B85

LAKE JACKSON HEALTHCARE CENTER

Grade B 85/100 composite score

For profit - Corporation

CMS Star Ratings

Overall
4/5
Health Insp.
4/5
Quality
4/5
Staffing
3/5
RN Staffing
Not rated

Certified Beds

120

Ownership

For profit - Corporation

Total Fines

None

Last Survey

N/A

413 GARLAND DR, LAKE JACKSON, TX 77566
9792973266

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.58h
LPN
1.10h
CNA
2.81h
Total
4.49h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

NEXION HEALTH AT BRAZOS INC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Mar 2023

KIRLEY, FRANCIS

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Mar 2023

FOSTER, PATTI

IndividualCORPORATE DIRECTORSince May 2014

NICHOLS, MASON

IndividualCORPORATE DIRECTORSince May 2014

SWIFT, SCOTT

IndividualCORPORATE DIRECTORSince May 2015

WEEKS, VIOLET

IndividualCORPORATE DIRECTORSince Sep 2013

PARK, KELLY

IndividualCORPORATE OFFICERSince Aug 2019

KIRLEY, FRANCIS

IndividualW-2 MANAGING EMPLOYEESince Mar 2023

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (14)

November 26, 2025Health1 deficiency
0655DMinimal harm, Isolated

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Resident Assessment and Care Planning Deficiencies

July 2, 2025Health4 deficiencies
0636DMinimal harm, Isolated

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Resident Assessment and Care Planning Deficiencies

Corrected Jul 5, 2025
0657DMinimal harm, Isolated

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Jul 5, 2025
0761FMinimal harm, Widespread

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Pharmacy Service Deficiencies

Corrected Jul 5, 2025
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Jul 5, 2025
June 30, 2024Health1 deficiency
0584EMinimal harm, Pattern

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Resident Rights Deficiencies

Corrected Jun 30, 2024
May 28, 2024Health3 deficiencies
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected May 29, 2024
0759DMinimal harm, Isolated

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected May 29, 2024
0842EMinimal harm, Pattern

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Resident Assessment and Care Planning Deficiencies

Corrected May 29, 2024
April 6, 2023Health5 deficiencies
0607DMinimal harm, Isolated

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Apr 10, 2023
0609DMinimal harm, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Apr 10, 2023
0610DMinimal harm, Isolated

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Apr 10, 2023
0656DMinimal harm, Isolated

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Apr 10, 2023
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Apr 10, 2023

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Frequently Asked Questions

What is the CareGrader rating for LAKE JACKSON HEALTHCARE CENTER?

LAKE JACKSON HEALTHCARE CENTER in LAKE JACKSON, Texas has a CareGrader grade of B (Good), with a composite score of 84.8 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for LAKE JACKSON HEALTHCARE CENTER?

LAKE JACKSON HEALTHCARE CENTER has an overall CMS star rating of 4 out of 5, a health inspection rating of 4/5, and a staffing rating of 3/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does LAKE JACKSON HEALTHCARE CENTER have?

LAKE JACKSON HEALTHCARE CENTER has 14 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does LAKE JACKSON HEALTHCARE CENTER have?

LAKE JACKSON HEALTHCARE CENTER has 120 certified beds with approximately 51 current residents (43% occupancy). The facility is located at 413 GARLAND DR, LAKE JACKSON, Texas 77566. It is a for profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.