The Phoenix Post-Acute
519 Ninth Ave N, Texas City, TX 77590 · Galveston County · (409) 949-9499
134 certified beds, about 95 residents a day · For profit - Corporation · Medicare and Medicaid since 1998
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 675743 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 14, 2026, inspectors cited 1 health deficiency (the Texas average is 9.4, the national average 9.2).
Of 8 health citations since January 2024, 4 were rated as actual harm or immediate jeopardy to residents (3 immediate jeopardy).
CMS lists 2 fines totaling $90,049 in the last three years; the largest was $53,649, and the latest is dated October 16, 2024.
Nurses and nurse aides worked 3.65 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.19 of those hours.
34.4% of nursing staff left within the year CMS measured (Texas average 55.3%).
CMS links it to The Ensign Group, an affiliated group of 344 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
301/24
210/24
203/25
105/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 8 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
3K
0L
Actual harm
0G
1H
0I
Potential for more than minimal harm
4D
0E
0F
Potential for minimal harm
0A
0B
0C
May 14, 2026Standard inspection · 1 citation
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure each resident's drug regimen was free of unnecessary medication and potential overmedication in accordance with professional standards of practice for 1 of 12 (Resident #79) residents reviewed for pharmacy services. The facility failed to ensure Resident #79 was free from duplicate medication therapy as evidenced by Resident #79's two active orders of the same medication with two different dosages. This failure could place residents at risk for adverse drug events. [...]
March 12, 2025Standard inspection, Complaint inspection · 2 citations
- D Ensure residents have reasonable access to and privacy in their use of communication methods.
Inspectors wroteBased on interview, and record review the facility failed to ensure the resident's had the right to have reasonable access to the use of telephone, including TTY and TDD services, and a place in the facility where calls could be made without being overheard for 1 of 3 (Resident #1) residents reviewed for telephone use. The facility failed to provide a place for Resident #12 to make telephone calls without being overheard. This failure could place residents at risk of conversations being overheard and privacy right's not being respected and could result in a decline in resident's psychosocial well-being and quality of life.
- D 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.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure drugs and biologicals were stored and labeled in accordance with currently accepted professional principles for 1 of 4 medication carts observed. The facility failed to dispose of Levothyroxine 88 mcg blister pack with expiration date of 1/31/25 for Resident #55 from 2 [NAME] nurse medication cart on 3/11/25. This failure could place residents at risk of receiving expired medications or inaccurate dosage of medication which could lead to resident not receiving full therapeutic benefits of a medication or possible side effects.
October 16, 2024Complaint inspection · 2 citations
- K Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Inspectors wroteBased on interview and record review the facility failed to ensure personnel provided basic life support, including CPR, to a resident requiring such emergency care prior to the arrival of emergency medical personnel for 1 of 5 residents (CR#1) reviewed for CPR. CNA A and CNA M failed to initiate life-saving measures (CPR) when CR#1 who had a full code status (all resuscitation procedures provided if their heart stops beating or they stop breathing) immediately when he was found unresponsive on [DATE] around 1:30 AM. EMS was called around 1:40 AM, arrived at 1:45 AM, and began CPR. CR#1 was transported to the hospital via emergency services, where he died on [DATE]. An Immediate Jeopardy (IJ) was identified on [DATE]. The IJ template was provided to the facility on [DATE] at 8:35p.m. [...]
- K Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure each resident received adequate supervision to prevent accidents for 1 of 5 residents (CR #1) reviewed for supervision. The facility failed to provide sufficient supervision to CR#l on [DATE] at 1:30am, when he was found unresponsive behind the facility, with blood coming from his mouth. CR#l was transported to the hospital via emergency services, where he was pronounced deceased on [DATE]. Multiple staff working the night shift (CNA E, CNA A, CNA M, CNA C and Nurse T), were unaware CR#1 was missing from the facility and an elopement code was not initiated. There was not an effective system in place to track residents entering and exiting the building. An Immediate Jeopardy (IJ) was identified on [DATE]. The IJ template was provided to the facility on [DATE] at 7:45p.m. [...]
January 26, 2024Standard inspection · 3 citations
- K Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on interviews and record reviews, the facility failed to ensure a resident with a pressure ulcer received necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new ulcers from developing for 1 (Resident #37) of 3 residents reviewed for pressure ulcers. The facility failed to notify Resident #37's physician and modify his interventions when he refused to wear his protective boot on his left foot and when he refused to be repositioned in bed. The facility failed to accurately assess and modify interventions for Resident #37, whom the facility said prefers to lie on his abdomen, and he had a suprapubic catheter. Resident #37 developed a stage 4 pressure ulcer on his left medial foot and on left abdomen and right groin. An IJ was identified on 01/24/24. [...]
- H Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure pain management provided for one resident (Resident #25) of five residents reviewed for pain was consistent with professional standards of practice, the comprehensive person-centered care plan, and the resident's goals and preferences. -The facility did not have Resident #25's pain medication (Norco 7.5/325 mg) available. -Resident #25 missed 9 doses of Norco 7.5/325 mg over 5 days. -Resident #25 said her pain level was high during the time of the missed doses. The deficient practice caused Resident #25 to experience unnecessary pain.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that a resident who needed respiratory care and services, including oxygen administration was provided such care, consistent with professional standards of practice for 2 of 5 residents (Resident #6 and #26) reviewed for respiratory therapy. The facility failed to ensure Resident # 6's concentrator filter was covered and clean with a substantial amount of brown substance, undated nasal cannula, and the humidifier was empty and dated 12/17/23. The facility failed to follow the physician orders for Resident #26's oxygen administration and the nasal cannula was not dated. These failures placed residents who received oxygen therapy at risk of respiratory complications.
Fire safety inspections
12 fire safety citations on file: 3 on May 14, 2026, 7 on March 12, 2025, 2 on January 26, 2024.
Every fire safety citation12 citations
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Provide properly protected cooking facilities.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Have approved installation, maintenance and testing program for fire alarm systems.
- E Properly install and monitor supervisory attachments on automatic sprinkler systems.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- E Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
- D Install corridor and hallway doors that block smoke.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| October 16, 2024 | Fine | $36,400 |
| January 26, 2024 | Fine | $53,649 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Texas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.65 | 3.39 | 3.86 |
| Registered nurses | 0.19 | 0.43 | 0.69 |
| All nursing staff on weekends | 3.42 | 2.98 | 3.42 |
| Nurse aides | 2.31 | ||
| Licensed practical nurses | 1.15 | ||
| Nursing staff turnover (share who left in a year) | 34.4% | 55.3% | 45.8% |
| Registered nurse turnover | 40.0% | 54.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.81 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.75 on weekdays and 3.42 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.61 in April to June 2025 to 3.65 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.65 | 0.19 | 3.75 | 3.42 | 0.0% | 0 of 90 | 95 |
| Oct to Dec 2025 | 3.66 | 0.13 | 3.81 | 3.30 | 0.0% | 2 of 92 | 95 |
| Jul to Sep 2025 | 3.67 | 0.13 | 3.80 | 3.33 | 0.0% | 6 of 92 | 100 |
| Apr to Jun 2025 | 3.61 | 0.12 | 3.75 | 3.28 | 0.0% | 0 of 91 | 100 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Texas, Jan to Mar 2026 | 3.33 | 0.40 | 3.50 | 2.93 | 2.2% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Texas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 9.8 | 15.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.9 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.7 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 12.7 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.6 | 3.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 9.9 | 9.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 27.1 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 6.7 | 12.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.4 | 2.2 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 2.1 | 1.8 |
Owners and operators
Legal business name: LIBERTY COUNTY HOSPITAL DISTRICT NO 1. CMS links this home to The Ensign Group, a group of 344 nursing homes averaging 3.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Liberty County Hospital District No 1 | 5% or greater direct ownership interest | Organization | 100% | 05/01/2015 |
| Alkarra, Nheme | Managing control - governing body | Individual | 11/11/2022 | |
| Hecht, Tina | Managing control - governing body | Individual | 05/01/2015 | |
| Burnam, Soon | Corporate officer | Individual | 05/01/2015 | |
| Keetch, Chad | Corporate officer | Individual | 03/01/2011 | |
| Stratton, Charles | Corporate officer | Individual | 02/07/2005 | |
| Oceanview Healthcare, Inc. | Operational/managerial control | Organization | 05/01/2015 | |
| Alkarra, Nheme | Operational/managerial control | Individual | 11/11/2022 | |
| Hecht, Tina | Operational/managerial control | Individual | 05/01/2015 | |
| Arapahoe Health Holdings LLC | Adp of the SNF | Organization | 05/01/2015 | |
| Caretrust Gp LLC | Adp of the SNF | Organization | 05/01/2015 | |
| Caretrust Reit Inc | Adp of the SNF | Organization | 05/01/2015 | |
| Ctr Partnership LP | Adp of the SNF | Organization | 05/01/2015 | |
| Ensign Services Inc | Adp of the SNF | Organization | 02/24/2009 | |
| Oceanview Healthcare, Inc. | Adp of the SNF | Organization | 11/04/2025 | |
| Alkarra, Nheme | Adp of the SNF | Individual | 11/11/2022 | |
| Hecht, Tina | Adp of the SNF | Individual | 05/01/2015 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on October 16, 2024: "Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on May 14, 2026: "Ensure each resident’s drug regimen must be free from unnecessary drugs."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on March 12, 2025: "Ensure residents have reasonable access to and privacy in their use of communication methods."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Harbor Point Skilled Nursing Texas City, 1.9 mi · 4 of 5 stars · 10 citations
- Seabreeze Nursing and Rehabilitation Texas City, 5.1 mi · 1 of 5 stars · 41 citations
- The Shoal Texas City, 5.2 mi · 5 of 5 stars · 12 citations
- Avir at the Lakes Texas City, 6.3 mi · 2 of 5 stars · 29 citations
- Bayou Pines Care Center La Marque, 6.8 mi · 2 of 5 stars · 20 citations
- The Meridian Galveston, 9.8 mi · 3 of 5 stars · 14 citations
- Galveston Nursing and Rehabilitation Center Galveston, 10 mi · 1 of 5 stars · 48 citations
- The Heights of League City League City, 13.1 mi · 1 of 5 stars · 29 citations
Texas contacts for a concern about a nursing home
These are the official offices in Texas. NursingHomeClear cannot take or act on complaints.
- Resident advocate: Texas Office of the State Long-Term Care Ombudsman, 800-252-2412. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
Common questions
- What is The Phoenix Post-Acute's Medicare star rating?
- CMS rates The Phoenix Post-Acute 3 out of 5 stars overall, with 3 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did The Phoenix Post-Acute get at its last inspection?
- 1 health deficiency at the standard inspection on May 14, 2026. The Texas average is 9.4.
- Has The Phoenix Post-Acute been fined?
- Yes. CMS lists 2 fines totaling $90,049 in the last three years.
- Does The Phoenix Post-Acute accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns The Phoenix Post-Acute?
- CMS lists 17 owners and managers, and links the home to The Ensign Group. Legal business name: LIBERTY COUNTY HOSPITAL DISTRICT NO 1.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.