Chuck Bell
Jul 2026
Great Staff, friendly, attentive.<br>St.James House was very clean and no smells. They Care.<br>Chuck
1 / 5Quick Facts
- Total units
- 105
- Medicare rating
- 5 of 5
- Ownership
- For profit, Corporation
- Certified beds
- 105
- Inspections
- View history (18 citations)
- Independent Living Units
- One/two-bedroom apartments with full kitchens, laundry hookups
- Rehab Partner
- On-site PT/OT/speech therapy via Synergy Therapy
- Setting
- Independent living apartments set on ten wooded acres
- Staff Tenure
- Many staff have worked there for years
CMS Care Compare
What Families Think
Reviewers of St. James House are largely positive, describing a nursing and rehab staff that feels like family and has stayed with the community for years. However, one detailed report described serious neglect and safety concerns during a hospice stay, standing in sharp contrast to the otherwise favorable feedback.
The Good
- Staff described as caring, genuine, and attentive
- Long-tenured staff who know residents well
- Positive outcomes reported for skilled nursing and rehab stays
- Facility described as clean
- On-site PT, OT, and speech therapy partnership
The Bad
- One report of serious neglect, injury, and missing belongings in hospice care
- One account of staff speaking harshly or yelling at residents
AI-generated from reviews and community data.
St. James House is a senior living community in Baytown, Texas offering Independent Living and Skilled Nursing / Long Term Care. Amenities include Restaurant style Dining Room, Outdoor Patio and Gathering / Activity Spaces. Families rate it 3.9 out of 5 across 41 reviews.
About St. James House
St. James House of Baytown is a skilled nursing and independent living community in Baytown, Texas, committed to providing a nurturing environment where residents can live healthy, comfortable, and socially interactive lives.
The community's Alexander Hall Independent Living Apartments are situated on ten wooded acres and feature one and two bedroom units with fully equipped kitchens, large walk-in closets, washer and dryer connections, and spacious balconies. Residents have access to generous community spaces for personal enjoyment and family gatherings.
St. James House prioritizes personalized care with an emphasis on mutual respect between residents and care team members. The community partners with Synergy Therapy to offer comprehensive rehabilitation programs including physical, speech, and occupational therapy. Therapists collaborate to create individualized therapy plans using the latest treatments and equipment, with the goal of helping residents achieve the highest level of functional skills possible.
The care team encourages residents and families to actively participate in creating care plans to ensure satisfaction with results. The community operates with a philosophy of treating all individuals as family and maintaining a home-like atmosphere throughout the facility.
Types of Care at St. James House
Independent LivingSkilled Nursing / Long Term Care
Amenities
Room Amenities
- Cable or Satellite TV
- Emergency Call System
- Kitchen
- Multiple Floor Plans
- Private Bathroom
- Private Rooms
- Washer & Dryer
- Wheelchair Accessible
Meals & Dining
- Restaurant style Dining Room
Community Amenities
- 24-Hour Staff
- Gathering / Activity Spaces
- Housekeeping
- Laundry Service
- Medication Management
- On-Site Nurse (RN)
- Outdoor Patio
- Security
Activities
- Grocery Shopping and Errands
- Social Activities (Happy Hour, Wine Tasting, Dances, Karaoke)
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Help Me ChooseReviews of St. James House
3.9overall · 41 ratings combined
3.9★ on Google (41)
Mollie Mitchell
Feb 2026
NO STARS! THIS PLACE HAS NURSES WHO HURT MY 91 YEAR OLD GRASNDMOTHER AND ALL THE EQUPMENT IS OUTDATED, STAFF IS RUDE AND ABSUSIVE!!! PLEASE NO ONE SEND A LOVE ONE HERE UNLESS YOU WANT THEM IN THE HOPSITAL!
Sarai Farias
Jan 2026
I am writing this review to share my family’s experience with St. James Resident Hospice, in hopes that concerns about resident care are taken seriously. During my grandmother’s stay, there were multiple incidents that raised serious concerns about her safety, dignity, and overall care. Most alarming was an incident in which my grandmother was found with an injury to her eye. Our family was informed that she had been punched, yet the facility stated they were unable to determine which staff member was responsible. This lack of accountability is extremely troubling. Additionally, my grandmother was left sitting in urine for extended periods of time on more than one occasion, indicating neglect and inadequate supervision. We also personally witnessed staff members speaking harshly and yelling at residents, which is completely unacceptable in a care environment meant to provide comfort and compassion. From the beginning of her stay, personal belongings went missing. Despite reporting these concerns, no meaningful action or follow-up was taken by staff. This ongoing issue added to our distress and eroded trust in the facility. Based on our experience and direct observations, we feel that the level of care provided does not meet the standards expected of a hospice facility. Residents deserve to be treated with respect, attentiveness, and kindness, and unfortunately, that is not our experience at St. James. I strongly encourage management to thoroughly investigate these concerns and take immediate steps to improve staff accountability, training, and resident care.
Heather Harris
Nov 2025
Staff is so caring and attentive. Facility is clean I would send anyone needing care here again They did wonderful with my grandmother.
amy collins
Nov 2025
My dad is in skilled nursing at St James House for the second time in two years, and he’s had the best care that either of my parents have had in previous rehabilitation facilities. Most of the staff has been there for years, which speaks highly of the work environment, and they welcomed my dad back like an old friend. The office staff has been so good to keep us informed about Dad’s progress as well as insurance updates. The nursing staff and all workers who help patients are very open, genuine and caring people and have been so good to my dad. He’s happy which makes me happy. I highly recommend St James House for nursing and rehab. The people there treat one another like close family.
Government Inspection History
6 inspection visits in the last three years, 18 citations on file. Inspections are conducted by state agencies on behalf of the U.S. Centers for Medicare & Medicaid Services (CMS).
Mar 26, 2026Health Complaint3 citations
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 13, 2026
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 13, 2026
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 13, 2026
Aug 20, 2025Fire Safety StandardHealth Standard4 citations
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 20, 2025
Ensure that residents are free from significant medication errors.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 20, 2025
Have properly installed electrical wiring and gas equipment.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 20, 2025
Have proper medical gas storage and administration areas.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 20, 2025
Jan 10, 2025Health Complaint1 citation
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Jan 11, 2025
Oct 9, 2024Health Complaint1 citation
Provide safe and appropriate respiratory care for a resident when needed.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Nov 1, 2024
Jun 27, 2024Fire Safety StandardHealth Standard5 citations
Have simulated fire drills held at unexpected times.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Aug 9, 2024
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 1, 2024
Provide properly protected cooking facilities.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 1, 2024
Properly select, install, inspect, or maintain portable fire extinguishes.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 9, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 1, 2024
May 12, 2023Fire Safety StandardHealth Standard4 citations
Have simulated fire drills held at unexpected times.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jun 1, 2023
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 15, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 15, 2023
Dispose of garbage and refuse properly.
Severity C of L: potential for minimal harm, widespreadCorrected Jun 15, 2023
Source: CMS Care Compare, public federal data covering certified nursing facilities, refreshed monthly. Citations range from A (least serious) to L (most serious) on the federal scope and severity scale. Most citations are corrected quickly; review the details and ask the community about anything that concerns you.
Frequently Asked Questions
What types of care does St. James House offer?
St. James House offers Independent Living and Skilled Nursing / Long Term Care.
Where is St. James House located?
St. James House is located at 5800 W Baker Rd in Baytown, Texas.
What do families say about St. James House?
Reviewers of St. James House are largely positive, describing a nursing and rehab staff that feels like family and has stayed with the community for years. However, one detailed report described serious neglect and safety concerns during a hospice stay, standing in sharp contrast to the otherwise favorable feedback.
How did St. James House do on recent health and safety inspections?
St. James House had 6 government inspection visits in the last three years, with 18 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.
How can families visit St. James House?
Submit the Request Information form on this page to connect with St. James House and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.
Work at St. James House? Claim this listing to update photos, pricing, and details. It's free.
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