Bayou Pines Care Center
4905 FLEMING STREET, La Marque, TX, 77568
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company
- Certified beds
- 120 · avg 87 residents/day
- Total nursing staff turnover
- 71.4% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 76.9% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $21,645 total
- Infection control citations
- 1
State licensing & capacity
- License number
- 312157
- Service type
- Medicare/medicaid
- Licensed capacity
- 120 beds
- Bed type breakdown
- 120 Medicaid/Medicare
- Current license effective
- August 1, 2024
- Current license expires
- August 1, 2027
- Initial license date
- December 21, 1998
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Winniestowell Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Tdt Lamarque Mgmtco Llc
- Administrator
- Jonathan Clark
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Disclosed owners (11 on record)
- Billy Schindele 2020 Irrv tr
Adp of The Snf · since 2024
- Edward r Murrell
Corporate Director · since 2024
- Gary Wayne Spangler
Adp of The Snf · since 2024
- Jonathan Clark
Adp of The Snf · since 2024
- Sherry Schindele Irrv tr
Adp of The Snf · since 2024
- Tdt Lamarque Opco Llc
Operational/managerial Control · since 2024
+ 5 additional owners on the federal record.
Recent change of ownership
August 2024 (1 year ago) · acquired from Bayou Pines Care Center
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Change of Ownership, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 21)
- E0880·Jan 15, 2026Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0839·Jan 15, 2026Complaint
Administration Deficiencies
Employ staff that are licensed, certified, or registered in accordance with state laws.
- J0755·Sep 16, 2025Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E0583·Sep 16, 2025Complaint
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
- D0677·Aug 1, 2025
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E0656·Aug 1, 2025
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.
- D0655·Aug 1, 2025
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D0550·Aug 1, 2025
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Federal penalties
By year
- 20251 fine · $22K
Most recent events
- Sep 16, 2025Fine · $22K
Fire-safety citations
3 Life-Safety-Code citations on file. Most recent: Aug 1, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Bayou Pines Care Center is a 120-bed Medicare/Medicaid nursing home in La Marque, Galveston County, licensed to Winniestowell Hospital District and managed by Tdt Lamarque Mgmtco Llc. CMS rates it 2 stars overall, with a 1-star staffing rating — the lowest tier, shared by about 38% of Texas nursing homes. Turnover ran at 71% over the past year, well above the Texas median of 50%. The facility is operating at roughly 73% of licensed capacity.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star — the lowest tier, a threshold about 38% of Texas nursing homes fall below. Each resident receives about 202 minutes of nursing care per day, roughly 39 minutes less than at a 4-star-staffing facility in Texas. Residents here need more hands-on care than at a typical facility — sicker, or less mobile on average — so the same staffing hours stretch thinner than the raw minutes suggest. Registered nurses account for about 22 minutes of that daily total, compared with 37 minutes at a 4-star-staffing facility in Texas.
Roughly 7 in 10 nursing staff left in the past year — above the Texas 75th percentile of 60%, meaning turnover here exceeds at least three-quarters of nursing homes in the state. A long-stay resident will likely go through multiple primary caregivers. RN turnover ran at about 8 in 10 over the same period.
One CMS fine totaling $21,645 has been issued — just above the Texas median of $20,699 for facilities that receive fines, and about 30% of Texas facilities have received none.
The facility is running at roughly 73% of its 120 licensed beds, with about 87 residents on an average day.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Current staffing levels and schedule
With a 1-star CMS staffing rating, ask how many nurses and aides are on the floor on a typical weekday and on weekends, when staffing here drops to about 168 minutes per resident.
Retaining staff over time
7 in 10 nursing staff left in the past year — ask what the facility is doing differently now to keep caregivers, and how long current staff have been in their roles.
Administrator continuity
The facility recorded an administrator change in the past year; ask how long Jonathan Clark has been in the role and whether leadership changes have affected care routines.
Why occupancy is lower than capacity
The facility is operating at about 73% of its 120 licensed beds; ask whether that reflects a discharge trend, staffing constraints, or renovation — the reason matters for continuity of care.
How care plans are reviewed
CMS rates quality measures at 2 stars overall and 1 star for short stays; ask how often care plans are updated and who leads that process when a new resident arrives.
Resident Council involvement
The facility has a Resident Council but no Family Council; ask how family members can raise concerns and whether there are regular forums for families to meet with staff.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.