Bay Oaks Health Care Center

    424 Tarpey Rd, Texas City, TX, 77591
    1.6 · 10 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    1.0

    Promising facility, care declined rapidly

    I moved my mom in because the facility looked promising and staff were nice at first, but the care quickly declined. Meals were regularly undercooked/raw, nurses were hard to find, meds and PT were inconsistent, and the attending physician was unresponsive-she lost weight, was dehydrated and hospitalized multiple times. Rooms and bathrooms were filthy (urine smell, cockroaches, feces on shower chair), catheter and hygiene care were neglected, and administration/billing/insurance issues followed. Overall not a five-star place - I would not recommend it.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    1.60 · 10 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      1.4
    • Staff

      1.4
    • Meals

      1.0
    • Amenities

      2.5
    • Value

      2.0

    Pros

    • Initial attentive care reported by some families
    • Friendly or caring individual staff members cited
    • Active activities program (bingo, movie night, adult coloring, talking station)
    • Visible monthly activity schedules in rooms and at main entrance
    • Secure keypad entrances
    • Renovations noted as looking good by some reviewers
    • HR and administration praised by some reviewers
    • Overall impression of being well kept by a minority of reviewers

    Cons

    • Chronic neglect of basic care (not brushing teeth, not bathing)
    • Failure to monitor fluids and address dehydration
    • Fevers not addressed; thermometer reportedly uncalibrated
    • Insufficient catheter and wound care
    • Unsafe and unmaintained room conditions
    • Shared bathrooms described as filthy and smelling of urine
    • Evidence of vermin (cockroaches in breakroom) and sanitation lapses
    • Hair and feces found on shower chairs; pervasive odors in hallways
    • Old, uncomfortable beds and poor physical environment
    • Lack of physical therapy services
    • Medications missing, not scheduled, or unavailable
    • Poor and inconsistent communication from staff and administration
    • Allegations of misrepresentation of medical records
    • Disturbing roommate situations causing resident distress
    • Delays in meetings and responsiveness from leadership
    • Repeated hospitalizations and medical emergencies tied to care lapses
    • Financial/administrative problems reported (unpaid bills, life insurance cancellation)
    • Undercooked or poor quality food, including raw meat reports
    • Residents and family members feel belittled or threatened when they complain
    • Unprofessional, unresponsive, or hostile clinicians (including alleged 'quack' doctor)
    • Accusations of abusive or threatening behavior by nursing leadership (D.O.N. Tonya)
    • Staff often described as difficult to find or unresponsive
    • Overall pattern of very negative reviews and 1-star ratings

    Summary review

    Overall sentiment from the reviews is strongly negative, with a consistent pattern of serious care and safety concerns despite a handful of positive notes about activities and some staff. Multiple reviewers describe an initial period where care appeared adequate or where staff members were kind, but many report a decline over time into neglectful and unsafe practices. The most frequently mentioned issues concern basic hygiene and clinical care failures—residents allegedly not being bathed or having oral care performed, fluids not monitored, catheters inadequately cared for, and fevers or other acute issues not addressed. Several accounts link those lapses to dehydration, weight loss, and repeated hospitalizations.

    Clinical management and medication handling are recurring problem areas. Reviews indicate medications being unavailable or not administered on schedule, and at least one reviewer reported concern about the accuracy or honesty of medical records. Physical therapy was reportedly absent for residents who needed it. Some reviewers describe the attending physician as unresponsive or incompetent, with one review calling the doctor a "quack." These clinical failures combine with poor monitoring (e.g., allegedly uncalibrated thermometer) to create situations where medical needs may be overlooked or mishandled.

    Staffing, communication, and leadership are described as inconsistent and often problematic. While a minority of reviewers praise individual nurses or HR/administration, many more describe poor communication, difficulty locating nurses, delayed meetings with leadership, and belittling or threatening responses when complaints are raised. Specific allegations include abusive or threatening behavior by the Director of Nursing (named Tonya in reviews), and general descriptions of unprofessional attitudes. Some reviewers note that new management and renovations initially seemed promising, but report that the standard of care later deteriorated.

    Facility cleanliness and safety issues are prominent. Multiple reviews mention strong urine odors in hallways, filthy shared bathrooms, hair and feces on shower chairs, and cockroaches in staff areas. Rooms and beds are described as old and uncomfortable, and at least one report referred to unsafe room conditions. These sanitation and environmental concerns are serious for a nursing home setting, both for resident dignity and infection control.

    Dining and nutrition are additional pain points: reports include undercooked or raw meat being served and generally poor meal quality. Several reviewers link food problems to weight loss and declining health in residents. At the same time, the home maintains an activities program—bingo, movie nights, adult coloring, and a "talking station"—and posts monthly calendars in rooms and common areas. A few reviewers appreciate these activities and the perceived security of keypad entrances, describing the facility as offering a "low-income style" nursing home experience rather than a high-end one.

    A pattern emerges of an institution that may have pockets of decent, well-intended staff and observable amenities (activities, secure entry, visible schedules), yet suffers from systemic issues in clinical care, sanitation, communication, and leadership. Several reviewers report severe consequences, including hospitalizations and administrative/financial problems such as unpaid bills and cancelled life insurance, suggesting potential operational or management dysfunction beyond bedside care. The overall voice of the reviews is overwhelmingly negative, with multiple 1-star ratings and descriptors such as "horrific," "dirty," and "horrible facility."

    For prospective families or referral sources, the reviews warrant caution. If considering this facility, verify clinical staffing levels, infection-control practices, medication management, and responsiveness of nursing leadership. Request recent inspection reports, staffing ratios, and documentation of corrective actions for any cited deficiencies. If a resident is admitted, maintain close oversight—especially regarding bathing, oral care, hydration, medication administration, food safety, and room sanitation—and document any concerns promptly with administration and regulatory authorities if issues are not resolved.

    Location

    Map showing location of Bay Oaks Health Care Center

    About Bay Oaks Health Care Center

    Bay Oaks Health Care Center sits at 424 N Tarpey Rd in Texas City, Texas, and folks will find the building holds 109 certified beds with 23 open as of June 2025, and around 94 residents living there, so it runs at about 86% full most of the time, which means it's not too crowded but not half-empty either, and when looking for a place like this, people often want to know it's a skilled nursing facility, and that term means residents with more serious or complicated medical needs can get care around the clock, whether it's for long-term stays or short-term recovery after being in the hospital, coming out of surgery, or managing something like a stroke, and the place takes both Medicare and Medicaid, which helps with the cost for many families. Folks will get care for a wide variety of needs, from wound care with certified wound specialists to help with pain, pressure sores, urinary tract infections, medication, and even non-ambulatory care, so if someone can't walk they still get help with things like bathing, dressing, eating, and moving around, and when it's time for therapy, services include physical, occupational, and speech therapy, as well as special programs like LSVT BIG & LOUD for certain therapy needs, plus stroke recovery help, and nutrition evaluation. Staff hours average 1.36 per resident, spread over Registered Nurses, Licensed Practical Nurses, and Certified Nursing Assistants, and while the staff's numbers are clearly laid out as 0.38 RN hours, 0.98 LPN hours, and 1.46 CNA hours per resident, the home has, in the past, had some issues with nurse aide skills and the condition of the building-like housekeeping, infection control, and keeping everything well maintained and safe. However, Bay Oaks keeps accurate medical records, works to reduce unnecessary catheter use, and takes good steps to make sure residents get vaccinated against flu and pneumonia, covering 97% of long-stay folks, so most residents get that protection each year, and there's a 24-hour call system, so help is always around, and the nursing office stays open all day and night too. The facility's been Music & Memory Certified, which means staff use music to help residents' well-being, and people can take part in lots of activities, both scheduled by the community and run by residents themselves, with amenities like an arts room, game room, library, movie theater, outdoor walking paths and gardens, fitness programs, and music programs, so there's plenty to do. There's a focus on personal choice at Bay Oaks, so dining includes restaurant-style meals, all-day dining, special diets for diabetes or allergies, and food is prepared by a professional chef, served in a community dining area. Rooms come furnished and include private bathrooms, cable TV, air conditioning, kitchettes, and phone, plus Wi-Fi/high-speed internet, and there's also a salon and laundry/dry cleaning available. Residents and their families can join councils to speak up about what matters to them, there's an ombudsman to help solve complaints, and transportation is available for medical appointments and resident outings, with parking for those who drive. Safety comes from being fully sprinklered for fire protection, plus an emergency alert system for each resident, and the facility isn't part of a hospital or continuing care retirement community, but operates as a for-profit LLC with multiple ownership, so it's part of a group and not a one-off owner. Folks will notice the care covers help with transfers, bathing, dressing, medication, and all activities of daily living, and even with the deficiencies mentioned, Bay Oaks isn't flagged as a special focus facility, so it's recognized by the state regulators but still keeps going, providing skilled nursing, rehabilitation, long-term and respite care, and keeping the doors open to anyone following a hospital stay, illness, or surgery who needs extra support until they get stronger or need a longer stay.

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