Skilled nursing facility · CMS certification number 676490
Sylan Shores Health and Wellness
La Porte, Texas · Medicare and Medicaid · 124 certified beds in Care Compare
In Care Compare’s provider information: Penalties: 1 · Fines: 1 · Fines, total amount: $8,281.00 · Payment denials: 0. The most recent penalty on file: July 25, 2025, Fine, $8,281. Every penalty on file ↓
Sylan Shores Health and Wellness: its citable report, full history — $295 · an email when it changes — $99/month
What stands out
- Its latest cost report on file is for fiscal year 2024, covering January 1, 2024 to September 30, 2024 (273 days, not a full year), and CMS processed it on February 17, 2025.
- Net patient revenue fell from $9.7M in fiscal year 2023 to $7.7M in fiscal year 2024.
- Its result from service to patients: $102K (2022), $200K (2023), $495K (2024).
- Its cost reports on file run from fiscal year 2020 to fiscal year 2024.
- Its net patient revenue of $7.7M ranks 265th of the 681 nursing facilities in Texas whose latest cost report on file is fiscal year 2024.
- 1 of the 5 nursing facilities in Texas closest in size to it, whose latest cost report on file is fiscal year 2024, also reports a gain on service to patients.
Sylan Shores Health and Wellness: Medicare cost reports
Form CMS-2540-10: every report is settled.
| Form CMS-2540-10 | 2024 · report 1403783 | 2023 · report 1402127 | 2022 · report 1394470 | 2021 · report 1317539 | 2020 · report 1303084 |
|---|---|---|---|---|---|
| Period began | January 1, 2024 | January 1, 2023 | January 1, 2022 | January 1, 2021 | November 12, 2020 |
| Period ended | September 30, 2024 | December 31, 2023 | December 31, 2022 | December 31, 2021 | December 31, 2020 |
| Days, where not a full year | 273 | — | — | — | 49 |
| Processed by CMS | February 17, 2025 | January 10, 2025 | September 10, 2024 | May 30, 2022 | October 22, 2021 |
| Total patient revenue | $9,919,679 | $12,650,395 | $10,856,449 | $8,956,932 | $480,562 |
| Contractual allowances and discounts | $2,175,542 | $2,984,114 | $2,768,856 | $2,802,076 | $186,207 |
| Net patient revenue | $7,744,137 | $9,666,281 | $8,087,593 | $6,154,856 | $294,355 |
| Total operating expenses | $7,248,750 | $9,466,556 | $7,985,411 | $7,123,700 | $446,907 |
| Net income from service to patients | $495,387 | $199,725 | $102,182 | −$968,844 | −$152,552 |
| Total other income | $1,094 | $50,558 | $114,234 | $33,831 | — |
| Net income after other income | $496,481 | $250,283 | $216,416 | −$935,013 | −$152,552 |
| Net income | $496,481 | $250,283 | $216,416 | −$935,013 | −$152,552 |
| Total facility beds, all components | 124 | 124 | 124 | 124 | 124 |
| Bed days available, all components | 33,976 | — | — | — | — |
| Medicare (Title XVIII) patient days | 2,093 | — | — | — | — |
| Medicaid (Title XIX) patient days | 17,398 | — | — | — | — |
| Other-payer patient days | 9,485 | — | — | — | — |
| Total patient days, all components | 28,976 | 36,777 | 28,761 | 16,865 | 668 |
| Medicare discharges | 37 | — | — | — | — |
| Medicaid discharges | 77 | — | — | — | — |
| Other-payer discharges | 218 | — | — | — | — |
| Total discharges, all components | 332 | 339 | 317 | 120 | 9 |
| Average length of stay, Medicare, in days | 56.57 | 54.04 | 46.77 | 33.6 | 69 |
| Average length of stay, Medicaid, in days | 225.95 | 258.91 | 200.23 | 169.96 | 102 |
| Average length of stay, all patients, in days | 87.28 | 108.49 | 90.73 | 140.54 | 74.22 |
Net income, fiscal years 2024, 2023, 2022, 2021, 2020. Checked against the form’s own arithmetic: what that check shows.
Sylan Shores Health and Wellness: nurse staffing hours by quarter →
Who owns Sylan Shores Health and Wellness, as filed with CMS
Care Compare
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: FRIO HOSPITAL DISTRICT (organization), 100%%, since 01/01/2024
- ADP OF THE SNF: CARDENAS, LAURA (individual), NOT APPLICABLE, since 01/01/2024; LANGSDALE, TROY (individual), NOT APPLICABLE, since 01/01/2024; MARTEL HEALTHCARE MANAGEMENT LLC (organization), NOT APPLICABLE, since 01/01/2024; MDP HEALTHCARE LLC (organization), NOT APPLICABLE, since 01/01/2024; MILLER, LAURA (individual), NOT APPLICABLE, since 01/01/2024; ML - LA PORTE, LLC (organization), NOT APPLICABLE, since 04/29/2025; MOHAMMED, SHAFRAZ (individual), NOT APPLICABLE, since 01/01/2024; ROBINSON REALTY GROUP LTD (organization), NOT APPLICABLE, since 01/01/2024; SMITHERS MANAGEMENT TRUST (organization), NOT APPLICABLE, since 01/01/2024
- CORPORATE OFFICER: RUFF, MICHAEL (individual), NOT APPLICABLE, since 01/01/2024
- OPERATIONAL/MANAGERIAL CONTROL: LANGSDALE, TROY (individual), NOT APPLICABLE, since 01/01/2024; MILLER, LAURA (individual), NOT APPLICABLE, since 01/01/2024; ML - LA PORTE, LLC (organization), NOT APPLICABLE, since 01/01/2024; MOHAMMED, SHAFRAZ (individual), NOT APPLICABLE, since 02/01/2024
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of FRIO HOSPITAL DISTRICT (enrollment ID O20240119002960).
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: FRIO HOSPITAL DISTRICT (organization), 100.00%, since 01/01/2024
- ADP OF THE SNF: LAURA CARDENAS (individual), since 01/01/2024; LAURA MILLER (individual), since 01/01/2024; MARTEL HEALTHCARE MANAGEMENT LLC (organization), since 01/01/2024; MDP HEALTHCARE LLC (organization), since 01/01/2024; ML - LA PORTE, LLC (organization), since 04/29/2025; ROBINSON REALTY GROUP LTD (organization), since 01/01/2024; SHAFRAZ JASON MOHAMMED (individual), since 01/01/2024; SMITHERS MANAGEMENT TRUST (organization), since 01/01/2024; TROY LANGSDALE (individual), since 01/01/2024
- CORPORATE OFFICER: MICHAEL RUFF (individual), since 01/01/2024
- OPERATIONAL/MANAGERIAL CONTROL: LAURA MILLER (individual), since 01/01/2024; ML - LA PORTE, LLC (organization), 100.00%, since 01/01/2024; SHAFRAZ JASON MOHAMMED (individual), since 02/01/2024; TROY LANGSDALE (individual), since 01/01/2024
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: No: FRIO HOSPITAL DISTRICT; MARTEL HEALTHCARE MANAGEMENT LLC; MDP HEALTHCARE LLC; ML - LA PORTE, LLC; ROBINSON REALTY GROUP LTD; SMITHERS MANAGEMENT TRUST; ML - LA PORTE, LLC.
Private equity company, real estate investment trust and holding company: Paused by CMS: LAURA CARDENAS; LAURA MILLER; SHAFRAZ JASON MOHAMMED; TROY LANGSDALE; MICHAEL RUFF; LAURA MILLER; SHAFRAZ JASON MOHAMMED; TROY LANGSDALE.
Changes in ownership
- December 1, 2025, enrollment ownership file; no longer listed: LAURA MILLER (5% OR GREATER MORTGAGE INTEREST); SMITHERS MANAGEMENT TRUST (5% OR GREATER MORTGAGE INTEREST); MDP HEALTHCARE LLC (5% OR GREATER MORTGAGE INTEREST); ROBINSON REALTY GROUP LTD (5% OR GREATER MORTGAGE INTEREST); TROY LANGSDALE (5% OR GREATER MORTGAGE INTEREST); MARTEL HEALTHCARE MANAGEMENT LLC (5% OR GREATER MORTGAGE INTEREST). Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- June 1, 2025, enrollment ownership file; no longer listed: MICHAEL RUFF (CORPORATE DIRECTOR); LAURA CARDENAS (W-2 MANAGING EMPLOYEE); first listed: LAURA MILLER (ADP OF THE SNF), associated since January 1, 2024; LAURA MILLER (OPERATIONAL/MANAGERIAL CONTROL), associated since January 1, 2024; LAURA MILLER (5% OR GREATER MORTGAGE INTEREST), associated since January 1, 2024; SHAFRAZ JASON MOHAMMED (ADP OF THE SNF), associated since January 1, 2024; SHAFRAZ JASON MOHAMMED (OPERATIONAL/MANAGERIAL CONTROL), associated since February 1, 2024; SMITHERS MANAGEMENT TRUST (ADP OF THE SNF), associated since January 1, 2024; SMITHERS MANAGEMENT TRUST (5% OR GREATER MORTGAGE INTEREST), associated since January 1, 2024; ML - LA PORTE, LLC (ADP OF THE SNF), associated since April 29, 2025; MDP HEALTHCARE LLC (ADP OF THE SNF), associated since January 1, 2024; MDP HEALTHCARE LLC (5% OR GREATER MORTGAGE INTEREST), associated since January 1, 2024; ROBINSON REALTY GROUP LTD (ADP OF THE SNF), associated since January 1, 2024; ROBINSON REALTY GROUP LTD (5% OR GREATER MORTGAGE INTEREST), associated since January 1, 2024; MICHAEL RUFF (CORPORATE OFFICER), associated since January 1, 2024; LAURA CARDENAS (ADP OF THE SNF), associated since January 1, 2024; TROY LANGSDALE (ADP OF THE SNF), associated since January 1, 2024; TROY LANGSDALE (5% OR GREATER MORTGAGE INTEREST), associated since January 1, 2024; MARTEL HEALTHCARE MANAGEMENT LLC (ADP OF THE SNF), associated since January 1, 2024; MARTEL HEALTHCARE MANAGEMENT LLC (5% OR GREATER MORTGAGE INTEREST), associated since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- May 1, 2024, enrollment ownership file; no longer listed: LAURA MILLER (OFFICER); LAURA MILLER (5% OR GREATER INDIRECT OWNERSHIP INTEREST); LAURA MILLER (CONTRACTED MANAGING EMPLOYEE); TROY LANGSDALE (OFFICER); TROY LANGSDALE (5% OR GREATER INDIRECT OWNERSHIP INTEREST); ML HEALTHCARE MANAGEMENT, LLC (OPERATIONAL/MANAGERIAL CONTROL); ML LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST); first listed: ML - LA PORTE, LLC (OPERATIONAL/MANAGERIAL CONTROL), associated since January 1, 2024; MICHAEL RUFF (DIRECTOR), associated since January 1, 2024; LAURA CARDENAS (W-2 MANAGING EMPLOYEE), associated since January 1, 2024; TROY LANGSDALE (OPERATIONAL/MANAGERIAL CONTROL), associated since January 1, 2024; FRIO HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST), associated since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
Inspections of Sylan Shores Health and Wellness
- Cycle 1: health July 23, 2025 (4 deficiencies), fire safety July 23, 2025 (1)
- Cycle 2: health June 12, 2024 (3 deficiencies), fire safety June 12, 2024 (2)
- Cycle 3: health April 13, 2023 (9 deficiencies), fire safety April 13, 2023 (1)
Deficiencies cited at Sylan Shores Health and Wellness
16 deficiencies on file, by tag, newest citation first
every one from a health inspection; 3 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0656, resident assessment and care planning: November 24, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected December 19, 2025).
- F 0600, freedom from abuse, neglect, and exploitation: July 23, 2025 (J, Past Non-Compliance, corrected July 17, 2025).
- F 0641, resident assessment and care planning: July 23, 2025 (E, Deficient, Provider has date of correction, corrected August 8, 2025); June 12, 2024 (D, Deficient, Provider has date of correction, corrected June 21, 2024).
- F 0755, pharmacy service: July 23, 2025 (E, Deficient, Provider has date of correction, corrected August 8, 2025); April 13, 2023 (E, Deficient, Provider has date of correction, corrected May 12, 2023).
- F 0550, resident rights: September 4, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected September 27, 2024).
- F 0609, freedom from abuse, neglect, and exploitation: September 4, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected September 27, 2024).
- F 0585, resident rights: June 12, 2024 (D, Deficient, Provider has date of correction, corrected June 21, 2024).
- F 0759, pharmacy service: June 12, 2024 (D, Deficient, Provider has date of correction, corrected June 21, 2024); April 13, 2023 (E, Deficient, Provider has date of correction, corrected May 12, 2023).
- F 0644, resident assessment and care planning: April 13, 2023 (D, Deficient, Provider has date of correction, corrected May 12, 2023).
- F 0658, resident assessment and care planning: April 13, 2023 (D, Deficient, Provider has date of correction, corrected May 12, 2023).
- F 0689, quality of life and care: April 13, 2023 (D, Deficient, Provider has date of correction, corrected May 12, 2023).
- F 0761, pharmacy service: April 13, 2023 (E, Deficient, Provider has date of correction, corrected May 12, 2023).
- F 0842, resident assessment and care planning: April 13, 2023 (D, Deficient, Provider has date of correction, corrected May 12, 2023).
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| July 25, 2025 | Fine | $8,281 | 134363 |
From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.
Sylan Shores Health and Wellness in Care Compare
- Ownership Type: Government - Hospital district
- Legal Business Name: FRIO HOSPITAL DISTRICT
- Date First Approved to Provide Medicare and Medicaid Services: 2020-11-12
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: Harris
- Telephone Number: 8328616910
- Chain Name: ML HEALTHCARE
- Chain ID: 358
- Provider Changed Ownership in Last 12 Months: N
- With a Resident and Family Council: Both
- Automatic Sprinkler Systems in All Required Areas: Yes
- Average Number of Residents per Day: 99.5
- Overall Rating: 1
- Health Inspection Rating: 2
- QM Rating: 3
- Long-Stay QM Rating: 4
- Short-Stay QM Rating: 2
Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · penalties NH_Penalties_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.
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Report a figure on Sylan Shores Health and Wellness’s record that differs from its CMS file, quoting 676490.