	F · Potential harm Widespread	Corrected Sep 3, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 2.8

Health inspectionsstate 2.8

Staffingstate 1.9

Quality measuresstate 3.8

Long-stay QM

Short-stay QMNot rated

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing2.89

State avg 3.42US avg 3.90

Registered nurse (RN)0.36

State avg 0.44US avg 0.69

Licensed practical nurse0.68

State avg 0.94US avg 0.86

Nurse aide1.86

State avg 2.03US avg 2.35

Weekend total nurse2.53

State avg 2.99US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.06 (case-mix index 1.32).

Staff turnover

Total nursing staff turnover62.3%

State avg 50.8%US avg 45.3%

Registered nurse turnover50.0%

State avg 49.8%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Dec 4, 2025
Cycle 1 health score: 76
Total weighted score: 79

Operating entity

Hamilton County Hospital District

CMS legal business name of the certified provider. Operates 61 facilities.

VerifiedLinked by exact legal name

CMS chain

Hamilton County Hospital District

10 facilities in 1 states. CMS chain ID 589.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.7

Ownership disclosures

Disclosures

4

Organizations

1

Individuals

3

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Bay Oaks Hc LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 29, 2024
Eliezer Scheiner	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 29, 2024
Ari Silberstein	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 29, 2024
Grady Hooper	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Feb 29, 2024

Other facilities operated by Hamilton County Hospital District

All 60 →

Facility	Beds	Last inspection	Citations (window)	Fines
Mcallen Nursing Center 600 N Cynthia St, Mcallen, TX 78501 CCN 455560	122	Aug 5, 2026	412 IJ5 open	$17k
Sulphur Springs Health and Rehabilitation 411 Airport Rd, Sulphur Springs, TX 75482 CCN 455579	128	Jun 24, 2026	581 IJ	$44k
Riverside Oaks 3103 E. Airline Drive, Victoria, TX 77901 CCN 455726	108	Apr 16, 2026	33	—
Advanced Health & Rehab Center of Garland 1201 Colonel Dr., Garland, TX 75043 CCN 455731SFF Candidate	139	Jun 4, 2026	584 IJ	$183k
Pecan Creek Healthcare Center 910 E Pierson St, Hamilton, TX 76531 CCN 455954	76	Jun 11, 2026	192 open	—
Avir at Kaufman 3001 S Houston St, Kaufman, TX 75142 CCN 455962	115	Feb 9, 2026	491 IJ	$8,021
Clarksville Nursing Center 300 East Baker St., Clarksville, TX 75426 CCN 455985	132	Apr 14, 2026	33	—
Henderson Health & Rehabilitation Center 1010 W. Main St., Henderson, TX 75652 CCN 455986	173	Jul 29, 2026	281 harm2 open	$11k

Same chain in Texas

All 9 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Lake Hills Healthcare Center 1514 Indian Creek Rd., Brownwood, TX 76801 CCN 675017	94	Jul 10, 2026	291 IJ1 harm	$22k
Colonial Manor Advanced Rehab & Healthcare 1100 W Minnesota Rd, Pharr, TX 78577 CCN 675044	123	Aug 12, 2026	441 IJ1 harm2 open	$55k
Rosenberg Health & Rehabilitation Center 1419 Mahlmann St., Rosenberg, TX 77471 CCN 675046	124	Jun 10, 2026	397 IJ1 harm	$97k
Avir at Hillview 1110 Rice St, Goldthwaite, TX 76844 CCN 675388	52	Jan 15, 2026	14	—
Avante Rehabilitation Center 225 N Sowers Rd, Irving, TX 75061 CCN 675908	120	Aug 25, 2026	266 IJ	$17k
Goldthwaite Health & Rehab Center 1207 S Reynolds St, Goldthwaite, TX 76844 CCN 676086	94	May 14, 2026	273 IJ1 open	$33k
Riverside Nursing and Rehabilitation Center 6801 E Riverside Dr, Austin, TX 78741 CCN 676246Abuse icon	122	Apr 12, 2026	401 IJ3 harm	$11k
The Reserve at Richardson 1610 Richardson Dr, Richardson, TX 75080 CCN 676448	129	May 21, 2026	451 IJ	$14k

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 424 N Tarpey Rd, Texas City, TX 77591
ZIP: 77591
County: Galveston County FIPS 48167
State: Texas
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Bayou Pines Care Center 4905 Fleming Street, La Marque, TX 77568 CCN 676223	1.3 km	120	Aug 20, 2026	241 IJ	$14k
The Shoal 1011 Mainland Center Dr, Texas City, TX 77591 CCN 676360Abuse icon	1.7 km	134	Aug 8, 2026	211 IJ1 harm2 open	$27k
Seabreeze Nursing and Rehabilitation 6602 Memorial Dr, Texas City, TX 77590 CCN 675222Abuse icon	2 km	107	Mar 5, 2026	457 IJ1 harm	$146k
Harbor Point Skilled Nursing 1720 N Logan St, Texas City, TX 77590 CCN 675214	7.3 km	129	Apr 17, 2026	20	—
The Phoenix Post-Acute 519 Ninth Ave N, Texas City, TX 77590 CCN 675743	10.1 km	134	May 14, 2026	203 IJ1 harm1 open	$90k
The Heights of League City 2620 West Walker Street, League City, TX 77573 CCN 676153	13.4 km	194	Aug 18, 2026	368 IJ	$130k
Galveston Nursing and Rehabilitation Center 3702 Cove View Blvd, Galveston, TX 77554 CCN 675254SFF Candidate	20 km	150	Jul 15, 2026	667 IJ	$202k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	455490	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	455490	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 455490

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction