La Porte, TX

Sylan Shores Health and Wellness

1-star overall rating with 2-star inspections with abuse icon flag with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

3950 Underwood Rd, La Porte, TX

(832) 861-6910

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

124

Certified beds

Average residents

111

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

Ml Healthcare

Operator or chain grouping

Approved since

2020-11-12

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.27

Registered nurse staffing

LPN hours / resident day

0.85

Licensed practical nurse staffing

Aide hours / resident day

1.78

Nurse aide staffing

Weekend hours

2.68

Weekend nurse staffing

RN turnover

63%

Annual RN turnover

Total nurse turnover

59%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.0
2.1
0.1 pts better
1.9
0.1 pts worse
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 2.0
2.1
0.1 pts better
1.8
0.2 pts worse
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 90.0%
97.1%
7.1 pts worse
93.4%
3.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.9%
97.9%
About the same
95.5%
2.4 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 3.3%
3.3%
About the same
3.3%
About the same
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 1.0%
2.7%
1.7 pts better
11.4%
10.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 0.0%
3.3%
3.3 pts better
5.4%
5.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 20.9%
18.9%
2 pts worse
19.6%
1.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 10.0%
10.8%
0.8 pts better
16.7%
6.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.0%
About the same
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 8.3%
15.4%
7.1 pts better
16.3%
8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 12.9%
16.1%
3.2 pts better
14.9%
2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
0.5%
0.5 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.0%
0.8%
0.8 pts better
1.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 18.3%
15.0%
3.3 pts worse
19.8%
1.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 4.5%
4.2%
0.3 pts worse
5.1%
0.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 58.2%
89.7%
31.5 pts worse
81.7%
23.5 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 16.4%
12.0%
4.4 pts worse
12.0%
4.4 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 1.6%
1.5%
0.1 pts worse
1.6%
About the same
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 61.0%
88.0%
27 pts worse
79.7%
18.7 pts worse
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 31.3%
25.9%
5.4 pts worse
23.9%
7.4 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-07-23 · Fire 2025-07-23

4 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 2 Health 2024-06-12 · Fire 2024-06-12

5 health deficiencies

Top issue: Resident Rights (2 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2023-04-13 · Fire 2023-04-13

8 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

1 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-07-23

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-08-13

E · Potential for more than minimal harm 2024-06-12

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-06-13

D · Potential for more than minimal harm 2024-06-12

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-06-13

F · Potential for more than minimal harm 2023-04-13

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2023-05-12

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-11-24

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-12-19

J · Immediate jeopardy 2025-07-23

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-07-17

E · Potential for more than minimal harm 2025-07-23

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-08-08

E · Potential for more than minimal harm 2025-07-23

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-08-08

D · Potential for more than minimal harm 2024-09-04

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-09-27

D · Potential for more than minimal harm 2024-09-04

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-09-27

D · Potential for more than minimal harm 2024-06-12

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2024-06-21

D · Potential for more than minimal harm 2024-06-12

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-06-21

D · Potential for more than minimal harm 2024-06-12

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-06-21

F · Potential for more than minimal harm 2023-04-13

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-05-12

E · Potential for more than minimal harm 2023-04-13

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2023-05-12

E · Potential for more than minimal harm 2023-04-13

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-05-12

E · Potential for more than minimal harm 2023-04-13

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2023-05-12

D · Potential for more than minimal harm 2023-04-13

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2023-05-12

D · Potential for more than minimal harm 2023-04-13

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-05-12

D · Potential for more than minimal harm 2023-04-13

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-05-12

D · Potential for more than minimal harm 2023-04-13

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2023-05-12

Penalties and ownership

What sits behind the stars

Ownership

Frio Hospital District

5% Or Greater Direct Ownership Interest · Organization

100% 22 facilities 2024-01-01
Langsdale, Troy

Operational/Managerial Control · Individual

0% 6 facilities 2024-01-01
Miller, Laura

Operational/Managerial Control · Individual

0% 7 facilities 2024-01-01
Ml - La Porte, LLC

Operational/Managerial Control · Organization

0% 1 facilities 2024-01-01
Mohammed, Shafraz

Operational/Managerial Control · Individual

0% 1 facilities 2024-02-01
Ruff, Michael

Corporate Officer · Individual

0% 23 facilities 2024-01-01

Nearby options

Other facilities in reach

#2

The Courtyards At Pasadena

Pasadena, TX

3-star overall rating with 3-star inspections with $8,827 in total fines with 6 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

Overall
3 / 5
Health
3 / 5
Staffing
2 / 5
Fines
$8,827
#3

Bay Ridge Healthcare Center

La Porte, TX

3-star overall rating with 3-star inspections with $18,054 in total fines with 5 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle

Overall
3 / 5
Health
3 / 5
Staffing
3 / 5
Fines
$18,054

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