Federal inspection record · CMS data as of October 1, 2026
Country Care Manor
2736 Fm 775, La Vernia, TX · (830) 779-2355
- Certified beds
- 91
- Residents per day
- 70
- Ownership
- Government
- Chain
- Touchstone Communities
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- December 4, 2002
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Country Care Manor carries 28 inspection points. That is fewer than 87% of Texas's 1,166 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–51 pts
- 3★ 51–85 pts
- 2★ 85–145.75 pts
- 1★ over 145.75 pts
Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
12 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Environmental3E
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Resident Rights3E
- D
Honor the resident's right to choose his or her attending physician.
- D
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Assessment and Care Planning2E
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Quality of Life and Care2E
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
Administration1D
- D
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Nutrition and Dietary1D
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
2025-12-17
5 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Rights (2 deficiencies)
2024-09-18
4 health deficiencies · 0 fire-safety deficiencies
Top issue: Administration (1 deficiency)
2023-08-02
3 health deficiencies · 3 fire-safety deficiencies
Top issue: Environmental (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 21 min of nursing staff time a day, 42 min of it from a registered nurse.
This home
3 h 21 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 47% of nursing staff and 11% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$22,143 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-11-21 | Fine | $4,147 |
| 2024-11-25 | Fine | $17,996 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.6 pts worse | 2.6 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.8 pts better | 1.2 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.6 pts better | 100.0% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better | 100.0% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.7 pts worse | 4.9% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.4 pts better | 0.9% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.8 pts better | 1.1% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.8 pts better | 16.0% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.3 pts better | 7.5% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened4.3 pts better | 8.6% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.4 pts better | 11.4% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts better | 0.0% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.7 pts worse | 14.2% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.2 pts better | 2.5% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine10 pts better | 98.7% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit4.5 pts worse | 16.7% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.4 pts better | 1.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine13.7 pts better | 99.1% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission7.4 pts worse | 32.9% | 25.5% | 23.4% |
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Who owns and runs it
31 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Bexar County Hospital District | 5% Or Greater Direct Ownership Interest · Organization | 100% | 4 facilities |
| Aegis Therapies, Inc. | Adp Of The SNF · Organization | 0% | 35 facilities |
| Alamo Advisors LP | Adp Of The SNF · Organization | 0% | 8 facilities |
| Barbosa, Mary Ann | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Barbosa, Mary Ann | Adp Of The SNF · Individual | 0% | 1 facilities |
| Campbell, Leslie | Operational/Managerial Control · Individual | 0% | 22 facilities |
| Campbell, Leslie | Adp Of The SNF · Individual | 0% | 22 facilities |
| Care Inn Realty - Lavernia LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Carvajal Pharmacy Ltc | Adp Of The SNF · Organization | 0% | 22 facilities |
| Castillo, Lynnea | Operational/Managerial Control · Individual | 0% | 23 facilities |
| Castillo, Lynnea | Adp Of The SNF · Individual | 0% | 23 facilities |
| Clayton, Jonathon | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Clayton, Jonathon | Adp Of The SNF · Individual | 0% | 6 facilities |
| Fellbaum, Ernest | Adp Of The SNF · Individual | 0% | 27 facilities |
| Hurley, Christopher | Corporate Officer · Individual | 0% | 4 facilities |
| Lument Real Estate Capital LLC | 5% Or Greater Mortgage Interest · Organization | 0% | 44 facilities |
| Nutritious Lifestyles, Inc. | Adp Of The SNF · Organization | 0% | 19 facilities |
| Plante & Moran Pllc | Adp Of The SNF · Organization | 0% | 65 facilities |
| Sehlke, Bryon | Operational/Managerial Control · Individual | 0% | 22 facilities |
| Sehlke, Bryon | Adp Of The SNF · Individual | 0% | 22 facilities |
| Studer, Stanley | Adp Of The SNF · Individual | 0% | 26 facilities |
| Thompson, Chase | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Thompson, Chase | Adp Of The SNF · Individual | 0% | 1 facilities |
| Touchstone Communities Inc | Adp Of The SNF · Organization | 0% | 23 facilities |
| Touchstone Strategies - Lavernia LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Touchstone Strategies - Lavernia LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Trident Health Services Inc | Adp Of The SNF · Organization | 0% | 22 facilities |
| Zertuche, Benjamin | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Zertuche, Benjamin | Adp Of The SNF · Individual | 0% | 2 facilities |
| Zurovec, Darrell | Operational/Managerial Control · Individual | 0% | 23 facilities |
| Zurovec, Darrell | Adp Of The SNF · Individual | 0% | 23 facilities |
·
Fire safety
4 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Egress2E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Meet other general requirements.
Smoke2E
- E
Have properly installed hallway dispensers for alcohol-based hand rub.
- E
Have approved installation, maintenance and testing program for fire alarm systems.
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