Sylan Shores Health and Wellness
3950 Underwood Rd, La Porte, TX 77571 · Harris County · 124 certified beds · avg 106 residents/day · certified since Nov 12, 2020
Abuse citation flag (CMS)
Part of chain: ML HEALTHCARE (6 facilities, chain avg rating 2.3★)
The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5
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 · Jul 23, 2025 · F-0600
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
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: Jul 17, 2025 (Past Non-Compliance)
All citations in the current public record (16)
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 |
|---|---|---|
| Nov 24, 2025 | 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. · from a complaint |
| Jul 23, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. |
| Jul 23, 2025 | 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 23, 2025 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Sep 4, 2024 | 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. · from a complaint |
| Sep 4, 2024 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Jun 12, 2024 | D · Potential for harm, one-off | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. |
| Jun 12, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jun 12, 2024 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Apr 13, 2023 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Apr 13, 2023 | E · Potential for harm, repeated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Apr 13, 2023 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Apr 13, 2023 | 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. |
| Apr 13, 2023 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Apr 13, 2023 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Apr 13, 2023 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (3 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 7 | 0 | E |
| 2024 | 5 | 0 | D |
| 2025 | 4 | 1 | J ▲ |
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 $8,281.
| Date | Type | Amount / length |
|---|---|---|
| Jul 25, 2025 | Fine | $8,281 |
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) | 2.91 | 3.46 | 3.95 | bottom 18% in Texas; bottom 11% in the U.S. |
| Registered Nurse hours | 0.21 | 0.44 | 0.69 | bottom 8% in Texas; bottom 3% in the U.S. |
| Weekend total nurse staffing | 2.50 | 3.04 | 3.50 | bottom 16% in Texas; bottom 9% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.18 | 0.34 | 0.48 | bottom 15% in Texas; bottom 9% in the U.S. |
| Total nursing staff turnover (%) | 69.5 | 55.3 | 45.8 | bottom 20% in Texas; bottom 6% in the U.S. |
| RN turnover (%) | 92.9 | 54.6 | 42.9 | bottom 8% in Texas; bottom 1% 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 3.00, RN 0.21, weekend 2.58. 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: 4/5 · short-stay residents: 1/5
Who owns this facility
Government - Hospital district
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Frio Hospital District | Organization | 5% or Greater Direct Ownership Interest | 100% | 01/01/2024 |
| Cardenas, Laura | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
| Langsdale, Troy | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2024 |
| Langsdale, Troy | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
| Martel Healthcare Management LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
| MDP Healthcare LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
| Miller, Laura | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2024 |
| Miller, Laura | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
| ML - la Porte, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2024 |
| ML - la Porte, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/29/2025 |
| Mohammed, Shafraz | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2024 |
| Mohammed, Shafraz | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
| Robinson Realty Group LTD | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
| Ruff, Michael | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2024 |
| Smithers Management Trust | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "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 |
|---|---|---|---|---|---|
| Baywood Crossing Rehabilitation & Healthcare Cente | 3.6 mi | Pasadena, TX | ★★★★☆ | 4/5 | |
| The Courtyards at Pasadena | 4.1 mi | Pasadena, TX | ★★★☆☆ | 3/5 | |
| Bay Ridge Healthcare Center | 4.4 mi | La Porte, TX | ★☆☆☆☆ | 1/5 | |
| Hca Houston Healthcare Southeast | 4.7 mi | Pasadena, TX | ★★★★★ | 5/5 | |
| The Suites Pasadena | 4.8 mi | Pasadena, TX | ★☆☆☆☆ | 1/5 | |
| Avir at Pasadena | 5.5 mi | Pasadena, TX | ★★★★☆ | 3/5 | |
| Focused Care at Pasadena | 5.5 mi | Pasadena, TX | ★☆☆☆☆ | 1/5 | |
| Pasadena Post Acute | 5.8 mi | Pasadena, TX | ★★★☆☆ | 2/5 | |
| Paradigm at Faith Memorial | 7.2 mi | Pasadena, TX | ★★★☆☆ | 3/5 | |
| Ignite Medical Resort Webster, LLC | 7.5 mi | Webster, TX | ★★★★★ | 5/5 | |
| Focused Care at Webster | 8.0 mi | Webster, TX | ★★☆☆☆ | 1/5 | abuse |
| St James House of Baytown | 8.6 mi | Baytown, TX | ★★★★★ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 676490.