Sylan Shores Health and Wellness
3950 Underwood Rd · La Porte, TX · 77571 · 8328616910
124 certified beds Government - Hospital district Chain: Ml Healthcare
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Staffing levels are well below research benchmarks for safe care.
- Inspection results are getting worse cycle over cycle, not better.
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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
RN staffing in the bottom 10% nationally
0.22 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
68% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.01 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.22 | 0.55–0.75 |
| Weekend hours / resident-day | 2.68 | ≈ weekday level |
| Nursing turnover / year | 68% | median 45% |
| Fines (3-yr window) | 1 · $8,281 |
Inspection citations (16 in the current record)
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Potential for harm · D November 24, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 19, 2025 · Resident Assessment and Care Planning
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Immediate jeopardy · J July 23, 2025
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected July 17, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E July 23, 2025
Ensure each resident receives an accurate assessment.
Corrected August 8, 2025 · Resident Assessment and Care Planning
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Potential for harm · E July 23, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 8, 2025 · Pharmacy Service
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Potential for harm · D September 4, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 27, 2024 · Resident Rights
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Potential for harm · D September 4, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected September 27, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 12, 2024
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 June 21, 2024 · Resident Rights
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Potential for harm · D June 12, 2024
Ensure each resident receives an accurate assessment.
Corrected June 21, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 12, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected June 21, 2024 · Pharmacy Service
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Potential for harm · D April 13, 2023
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected May 12, 2023 · Resident Assessment and Care Planning
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Potential for harm · D April 13, 2023
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 12, 2023 · Resident Assessment and Care Planning
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Potential for harm · D April 13, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 12, 2023 · Quality of Life and Care
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Potential for harm · E April 13, 2023
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 12, 2023 · Pharmacy Service
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Potential for harm · E April 13, 2023
Ensure medication error rates are not 5 percent or greater.
Corrected May 12, 2023 · Pharmacy Service
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Potential for harm · E April 13, 2023
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 May 12, 2023 · Pharmacy Service
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Potential for harm · D April 13, 2023
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected May 12, 2023 · Resident Assessment and Care Planning
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 25, 2025 | Fine | $8,281 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676490 · certified since November 12, 2020. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.