Bayou Pines Care Center

Name: Bayou Pines Care Center
Address: 4905 Fleming Street, La Marque, TX, 77568, US
Telephone: 4099388282

4905 Fleming Street, La Marque, TX 77568 · Galveston County · 120 certified beds · avg 92 residents/day · certified since Jul 2, 2009

3/5

Health inspection rating (on-site)

Serious findings on record

$14,069

Fines, last 3 years

2.96

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, one-off · Sep 16, 2025 · F-0755 · triggered by a complaint

The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.

Why it matters: Weak pharmacy services lead to medication mistakes, delays, and missed drug interactions that can seriously harm residents.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: Sep 17, 2025 (Deficient, Provider has date of correction)

All citations in the current public record (20)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jan 15, 2026	E · Potential for harm, repeated	The facility employed staff who were not licensed, certified, or registered as required by state law. · from a complaint
Jan 15, 2026	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Sep 16, 2025	▲ J · Immediate jeopardy, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Sep 16, 2025	E · Potential for harm, repeated	The facility did not keep residents' personal and medical information private and confidential. · from a complaint
Aug 1, 2025	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Aug 1, 2025	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Aug 1, 2025	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Aug 1, 2025	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Jun 11, 2025	E · Potential for harm, repeated	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint
Jun 11, 2025	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Apr 2, 2025	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Jul 31, 2024	E · Potential for harm, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Jul 31, 2024	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
Jul 31, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Jul 31, 2024	D · Potential for harm, one-off	The facility did not provide appropriate treatment and services to residents with a mental health condition, difficulty adjusting emotionally, or a history of trauma or post-traumatic stress disorder (PTSD).
Jul 31, 2024	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Apr 20, 2023	E · Potential for harm, repeated	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care.
Apr 20, 2023	E · Potential for harm, repeated	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Apr 20, 2023	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Apr 20, 2023	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 4).

Year	Citations	Serious (G–L)	Worst severity that year
2023	4	0	E
2024	5	0	E
2025	9	1	J ▲
2026	2	0	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

1 fine totaling $14,069.

Date	Type	Amount / length
Sep 16, 2025	Fine	$14,069

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Texas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	2.96	3.46	3.95	bottom 21% in Texas; bottom 12% in the U.S.
Registered Nurse hours	0.30	0.44	0.69	bottom 29% in Texas; bottom 10% in the U.S.
Weekend total nurse staffing	2.47	3.04	3.50	bottom 13% in Texas; bottom 8% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.19	0.34	0.48	bottom 18% in Texas; bottom 10% in the U.S.
Total nursing staff turnover (%)	68.1	55.3	45.8	bottom 21% in Texas; bottom 7% in the U.S.
RN turnover (%)	63.6	54.6	42.9	bottom 35% in Texas; bottom 17% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.03, RN 0.31, weekend 2.53. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: 2/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Billy Schindele 2020 Irrv Tr	Organization	ADP of the SNF	NOT APPLICABLE	08/01/2024
Clark, Jonathan	Individual	ADP of the SNF	NOT APPLICABLE	08/01/2024
Murrell, Edward	Individual	Corporate Director	NOT APPLICABLE	08/01/2024
Schindele, William	Individual	Operational/Managerial Control	NOT APPLICABLE	08/01/2024
Sherry Schindele Irrv Tr	Organization	ADP of the SNF	NOT APPLICABLE	08/01/2024
Spangler, Gary	Individual	ADP of the SNF	NOT APPLICABLE	08/01/2024
TDT Lamarque Opco LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	08/01/2024
TDT Lamarque Propco LLC	Organization	ADP of the SNF	NOT APPLICABLE	08/01/2024
Trident LTC, INC.	Organization	ADP of the SNF	NOT APPLICABLE	08/01/2024
Trident One Leasing LLC	Organization	ADP of the SNF	NOT APPLICABLE	08/01/2024

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"How do you verify licenses and certifications for every caregiver before they start, and how often do you recheck them?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How do you protect residents' privacy, both in their medical records and in day-to-day care?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
The Lakes at Texas City	0.8 mi	Texas City, TX	★★☆☆☆	3/5
The Shoal	1.6 mi	Texas City, TX	★★★★★	5/5
Seabreeze Nursing and Rehabilitation	1.9 mi	Texas City, TX	★☆☆☆☆	1/5	abuse
Harbor Point Skilled Nursing	5.2 mi	Texas City, TX	★★★★☆	5/5
The Phoenix Post-Acute	6.8 mi	Texas City, TX	★★★☆☆	3/5
The Heights of League City	8.6 mi	League City, TX	★☆☆☆☆	1/5
Baywind Village Skilled Nursing & Rehab	10.8 mi	League City, TX	★★★★★	5/5
MRC the Crossings	10.8 mi	League City, TX	★★★★★	5/5
Galveston Nursing and Rehabilitation Center	12.2 mi	Galveston, TX	★☆☆☆☆	1/5	SFF
Regency Village	12.5 mi	Webster, TX	★★☆☆☆	2/5	abuse
Focused Care at Webster	13.4 mi	Webster, TX	★★☆☆☆	1/5	abuse
Laurel Court	13.4 mi	Alvin, TX	★★★★★	5/5

Compare this facility with the 3 closest →

All facilities in La Marque →

Facility data as of CMS processing date 2026-08-01. CCN 676223.

The Care File

Visit checklist — Bayou Pines Care Center

4905 Fleming Street, La Marque, TX 77568 · 4099388282

Health inspection rating 3/5 · CMS overall 2/5· Fines (3y): $14,069

Most serious findings on record:

▲ Sep 16, 2025 (F-0755, Immediate jeopardy, one-off): The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.

Questions for the administrator:

☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "How do you verify licenses and certifications for every caregiver before they start, and how often do you recheck them?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 676223 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)