Matagorda Nursing & Rehabilitation Center

Name: Matagorda Nursing & Rehabilitation Center
Address: 4521 Avenue F, Bay City, TX, 77414, US
Telephone: 9792457369

4521 Avenue F, Bay City, TX 77414 · Matagorda County · 100 certified beds · avg 51 residents/day · certified since Jan 16, 2002

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

3/5

Health inspection rating (on-site)

Serious findings on record

$10,761

Fines, last 3 years

3.47

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5

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 · Jan 1, 2026 · 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: Jan 2, 2026 (Deficient, Provider has date of correction)

All citations in the current public record (12)

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
Jan 1, 2026	▲ 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
May 29, 2025	F · Potential for harm, facility-wide	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.
May 29, 2025	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.
Apr 18, 2024	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.
Apr 18, 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.
Mar 2, 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.
Mar 2, 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.
Mar 2, 2023	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.
Mar 2, 2023	D · Potential for harm, one-off	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.
Mar 2, 2023	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Mar 2, 2023	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.
Mar 2, 2023	D · Potential for harm, one-off	The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (2 → 2).

Year	Citations	Serious (G–L)	Worst severity that year
2023	7	0	E
2024	2	0	E
2025	2	0	F
2026	1	1	J ▲

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)

1 fine totaling $10,761.

Date	Type	Amount / length
Jan 1, 2026	Fine	$10,761

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)	3.47	3.46	3.95	top 37% in Texas; bottom 35% in the U.S.
Registered Nurse hours	0.42	0.44	0.69	top 43% in Texas; bottom 25% in the U.S.
Weekend total nurse staffing	2.97	3.04	3.50	top 43% in Texas; bottom 29% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.26	0.34	0.48	bottom 41% in Texas; bottom 24% in the U.S.
Total nursing staff turnover (%)	87.8	55.3	45.8	bottom 11% in Texas; bottom 1% in the U.S.
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 3.50, RN 0.42, weekend 3.00. 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: 4/5 · short-stay residents: 2/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Bay City I Enterprises, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	09/01/2022
Bay City I Enterprises, LLC	Organization	ADP of the SNF	NOT APPLICABLE	09/01/2022
Blake, Gary	Individual	Operational/Managerial Control	NOT APPLICABLE	09/01/2022
Blake, Gary	Individual	ADP of the SNF	NOT APPLICABLE	09/01/2022
Blake, Malisa	Individual	Operational/Managerial Control	NOT APPLICABLE	09/01/2022
Blount, Darlene	Individual	ADP of the SNF	NOT APPLICABLE	04/17/2025
Bowers, Sean	Individual	Managing Control - Governing Body	NOT APPLICABLE	07/01/2024
Capocyan, Owen	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2025
Cisneros, Alfred	Individual	Managing Control - Governing Body	NOT APPLICABLE	02/18/2008
Cobb, Travis	Individual	Managing Control - Governing Body	NOT APPLICABLE	10/05/2022
Cooper, Stephen	Individual	Managing Control - Governing Body	NOT APPLICABLE	11/11/2022
Hardin, Sherrie	Individual	Managing Control - Governing Body	NOT APPLICABLE	09/04/2024
Huggins, Linda	Individual	Corporate Director	NOT APPLICABLE	09/01/2022
Kerzee, Richard	Individual	Managing Control - Governing Body	NOT APPLICABLE	09/24/2007
Korenek, Patricia	Individual	Managing Control - Governing Body	NOT APPLICABLE	05/05/2018
Soechting, Paul	Individual	Managing Control - Governing Body	NOT APPLICABLE	11/22/2024
Strack, Joe	Individual	Managing Control - Governing Body	NOT APPLICABLE	02/11/2022
Thompson, Johnny	Individual	Corporate Officer	NOT APPLICABLE	01/01/2024
Willig, Zachary	Individual	Corporate Director	NOT APPLICABLE	09/01/2022

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 falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"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
Paradigm at Bay City	2.2 mi	Bay City, TX	★★☆☆☆	2/5
Avir at Bay City	2.2 mi	Bay City, TX	★★☆☆☆	3/5
Paradigm at Sweeny	18.0 mi	Sweeny, TX	★☆☆☆☆	1/5	abuse

Compare this facility with the 3 closest →

All facilities in Bay City →

Facility data as of CMS processing date 2026-08-01. CCN 675899.

The Care File

Visit checklist — Matagorda Nursing & Rehabilitation Center

4521 Avenue F, Bay City, TX 77414 · 9792457369

Health inspection rating 3/5 · CMS overall 2/5· Fines (3y): $10,761

Most serious findings on record:

▲ Jan 1, 2026 (F-0689, 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.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "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 675899 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)