Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around January 2027
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at La Bahia Nursing And Rehabilitation during CMS and state inspections, most recent first.
A resident with severe cognitive impairment and at risk for falls was found with the call light on the floor, making it inaccessible. The resident preferred to scream for help, and the facility lacked a specific policy to ensure call light accessibility. The DON acknowledged the importance of this task, which is monitored by charge nurses and overseen by the ADON.
A facility failed to update a resident's care plan to include a wine bottle in the resident's personal refrigerator. The resident, an 86-year-old female with intact cognition, mentioned the wine was left by family and did not consume it. Staff interviews revealed a lack of awareness and communication about the wine, with the MDS nurse admitting to not updating the care plan, posing a risk of uninformed staff. The facility's policy on comprehensive care plans was not followed.
The facility failed to properly dispose of garbage, as observed with dumpster #1, which had its lid completely open, exposing the contents. This was noted during an observation with the Dietary Director, who acknowledged the risk of pest access. Interviews confirmed the issue, and a review of policies and regulations highlighted the requirement for covered receptacles.
A resident with multiple medical conditions experienced several falls, but the facility failed to update the care plan with new interventions. Despite the responsibility of the DON and MDS CM to revise care plans after significant changes, the care plan was not updated after four of the six falls, contrary to facility policy.
A resident with severe cognitive impairment and high fall risk fell during a solo mechanical lift transfer by a CNA, despite the requirement for a two-person assist. The CNA, who had been trained on proper procedures, attempted the transfer alone, resulting in the resident experiencing back pain after being struck by the lift's support bar.
The facility failed to report an injury of unknown origin involving a resident who suffered a brain bleed and a back fracture. Despite being aware of the resident's condition, the Administrator and DON did not report it to the state agency within the required two-hour window, waiting instead for hospital documentation. This failure to follow the facility's policy on immediate reporting of serious injuries could contribute to further abuse and neglect.
Failure to Ensure Call Light Accessibility
Penalty
Summary
The facility failed to ensure that a resident's call light was within reach, which is a necessary accommodation for the resident's needs and preferences. The resident, who has severe cognitive impairment and is at risk for falls, was observed with the call light on the floor, making it inaccessible. The resident expressed a preference to call for help by screaming, indicating a lack of awareness or ability to use the call light effectively. Interviews with the assigned CNA and the Director of Nursing (DON) revealed that there was no specific policy in place to ensure call lights are accessible to residents. The CNA was unaware of how the call light ended up on the floor, and the DON acknowledged the importance of call light accessibility to prevent potential falls. The DON mentioned that charge nurses monitor this task during morning rounds, with oversight by the Assistant Director of Nursing (ADON).
Failure to Update Care Plan for Resident's Personal Refrigerator Contents
Penalty
Summary
The facility failed to develop and implement a comprehensive person-centered care plan for a resident, which included addressing the presence of a wine bottle in the resident's personal refrigerator. The resident, an 86-year-old female with diagnoses including heart failure, hyperlipidemia, and cerebral ischemia, had a BIMS score indicating intact cognition. During an interview and observation, the resident mentioned that the wine was likely left by family after a birthday party and stated she did not consume alcohol. However, the care plan did not reflect the presence of the wine bottle, which was a significant oversight. Interviews with facility staff, including an LVN, the MDS nurse, and the DON, revealed a lack of awareness and communication regarding the wine bottle. The LVN was unaware of the wine's presence and stated that families were responsible for managing personal refrigerators. The MDS nurse admitted to not updating the care plan to include the wine bottle, acknowledging the risk of staff being uninformed. The DON confirmed that the care plan should have been updated and noted that the MDS nurse was responsible for overseeing care plans, with the ADON conducting random audits. The facility's policy on comprehensive care plans was not adhered to, leading to this deficiency.
Improper Disposal of Garbage and Refuse
Penalty
Summary
The facility failed to properly dispose of garbage and refuse, specifically with one of the two garbage dumpsters, identified as dumpster #1. During an observation, it was noted that the lid of dumpster #1, measuring 3 x 5 feet, was completely open, exposing the garbage inside. This observation was made in the presence of the Dietary Director, who acknowledged that an open lid could allow pests access to the garbage and potentially the facility. The Dietary Director confirmed that staff are trained to keep the dumpster lids closed at all times. Interviews with the Dietary Director and the Administrator further highlighted the issue, with both acknowledging the potential for pest control problems due to the open dumpster lid. A review of the facility's Dietary Services Policies and Procedures Manual, as well as relevant food safety regulations, confirmed that trash receptacles must be covered at all times when not in use, and that outdoor receptacles should have tight-fitting lids. The failure to adhere to these guidelines was identified as a deficiency in the facility's waste disposal practices.
Failure to Update Care Plan After Resident Falls
Penalty
Summary
The facility failed to develop a comprehensive care plan for a resident that included measurable objectives and timeframes to meet the resident's medical, nursing, mental, and psychosocial needs. The care plan did not describe the services necessary to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being. Specifically, the facility did not revise the care plan with updated interventions after the resident experienced multiple falls. The resident, who was admitted with several medical conditions including heart failure, a femur fracture, obstructive and reflux uropathy, diabetes mellitus type 2, and hemiplegia following a stroke, had a history of falls. Despite documented falls on several occasions, the care plan was not updated to include new interventions to address these incidents. The care plan had not been revised to reflect interventions for four of the six falls that occurred over a period of several months. Interviews with facility staff revealed that the Director of Nursing (DON) and the MDS Case Manager (CM) were responsible for updating care plans. However, they acknowledged that interventions following the resident's falls were not documented in the care plan. The facility's policy required care plans to be reviewed and revised after significant changes, but this was not adhered to, resulting in a lack of updated interventions to prevent further falls.
Improper Mechanical Lift Transfer Leads to Resident Fall
Penalty
Summary
The facility failed to ensure a safe environment for a resident, leading to an accident involving a mechanical lift. A CNA attempted to transfer the resident using a mechanical lift by herself, despite the requirement for a two-person assist. This resulted in the resident falling and experiencing back pain after being struck by the lift's support bar. The CNA had previously been trained on the necessity of a two-person assist for mechanical lifts but proceeded alone due to being in a hurry. The resident involved was an 88-year-old female with severe cognitive impairment, dementia, chronic kidney disease, heart failure, and a history of falls. Her care plan specified the need for two-person assistance during transfers due to her high fall risk and physical limitations. Despite these documented needs, the CNA attempted a solo transfer, which was against the facility's policy and training. Interviews with facility staff, including the DON and LVN, confirmed that the CNA was aware of the two-person requirement and had been trained accordingly. The CNA admitted to attempting the transfer alone and acknowledged her mistake. The facility's policies clearly outlined the procedures for safe transfers, which were not followed in this instance, leading to the resident's fall and subsequent pain.
Failure to Report Injury of Unknown Origin
Penalty
Summary
The facility failed to report an injury of unknown origin involving a resident who suffered a brain bleed and a back fracture. The resident, who had a history of type 2 diabetes mellitus with diabetic nephropathy, dementia, and end-stage renal disease, was sent to the hospital from dialysis due to nausea and vomiting. Hospital records revealed a wedge compression fracture and a non-traumatic cerebrovascular accident, but the facility did not report these injuries to the state reporting agency (HHSC) within the required two-hour window because they were waiting for documentation to substantiate the injuries. The Administrator and DON were aware of the resident's condition but did not report it immediately. The Administrator stated that they needed confirmation from the hospital before reporting, despite the facility's policy requiring immediate reporting of serious injuries. The DON also acknowledged the need to report within two hours but deferred to the Administrator for the actual reporting. The facility's policy on abuse and neglect clearly defined the need for immediate reporting of injuries of unknown origin, but this protocol was not followed. Interviews with the Administrator, DON, and other staff revealed that the facility had started an investigation but had not received the necessary medical records from the hospital. The resident's responsible party was also not informed of any incidents at the nursing home. The facility's failure to report the injuries promptly could affect any resident and contribute to further abuse and neglect.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Goliad
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Yorktown Nursing And Rehabilitation Center | 21.9 mi | — | 13 | 0 |
| Twin Pines North Nursing And Rehabilitation Center | 26.4 mi | — | 4 | 0 |
| Mission Ridge Rehab & Nursing Center | 26.5 mi | — | 8 | 1 |
| Riverside Oaks | 27.1 mi | — | 2 | 0 |
| The Courtyard Rehabilitation And Healthcare Center | 27.4 mi | — | 13 | 2 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.