Bayou Pines Care Center Mental Health Violations - TX
LA MARQUE, TX - A July 2024 inspection at Bayou Pines Care Center uncovered significant deficiencies in mental health care coordination and basic food safety protocols, revealing how administrative oversights can compromise resident wellbeing and safety.
Breakdown in Mental Health Care Coordination
The most serious violations centered on the facility's failure to properly coordinate mental health services for residents with documented psychological conditions. Inspectors found that residents with diagnosed mental health conditions were not receiving the specialized care outlined in their treatment plans.
One resident with Post-Traumatic Stress Disorder (PTSD) was prescribed cognitive behavioral therapy sessions four times monthly by their physician, yet the facility's care plan contained no provisions for this critical treatment. The resident was taking three psychiatric medications - Citalopram for depression, Buspirone for anxiety, and Clonazepam for panic disorders - indicating the severity of their mental health needs.
Despite the physician's clear orders to "establish care with psychology for cognitive behavioral therapy," the facility's undated care plan showed no goals or interventions addressing PTSD treatment. This represented a fundamental disconnect between medical orders and actual care delivery.
The resident told inspectors during observation that weekly therapy meetings "help her feel better," yet the facility's documentation systems failed to reflect these essential services. Progress notes from the therapy provider showed active treatment addressing anxiety triggers, coping strategies, and adjustment issues, but none of this critical information was incorporated into the resident's official care plan.
Administrative Gaps in Specialized Services
The facility's approach to mental health screening revealed additional systemic problems. Staff had referred the PTSD resident for specialized mental health services through the Pre-Admission Screening and Resident Review (PASRR) program, which determines eligibility for enhanced psychiatric care in nursing facilities. However, the application was denied because PTSD alone did not meet the specific diagnostic criteria for specialized services.
Following this denial, the facility made no effort to develop alternative mental health support strategies or update care plans to reflect the resident's ongoing therapeutic needs. The MDS coordinator acknowledged that the care plan had not been updated for PTSD and cognitive behavioral therapy, stating that inaccurate care plans "could affect the care of the resident."
This admission highlighted a critical flaw in the facility's care coordination system. When external specialized services are unavailable, nursing facilities must develop internal protocols to ensure residents still receive appropriate mental health support. The Director of Nursing confirmed that accurate care plans are essential because "if the care plan was not accurate, the resident would not get proper care."
Prolonged Neglect of Anxiety Treatment
A separate case involved a resident with diagnosed anxiety who had been living at the facility since 2017. The resident's care plan, last revised in 2018, included provisions for psychological consultation as ordered by their physician. However, inspectors found no evidence that any psychological services had ever been initiated or provided.
The resident's cognitive assessment showed severe impairment, and they exhibited concerning behaviors including screaming and aggression toward other residents. Despite these clear indicators of psychological distress, no physician orders for mental health services were found in the medical record. There was no documentation of staff contacting physicians about the resident's deteriorating mental state or coordinating psychiatric care.
When questioned about this six-year gap in mental health services, the Director of Nursing admitted she "could not explain why the order was not carried out or followed up on." This response revealed a troubling lack of oversight in ensuring residents receive prescribed treatments.
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 18, 2026 · Our methodology
Bayou Pines Care Center in La Marque, TX was cited for violations during a health inspection on July 31, 2024.
Inspectors found that residents with diagnosed mental health conditions were not receiving the specialized care outlined in their treatment plans.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.