Country Care Manor
La Vernia, Texas · CCN 675947
21 surveys since 2011. The first finding at harm level was recorded in 2016.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 99
- Surveys
- 21
- Harm or worse
- 4
- Immediate jeopardy
- 4
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 91
- Ownership
- Government - Hospital district
- Chain
- TOUCHSTONE COMMUNITIES
- County
- Wilson
- Medicare-certified since
- 2002
CMS ratings
- Overall
- 4
- Health inspection
- 4
- Staffing
- 2
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded fewer weighted findings than most of its peer group.
Weighted by harm level, against 49 government-run facilities of 66–99 beds in Texas.
Last survey on record
Dec 17, 2025
327 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.17 | 3.24 |
| Registered-nurse hours per resident day | 0.69 | — |
| Annual nurse turnover | 38.5% | 54.3% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $22,143 across 2 penalties
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D541.7% | E758.3% | F— |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F9213×
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- F8422×
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- F5551×
Honor the resident's right to choose his or her attending physician.
- F5841×
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.
- F6271×
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
In the surveyor’s words
From the most serious findings on record at Country Care Manor, in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF812Jun 23, 2022
Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen, in that: 1. The DM and Dietary Aide D were wearing jewelry while preparing food in the kitchen. 2. Cook E's bare hands made contact with the blade of the blender used to process for modified diets and with ready-to-eat food. 3. Cook F did not sanitize the food thermometer when taking temperatures of food on the steam table prior to serving the lunch meal. These deficient practices could place residents who received meals and/or snacks from the kitchen at risk for food borne illness. 1. An observation on 06/22/2022 at 10:30 a.m. […]
- No harm, potential for more than minimal, widespreadF812Mar 10, 2021
Based on observation, interview, and record review, the facility failed to store food in accordance with professional standards for 1 of 1 kitchen reviewed for food service safety, in that: 1. There was an opened bag of raw bacon in the walk-in cooler that was past its use-by date. 2. There were two open 8 oz. bags of potato chips in the dry storage room without a label indicating the date opened. These deficient practices could place residents who ate food from the kitchen at risk for foodborne illness. The findings were: 1. Observation on 03/07/2021 at 10:45 a.m. in the walk-in cooler in the kitchen revealed there was an opened commercial bag of raw bacon inside of a zip-locked bag. Further observation revealed the dates on the zip-locked bag were: Received 2/21, use by 2/27. […]
- No harm, potential for more than minimal, patternF842Dec 17, 2025
Based on interview and record review, the facility failed to ensure the residents' clinical record was complete and accurate for 2 (Resident #3, Resident #50) in that: 1. Resident #3's facesheet, care plan, and physician orders did not match. 2. Resident #50's diet order was missing from the clinical record for one month. This deficient practice could result in delayed or improper care due to inaccurate clinical records.The findings were: 1. Record review of Resident #3's facesheet, dated 12/14/2025, revealed the resident was admitted to the facility on [DATE] with diagnoses including Cerebral infarction, Type 2 diabetes mellitus without complications, and Chronic obstructive pulmonary disease. […]
- No harm, potential for more than minimal, patternF921Dec 17, 2025
Based on observations, interviews, and record review, the facility failed to provide a safe, functional, sanitary, and comfortable environment for residents, staff, and the public on 5 of 12 resident rooms (rooms 101, 105, 107, 108, and 110) and 3 of 3 areas (hallway 100 shower room A, laundry room, and the maintenance office) reviewed for environmental concerns: The facility failed to repair bathroom ceiling vents in rooms #'s 101, 105, 107, 108 and 110, a non-functioning light in room # 110, a ceiling vent in the # 100 resident hallway shower room, a ceiling light in the laundry room, and a ceiling vent in the Maintenance office. […]
- No harm, potential for more than minimal, patternF677Sep 18, 2024
Based on observations, interviews, and record reviews the facility failed to ensure residents who were unable to carry out activities of daily living received the necessary services to maintain good nutrition, grooming, and personal and oral hygiene for 4 of 8 residents (Residents #12, #24, #40, and #46) reviewed for oral care. 1. Resident #46 was not assisted with brushing her teeth on 09/17/2024. 2. Resident #40 was not assisted with brushing her teeth on 09/17/2024. 3. Resident #12 was not assisted with brushing her teeth on 09/17/2024. 4. Resident #24 was not assisted with brushing her teeth on 09/17/2024. These failures could place residents at risk for a decline in health status with dental caries and oral infections. […]
Read 24 findings in full →The most serious and the most recent: 24 of 99 on record.
Every survey on record
FindingsAt actual harm or above
- Dec 17, 2025Standard3 findings
- Nov 21, 2025Complaint2 findings
- Sep 18, 2024Standard and complaint4 findings
- Aug 2, 2023Standard3 findings
- Jun 23, 2022Standard5 findings
- Mar 10, 2021Standard and complaint5 findings
- Oct 14, 2020Complaint1 finding
- Feb 14, 2020Complaint4 findings
Show the 13 earlier surveys
- Jul 12, 2019Standard17 findings
- Jul 12, 2018Standard6 findings
- Jun 22, 2017Standard1 finding
- Oct 19, 2016Complaint4 findings · 4 harm
- Oct 6, 2016Complaint1 finding
- Jun 29, 2016Standard7 findings
- Apr 24, 2015Standard5 findings
- Jan 14, 2015Complaint1 finding
- Nov 10, 2014Complaint1 finding
- Mar 13, 2014Standard1 finding
- Mar 8, 2013—7 findings
- Jan 20, 2012—15 findings
- Jan 14, 2011—6 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction