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Nursing HomeMedicaid Investigative

Sylvan Shores Health and Wellness

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

3950 Underwood Road, La Porte, TX 77571124 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.8/5

based on 304 Google reviews

5
4
3
2
1

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7/ 10
critical Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Abuse citation on record
  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • High staff turnover (59%)
  • High RN turnover (62%)

Bottom 25% in Texas · Critically understaffed (RN) · Worst in ML HEALTHCARE chain · No penalties on record · Abuse citation

Source: Medicare data

What this means for your family

This facility is an excellent choice if cleanliness and a modern, welcoming environment are your top priorities. However, if your loved one requires high-intensity monitoring, you should specifically ask about the staffing levels and responsiveness of the nursing staff on the specific hall where they will be placed.

Google Reviews

Google Reviews

304 reviews on Google
Sylvan Shores is widely praised by families for its exceptionally clean, modern, and visually appealing facility that lacks the typical unpleasant odors of nursing homes. While the majority of reviewers highlight a warm, professional, and caring staff, there are serious, isolated reports of neglect regarding hygiene and medical monitoring in specific halls. Families should also be aware of occasional difficulties in communicating with nursing staff via telephone.

Quality Themes

Tap a score for details
Food3.0Staff9.0Clean10.0Activities5.0MedsN/AMemoryN/AComms4.0ValueN/A

Strengths

  • Immaculate cleanliness and lack of odors
  • Friendly and professional nursing and administrative staff
  • Modern, beautiful, and well-maintained facility
  • Effective and compassionate rehabilitation therapy

Concerns

  • Difficulty reaching nursing staff via phone/messages (mentioned by 2 reviewers)
  • Reports of hygiene neglect (incontinence care) in specific wings (mentioned by 2 reviewers)
  • Inconsistent food quality (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2344.82024(49)4.92025(132)4.72026(29)

Distribution · 210 analyzed

5
191
4
12
3
3
2
0
1
4

How They Respond to Reviews

93%response rate
Good

The owner provides highly personalized responses that frequently use the reviewer's name and acknowledge specific details like staff members or family members mentioned. They maintain a warm, welcoming tone and actively invite repeat visits.

Questions for Your Tour

  • 1The facility looks incredibly beautiful and clean; how do you maintain such high standards of cleanliness throughout the building?
  • 2I noticed the administration is very responsive to feedback; how does the leadership team involve families in addressing concerns about daily care or food quality?
  • 3What specific protocols are in place to ensure consistent hygiene and incontinence care for residents in all wings of the facility?
  • 4How do you ensure that nursing staff remain easily reachable for family members during evening or weekend hours?
  • 5Could you tell us more about the meal service and how you work to ensure consistent food quality and nutrition for everyone?
  • 6In the event of a medical emergency after hours, what is the immediate process for notifying the family and coordinating care?

Personalized based on this facility's data


Key Review Excerpts

The facility is clean and fresh. It has a warm sense about it. I feel like he’s in very good hands.

Long-term resident's family · 2026★★★★★

The home was nicely done ,clean and didn’t smell like a lot of homes do

Visitor · 2025★★★★

My mom is here for rehab and so far everything has been awesome. Everyone has been nice and helpful.

Rehab patient's family · 2025★★★★★
Source: 304 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.22hrs
29%
Registered nurses for medical care
Total Nursing
3.01hrs
73%
All nurses + aides combined
Staff Turnover
68%
Lower is better (< 30% = good)
RN Turnover
82%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

7

measures

Worse Than Avg

3

measures

Mixed Results

7

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.0%
Better than Avg
Here
1.0%
US
12.1%
TX
2.5%
Harris
0.9%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better
This Facility8.4%
Better than Avg
Here
8.4%
US
15.3%
TX
14.9%
Harris
12.6%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility9.5%
Mixed vs Avgs
Here
9.5%
US
15.4%
TX
9.4%
Harris
8.9%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
5.3%
TX
3.2%
Harris
3.7%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility15.4%
Mixed vs Avgs
Here
15.4%
US
19.4%
TX
14.2%
Harris
12.8%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility12.6%
Mixed vs Avgs
Here
12.6%
US
14.4%
TX
16.1%
Harris
12.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility59.7%
Worse than Avg
Here
59.7%
US
81.8%
TX
89.2%
Harris
86.5%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility61.0%
Worse than Avg
Here
61.0%
US
79.7%
TX
88.0%
Harris
86.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.5%
Worse than Avg
Here
1.5%
US
1.6%
TX
1.5%
Harris
1.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

4deficiencies
1penalties
Well below state avg (9.1)
3 complaint-triggered

Families have filed multiple complaint reports against this facility, triggering 7 deficiencies across surveys, with issues spanning medication management, care planning, and resident protection from abuse and neglect. The facility shows recurring problems with medication errors and resident assessments that persist across multiple years, though all deficiencies have correction dates indicating the facility addresses issues when cited.

Nov 24, 2025Complaint
1
0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Jul 23, 2025Routine
4
0600Immediate jeopardy · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0641Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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

Sep 4, 2024Complaint
2
0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Jun 12, 2024Routine
5
0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0585Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

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

Apr 13, 2023Routine
8
0741Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

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

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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

0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Federal Penalties

Fine

Jul 25, 2025

$8,281

Ownership & Operations

Who Operates This Facility

Owner / Operator

Frio Hospital District

Organization Type

for profit

Management Company

MLLA PORTE LLC

Administrator

LAURA CARDENAS

Chain Affiliation

Chain Name

Ml Healthcare

Chain Size

6 facilities nationwide

Chain avg rating: 3.0/5 · Rank 5 of 6 (Worst)

Ownership & Management

Owners

Frio Hospital District

Owner · Organization

100%

Key personnel

Ruff, MichaelOfficer / DirectorMl - La Porte, LLCManagerLangsdale, TroyManagerMiller, LauraManagerMohammed, ShafrazManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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