Lavaca Bay Nursing and Rehabilitation Center
118 Trinity Shores Drive, Port Lavaca, TX 77979 · Calhoun County · 130 certified beds · avg 93 residents/day · certified since Mar 4, 2020
Part of chain: WELLSENTIAL HEALTH (67 facilities, chain avg rating 2.7★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · May 3, 2024 · F-0578 · triggered by a complaint
The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Why it matters: Ignoring these rights means residents may receive treatments they refused, or miss having their end-of-life wishes respected.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Apr 26, 2024 (Past Non-Compliance)
▲ Immediate jeopardy, one-off · Sep 11, 2023 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Oct 10, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (37)
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 |
|---|---|---|
| Mar 27, 2026 | F · Potential for harm, facility-wide | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| Mar 27, 2026 | E · Potential for harm, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Mar 27, 2026 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Mar 27, 2026 | 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. |
| Mar 27, 2026 | D · Potential for harm, one-off | 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. |
| Nov 25, 2025 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Dec 19, 2024 | 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 |
| Dec 19, 2024 | E · Potential for harm, repeated | 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. |
| Dec 19, 2024 | E · Potential for harm, repeated | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| Dec 19, 2024 | E · Potential for harm, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Dec 19, 2024 | E · Potential for harm, repeated | The facility did not train its staff on dementia care and on recognizing and reporting abuse, neglect, and exploitation. |
| Dec 19, 2024 | E · Potential for harm, repeated | 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. |
| Dec 19, 2024 | E · Potential for harm, repeated | 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. |
| Dec 19, 2024 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Dec 19, 2024 | D · Potential for harm, one-off | The facility did not give residents reasonable access to and privacy in using ways to communicate, such as phones, mail, and email. Residents have the right to stay in touch with the outside world privately. |
| Dec 19, 2024 | D · Potential for harm, one-off | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. |
| Dec 19, 2024 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Dec 19, 2024 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Dec 19, 2024 | D · Potential for harm, one-off | 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 |
| Dec 19, 2024 | D · Potential for harm, one-off | The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. |
| Dec 19, 2024 | 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. |
| Dec 19, 2024 | 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. |
| Nov 22, 2024 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Nov 22, 2024 | C · Minimal risk, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · from a complaint |
| Aug 2, 2024 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · from a complaint |
| May 3, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · from a complaint |
| Oct 27, 2023 | E · Potential for harm, repeated | 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. · from a complaint |
| Oct 27, 2023 | E · Potential for harm, repeated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Oct 27, 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 27, 2023 | D · Potential for harm, one-off | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · from a complaint |
| Oct 27, 2023 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint |
| Oct 27, 2023 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. · from a complaint |
| Oct 27, 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 12, 2023 | E · Potential for harm, repeated | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint |
| Oct 12, 2023 | 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. · from a complaint |
| Oct 12, 2023 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| Sep 11, 2023 | ▲ J · Immediate jeopardy, 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 |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (16 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 11 | 1 | J ▲ |
| 2024 | 20 | 1 | J ▲ |
| 2025 | 1 | 0 | D |
| 2026 | 5 | 0 | F |
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)
2 fines totaling $21,720.
| Date | Type | Amount / length |
|---|---|---|
| May 3, 2024 | Fine | $8,827 |
| Sep 11, 2023 | Fine | $12,893 |
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) | 3.07 | 3.46 | 3.95 | bottom 27% in Texas; bottom 16% in the U.S. |
| Registered Nurse hours | 0.32 | 0.44 | 0.69 | bottom 33% in Texas; bottom 12% in the U.S. |
| Weekend total nurse staffing | 2.63 | 3.04 | 3.50 | bottom 24% in Texas; bottom 13% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.12 | 0.34 | 0.48 | bottom 4% in Texas; bottom 2% in the U.S. |
| Total nursing staff turnover (%) | 51.4 | 55.3 | 45.8 | top 48% in Texas; bottom 33% in the U.S. |
| RN turnover (%) | 57.1 | 54.6 | 42.9 | bottom 46% in Texas; bottom 26% in the U.S. |
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 2.99, RN 0.31, weekend 2.56. Staffing rating: 1/5.
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: 3/5 · long-stay residents: 5/5 · short-stay residents: 1/5
Who owns this facility
Government - Hospital district
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Baird, Daniel | Individual | Indirect Ownership Interest | NOT APPLICABLE | 12/16/2024 |
| Carvajal, Antonio | Individual | Indirect Ownership Interest | NOT APPLICABLE | 12/16/2024 |
| Cortese, Daren | Individual | Indirect Ownership Interest | NOT APPLICABLE | 12/16/2024 |
| CSV Rhea Management Holdco, LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 12/16/2024 |
| DWD TX Holdings LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 12/16/2024 |
| Gibson, Patricia | Individual | Indirect Ownership Interest | NOT APPLICABLE | 12/16/2024 |
| Gonzales, Veronica | Individual | Indirect Ownership Interest | NOT APPLICABLE | 12/16/2024 |
| Jack and Nancy Dwyer Workforce Development Center INC | Organization | Direct Ownership Interest | NOT APPLICABLE | 12/16/2024 |
| Kaufman, Nicole | Individual | Indirect Ownership Interest | NOT APPLICABLE | 12/16/2024 |
| Mandelbaum, Elliot | Individual | Indirect Ownership Interest | NOT APPLICABLE | 12/16/2024 |
| Memorial Medical Center | Organization | 5% or Greater Direct Ownership Interest | 100% | 03/04/2020 |
| Reg Leased Opco LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 12/16/2024 |
| Reg Operator Holdco LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 12/16/2024 |
| Regency Integrated Health Services LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 12/16/2024 |
| Regency Texas Holdings LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 12/16/2024 |
| Wellsential of Lavaca Bay LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 12/16/2024 |
| Chavana, Michael | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2012 |
| Clapp, Barbara | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/16/2024 |
| Clapp, Barbara | Individual | ADP of the SNF | NOT APPLICABLE | 12/16/2024 |
| Clevenger, Erin | Individual | Corporate Director | NOT APPLICABLE | 10/01/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How many hours a day is a registered nurse physically in the building, including weekends?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "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 | Flags |
|---|---|---|---|---|---|
| Port Lavaca Nursing and Rehabilitation Center | 0.7 mi | Port Lavaca, TX | ★★★☆☆ | 4/5 |
Compare this facility with the 1 closest →
All facilities in Port Lavaca →
Facility data as of CMS processing date 2026-08-01. CCN 676481.