La Bahia Nursing & Rehabilitation

Name: La Bahia Nursing & Rehabilitation
Address: 225 E WARD ST, Goliad, TX, 77963, US
Telephone: 3616458902

225 E Ward St, Goliad, TX 77963 · Goliad County · 90 certified beds · avg 38 residents/day · certified since Aug 31, 1994

Part of chain: CREATIVE SOLUTIONS IN HEALTHCARE (149 facilities, chain avg rating 2.1★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.33

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (22)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Feb 12, 2026	E · Potential for harm, repeated	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Feb 12, 2026	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Feb 12, 2026	D · Potential for harm, one-off	The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require.
Feb 12, 2026	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Feb 12, 2026	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Feb 12, 2026	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Nov 8, 2024	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Nov 8, 2024	C · Minimal risk, facility-wide	The facility did not dispose of garbage and refuse properly.
Oct 25, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Oct 25, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
May 13, 2024	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Oct 6, 2023	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint
Oct 6, 2023	E · Potential for harm, repeated	The facility did not observe each nurse aide's job performance or provide regular training as required. · from a complaint
Oct 6, 2023	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint
Oct 6, 2023	E · Potential for harm, repeated	The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. · from a complaint
Oct 6, 2023	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint
Oct 6, 2023	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential. · from a complaint
Oct 6, 2023	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint
Oct 6, 2023	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Oct 6, 2023	D · Potential for harm, one-off	The facility did not develop or maintain an effective training program for its direct care staff, including training on how to communicate effectively with residents. · from a complaint
Oct 6, 2023	D · Potential for harm, one-off	The facility did not give all staff the required training on its quality improvement program — the internal system for finding problems and making care better. · from a complaint
Oct 6, 2023	D · Potential for harm, one-off	The facility did not provide its staff with required training on behavioral health — caring for residents with conditions like dementia, depression, or other mental health needs.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (2 → 6).

Year	Citations	Worst severity that year
2023	11	E
2024	5	D
2026	6	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Texas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.33	3.46	3.95	top 49% in Texas; bottom 28% in the U.S.
Registered Nurse hours	0.52	0.44	0.69	top 23% in Texas; bottom 41% in the U.S.
Weekend total nurse staffing	2.85	3.04	3.50	bottom 43% in Texas; bottom 23% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.31	0.34	0.48	top 45% in Texas; bottom 34% in the U.S.
Total nursing staff turnover (%)	0.0	55.3	45.8	—
RN turnover (%)	0.0	54.6	42.9	—

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 2.95, RN 0.47, weekend 2.53. Staffing rating: 2/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Blake, Gary	Individual	Operational/Managerial Control	NOT APPLICABLE	03/01/2021
Blake, Malisa	Individual	Operational/Managerial Control	NOT APPLICABLE	03/01/2021
Creative Solutions in Healthcare INC	Organization	Operational/Managerial Control	NOT APPLICABLE	03/01/2021
Huggins, Linda	Individual	W-2 Managing Employee	NOT APPLICABLE	03/01/2021

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What is your current medication error rate, and what have you changed to bring errors down?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How do you make sure resident assessments are completed and submitted to the state on time?"
"What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
"Can I see where garbage is stored and how often it's removed?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Yorktown Nursing and Rehabilitation Center	21.9 mi	Yorktown, TX	★★★☆☆	4/5
Twin Pines North Nursing and Rehabilitation Center	26.4 mi	Victoria, TX	★★☆☆☆	3/5
Mission Ridge Rehab & Nursing Center	26.4 mi	Refugio, TX	★★☆☆☆	3/5
Riverside Oaks	27.1 mi	Victoria, TX	★★★★★	5/5
The Courtyard Rehabilitation and Healthcare Center	27.4 mi	Victoria, TX	★★★☆☆	4/5
Twin Pines Nursing and Rehabilitation	27.5 mi	Victoria, TX	★☆☆☆☆	2/5
Avir at Beeville	28.1 mi	Beeville, TX	★★★★☆	4/5
Hacienda Oaks at Beeville	29.0 mi	Beeville, TX	★★★★☆	4/5
Kenedy Health & Rehabilitation	29.0 mi	Kenedy, TX	★☆☆☆☆	3/5
Cuero Nursing and Rehabilitation Center	29.1 mi	Cuero, TX	★★★★☆	4/5
John Paul II Nursing Home	29.4 mi	Kenedy, TX	★★★★★	5/5
Whispering Oaks Rehab & Nursing	30.6 mi	Cuero, TX	★★★★☆	3/5

Compare this facility with the 3 closest →

All facilities in Goliad →

Facility data as of CMS processing date 2026-08-01. CCN 675372.

The Care File

Visit checklist — La Bahia Nursing & Rehabilitation

225 E Ward St, Goliad, TX 77963 · 3616458902

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How do you make sure resident assessments are completed and submitted to the state on time?"
☐ "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
☐ "Can I see where garbage is stored and how often it's removed?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 675372 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)