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Nursing homeFAID #12078

Avir At the Lakes

424 N TARPEY RD, TEXAS CITY, TX, 77591

(409) 938-8431

109 licensed beds

CMS rates Avir At the Lakes 2 out of 5 overall. Federal inspectors issued 40 citations across 9 inspections in the last three years, with $8,410 in fines. Listing last updated 2026-11-06.

★★★★★2/5CMS Five-Star overall3/5 health inspections1/5 staffing4/5 quality measuresSource: CMS Care Compare

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Photo via Google · The Lakes at Texas City

Address

424 N Tarpey Rd

Texas City, TX 77591

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Public record summary

What we can show you for free.

Bed capacity

109

CMS facility ID

455490

Care type

Nursing home

County

Galveston

Facility name

Avir At the Lakes

Street address

424 N TARPEY RD

City / state / ZIP

Texas City, TX 77591

Phone

(409) 938-8431

Website

avirhg.com

About this facility — Avir At the Lakes

Avir At the Lakes is a Medicare/Medicaid-certified skilled nursing facility in Texas City, Texas. It is licensed for 109 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 16 senior care facilities in Texas City and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Hamilton County Hospital District, a group of 10 facilities on this site.

Federal inspectors have cited Avir At the Lakes 40 times across 9 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $8,410 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Hamilton County Hospital District

Ownership type

For profit - Corporation

Registered owners & officers

Bay Oaks Hc Llc

Operational control — since 2024

Hooper, Grady

Officer — since 2024

Scheiner, Eliezer

Operational control — since 2024

Silberstein, Ari

Operational control — since 2024

Regulatory standing

Licensed / certified since

1984-09-12

CMS overall rating

2 of 5 stars

Health deficiencies

9 at the last standard inspection

Federal fines

$8,410 total

Last standard inspection

2025-12-04

Nurse staffing

2.9 hours per resident per day

Cost & payer profile (FY2024 cost report)

Average billed charges

$212 per day (≈ $6,440/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

87% Medicaid · 2% Medicare · 11% private/other

Occupancy

57% (fiscal year 2024)

Vs. state median

23% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

109

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily Open 24 hours

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.

2025-12-04Health inspection8 citations

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2026-01-04

F-0645

E · No harm found

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2026-01-04

F-0656

D · No harm found

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

Corrected 2026-01-04

F-0658

E · No harm found

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

Corrected 2026-01-04

F-0688

E · No harm found

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.

Corrected 2026-01-04

F-0755

E · No harm found

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

Corrected 2026-01-04

F-0761

E · No harm found

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.

Corrected 2026-01-04

F-0914

E · No harm found

Provide bedrooms that don't allow residents to see each other when privacy is needed.

Corrected 2026-01-04

2025-11-24Health inspectionComplaint-triggered1 citation

F-0689

J · Immediate jeopardyFrom a complaint

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

7 earlier / fire-safety inspections (31 citations)

2024-11-26Health inspectionComplaint-triggered1 citation

F-0677

E · No harm foundFrom a complaint

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

Corrected 2024-12-10

2024-09-11Health inspection5 citations

F-0550

E · No harm found

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

Corrected 2024-10-04

F-0640

E · No harm found

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2024-10-04

F-0644

D · No harm found

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

Corrected 2024-10-04

F-0791

E · No harm found

Provide or obtain dental services for each resident.

Corrected 2024-10-04

F-0812

F · No harm foundFood safety

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

Corrected 2024-10-04

2024-06-05Health inspectionComplaint-triggered3 citations

F-0622

D · No harm foundFrom a complaint

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.

Corrected 2024-06-07

F-0812

F · No harm foundFood safetyFrom a complaint

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

Corrected 2024-06-07

F-0925

F · No harm foundFrom a complaint

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2024-06-07

2023-08-04Health inspection11 citations

F-0636

D · No harm found

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

Corrected 2023-09-03

F-0644

D · No harm found

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

Corrected 2023-09-03

F-0645

D · No harm found

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2023-09-03

F-0655

E · No harm found

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2023-09-03

F-0656

D · No harm found

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

Corrected 2023-09-03

F-0657

E · No harm found

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

Corrected 2023-09-03

F-0755

D · No harm found

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

Corrected 2023-09-03

F-0759

D · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-09-03

F-0760

D · No harm found

Ensure that residents are free from significant medication errors.

Corrected 2023-09-03

F-0825

D · No harm found

Provide or get specialized rehabilitative services as required for a resident.

Corrected 2023-09-03

F-0880

F · No harm found

Provide and implement an infection prevention and control program.

Corrected 2023-09-03

2025-12-04Fire-safety inspection6 citations

K-0345

E · No harm found

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

Corrected 2025-12-19

K-0355

E · No harm found

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

Corrected 2025-12-19

K-0372

E · No harm found

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

Corrected 2025-12-19

K-0918

F · No harm found

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

Corrected 2026-01-05

K-0920

D · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2025-12-26

K-0929

E · No harm found

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

Corrected 2025-12-19

2024-09-11Fire-safety inspection3 citations

K-0372

E · No harm found

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

Corrected 2024-10-04

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2024-10-04

K-0741

E · No harm found

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

Corrected 2024-10-04

2023-08-04Fire-safety inspection2 citations

K-0372

E · No harm found

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

Corrected 2023-08-31

K-0929

E · No harm found

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

Corrected 2023-08-31

Federal penalties

2025-11-24Fine$8,410

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 455490.

Quality of care & staffing

How it compares in Texas.

Inspection citations, 3 years

More than 63% of nursing homes in the state

State median: 33

Federal fines, 3 years

$8,410

More than 38% of nursing homes in the state

State median: $15,642

Nurse staffing, hours per resident per day

2.9

Higher than 11% of nursing homes in the state

State median: 3.3

Nursing staff turnover, annual

62%

Higher than 80% of nursing homes in the state

State median: 50%

Resident outcomes

On 19 federal quality measures, this facility does better than the Texas average on 6 and worse on 8. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	10.8%	15.8%	13.5%	Better than state
Lose too much weight	2.2%	2.9%	5.1%	Better than state
With a catheter inserted and left in their bladder	0.4%	0.3%	0.7%	Worse than state
With a urinary tract infection	1.1%	0.8%	1.5%	Worse than state
Have depressive symptoms	0.0%	2.3%	13.5%	Better than state
Were physically restrained	0.3%	0.0%	0.1%	Worse than state
Experiencing one or more falls with major injury	1.0%	3.2%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	96.2%	96.4%	93.7%	Near state average
Ability to walk independently worsened	11.4%	12.9%	12.7%	Better than state
Received an antianxiety or hypnotic medication	19.4%	17.8%	19.5%	Near state average
Assessed and appropriately given the seasonal influenza vaccine	97.4%	97.0%	95.3%	Near state average
With pressure ulcers	4.6%	3.7%	4.5%	Worse than state
With new or worsened bowel or bladder incontinence	16.2%	12.5%	18.3%	Worse than state
Received an antipsychotic medication	21.1%	9.8%	15.4%	Worse than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	95.2%	88.7%	82.3%	Near state average
Newly received an antipsychotic medication	0.0%	1.4%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	87.0%	85.4%	80.1%	Near state average
Were rehospitalized after a nursing home admission	32.0%	25.5%	23.4%	Worse than state
Had an outpatient emergency department visit	16.7%	12.2%	11.8%	Worse than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

K-0372 3 inspections. Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
F-0645 2 inspections. PASARR screening for Mental disorders or Intellectual Disabilities
F-0656 2 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F-0755 2 inspections. Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
K-0929 2 inspections. Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
F-0644 2 inspections. Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

Licensing: Texas Health and Human Services
File a complaint: 800-458-9858 · Online
Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Houston Methodist Clear Lake Hospital, about 12 miles. CMS rating 5 of 5.
Memorial Hermann Houston Physicians Hospital, about 12 miles.
University of Texas Medical Branch Galveston, about 15 miles. CMS rating 3 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Bayou Pines Care Center, La Marque, about 0.8 miles. CMS rating 2 of 5.
The Shoal, Texas City, about 1.1 miles. CMS rating 3 of 5.
Seabreeze Nursing and Rehabilitation, Texas City, about 1.3 miles. CMS rating 1 of 5.
Harbor Point Skilled Nursing, Texas City, about 4.6 miles. CMS rating 4 of 5.
The Phoenix Post-acute, Texas City, about 6.3 miles. CMS rating 3 of 5.

Visitor reviews

What people say on Google.

3.061 ratings on Google

★★★★★Shirley D. · 2026-02-04 · via Google
“I have to dispute what is being said. My mom has been here at the Lakes for the past 3 years. I have not seen such as being shown. I come here 3 times a week and I always come on weekends since I’m off work and can spend more time. I am disappointed that someone would make such allegations that are definitely untrue. If you feel that way leave. I would never put my mom in such conditions. That …”

★★★★★Devin Guy · 2026-02-04 · via Google
“Got it — here’s a clean, professional, positive Google review you can copy and post 👍 ⭐⭐⭐⭐⭐ The Lakes of Texas City is a very clean and well-maintained facility. The staff is professional, respectful, and truly cares about the residents. You can tell cleanliness and organization are a priority throughout the building. The team works hard to provide a welcoming and safe environment, and it shows …”

★★★★★Nikki Duhon · 2026-07-23 · via Google
“Avir at Lakes is a warm and loving place for your love one to stay. The staff is very considerate and take care of the residents.”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 40 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered