ST JAMES HOUSE OF BAYTOWN has an overall 5-star rating, with strong quality measures (5 stars) and health inspections (4 stars) but weak staffing (2 stars); reported nurse staffing is slightly below the federal benchmark at 4.02 vs 4.1 hours per resident per day, and it had $14,901 in fines in the last 24 months with a recent federal penalty.
Last inspection: March 26, 2026Penalties, last 24 months: $14,901recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.017.
Staffing detail
Registered nurses
0.35
Licensed practical nurses
0.71
Nurse aides
2.96
Weekend nursing
3.65
Hours per resident per day.
Total staff turnover: 48%
Registered nurse turnover: 83%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
10.2%5.2%Improving
Residents with a fall causing major injury
3.6%5.7%Worsening
Residents with pressure ulcers (bedsores)
5.4%2.6%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%4.4%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
38.1%13.9%Improving
Residents whose ability to walk got worse
28.5%13.6%Improving
Long-stay residents on antianxiety or sleep medication
24.2%21.9%Improving
Short-stay residents newly given an antipsychotic
3.6%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
16.5%10.4%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
98.8%100%Improving
Short-stay residents given the seasonal flu vaccine
—96.5%—
Short-stay residents given the pneumonia vaccine
100%98.5%Worsening
What the inspectors found
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited January 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: J
The nursing home failed to ensure residents were free from significant medication errors. Cited August 2025 — limited pattern, potential for harm.
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F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: E
The home failed to safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited August 2025 — limited pattern, potential for harm.
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F-Tag 842 — 42 CFR §483.70 — S/S: E
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited October 2024 — limited pattern, potential for harm.
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F-Tag 695 — 42 CFR §483.25(i) — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 3 health deficiencies.
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INSPECTION
Health inspection found 2 health deficiencies.
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PENALTY
A federal fine of $14,901 was recorded.
INSPECTION
Health inspection found 1 health deficiency.
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Penalties & enforcement
On record with Medicare: 1 fine · $14,901 in total fines.
Federal fine
Jan 10, 2025
$14,901
Operator & ownership
Ownership
For profit - Corporation
Occupancy
98.4 residents on an average day (94% of 105 beds)
Resident voice
Resident council
Medicare history
Certified for 22 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.