The Phoenix Post-Acute
519 Ninth Ave N, Texas City, TX 77590 · Galveston County · 134 certified beds · avg 95 residents/day · certified since Jan 14, 1998
Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
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, repeated · Oct 16, 2024 · F-0678 · triggered by a complaint
The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes.
Why it matters: In a cardiac or breathing emergency, failure to start CPR promptly can be the difference between life and death.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Nov 15, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, repeated · Oct 16, 2024 · 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 (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Nov 15, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, repeated · Jan 26, 2024 · F-0686
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Feb 19, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, repeated · Jan 26, 2024 · F-0697
The facility did not provide safe and appropriate pain management for a resident who needed it.
Why it matters: Untreated pain causes needless suffering and can lead to depression, poor sleep, and declining health.
Severity (H): Multiple residents were actually harmed by the same failure — a pattern of real harm, not an isolated incident.
Corrected: Feb 19, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (9)
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 |
|---|---|---|
| May 14, 2026 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Mar 12, 2025 | 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. |
| Mar 12, 2025 | 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 |
| Oct 16, 2024 | ▲ K · Immediate jeopardy, repeated | The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. · from a complaint |
| Oct 16, 2024 | ▲ K · Immediate jeopardy, repeated | 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 |
| Jan 26, 2024 | ▲ K · Immediate jeopardy, repeated | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Jan 26, 2024 | ▲ H · Actual harm, repeated | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Jan 26, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Aug 1, 2023 | F · Potential for harm, facility-wide | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (2 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 0 | F |
| 2024 | 5 | 4 | K ▲ |
| 2025 | 2 | 0 | D |
| 2026 | 1 | 0 | D |
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 $90,049.
| Date | Type | Amount / length |
|---|---|---|
| Oct 16, 2024 | Fine | $36,400 |
| Jan 26, 2024 | Fine | $53,649 |
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) | 3.68 | 3.46 | 3.95 | top 26% in Texas; bottom 46% in the U.S. |
| Registered Nurse hours | 0.19 | 0.44 | 0.69 | bottom 7% in Texas; bottom 2% in the U.S. |
| Weekend total nurse staffing | 3.44 | 3.04 | 3.50 | top 19% in Texas; top 45% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.15 | 0.34 | 0.48 | bottom 9% in Texas; bottom 5% in the U.S. |
| Total nursing staff turnover (%) | 34.4 | 55.3 | 45.8 | top 11% in Texas; top 23% in the U.S. |
| RN turnover (%) | 40.0 | 54.6 | 42.9 | top 30% in Texas; top 46% 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 3.65, RN 0.19, weekend 3.42. 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: 4/5 · long-stay residents: 4/5 · short-stay residents: 4/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Liberty County Hospital District No 1 | Organization | 5% or Greater Direct Ownership Interest | 100% | 05/01/2015 |
| Alkarra, Nheme | Individual | Managing Control - Governing Body | NOT APPLICABLE | 11/11/2022 |
| Alkarra, Nheme | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/11/2022 |
| Alkarra, Nheme | Individual | ADP of the SNF | NOT APPLICABLE | 11/11/2022 |
| Arapahoe Health Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2015 |
| Burnam, Soon | Individual | Corporate Officer | NOT APPLICABLE | 05/01/2015 |
| Caretrust GP LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2015 |
| Caretrust Reit INC | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2015 |
| Ctr Partnership LP | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2015 |
| Ensign Services INC | Organization | ADP of the SNF | NOT APPLICABLE | 02/24/2009 |
| Hecht, Tina | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/01/2015 |
| Hecht, Tina | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2015 |
| Hecht, Tina | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2015 |
| Keetch, Chad | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2011 |
| Oceanview Healthcare, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 05/01/2015 |
| Oceanview Healthcare, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 11/04/2025 |
| Stratton, Charles | Individual | Corporate Officer | NOT APPLICABLE | 02/07/2005 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
- "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
- "How can my family member make private phone or video calls, and can we see where?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "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 |
|---|---|---|---|---|---|
| Harbor Point Skilled Nursing | 1.9 mi | Texas City, TX | ★★★★☆ | 5/5 | |
| Seabreeze Nursing and Rehabilitation | 5.1 mi | Texas City, TX | ★☆☆☆☆ | 1/5 | abuse |
| The Shoal | 5.2 mi | Texas City, TX | ★★★★★ | 5/5 | |
| The Lakes at Texas City | 6.3 mi | Texas City, TX | ★★☆☆☆ | 3/5 | |
| Bayou Pines Care Center | 6.8 mi | La Marque, TX | ★★☆☆☆ | 3/5 | |
| The Meridian | 9.8 mi | Galveston, TX | ★★★☆☆ | 4/5 | |
| Galveston Nursing and Rehabilitation Center | 10.0 mi | Galveston, TX | ★☆☆☆☆ | 1/5 | SFF |
| The Heights of League City | 13.1 mi | League City, TX | ★☆☆☆☆ | 1/5 | |
| MRC the Crossings | 14.0 mi | League City, TX | ★★★★★ | 5/5 | |
| Baywind Village Skilled Nursing & Rehab | 14.0 mi | League City, TX | ★★★★★ | 5/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 675743.