Texas › Wilson County › La Vernia
Country Care Manor
2736 Farm To Market 775, La Vernia, TX 78121
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Country Care Manor is a Government, hospital district nursing home in La Vernia, Texas, certified for 91 beds and caring for about 77 residents a day.
CMS gives it 4 of 5 stars overall, above the Texas median of 3; the health inspection rating is 4, staffing 2 and quality measures 4.
Inspectors recorded 12 health deficiencies across the three most recent survey cycles (5, 4, 3 by cycle, most recent first), none at the actual-harm level. That is 13.2 per 100 beds, fewer than the state median of 22.5.
CMS lists 2 penalties in the period covered: fines totalling $22K.
Reported nurse staffing is 3.2 hours per resident per day (0.7 RN), close to the Texas median of 3.3; nursing staff turnover is 38.5%.
Compared with county, state and nation
| Measure | This facility | Wilson Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 12 | 27 | 25 | 28.7 |
| Citations per 100 beds | 13.2 | 22.5 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.2 | 3.2 | 3.3 | 3.9 |
| RN hours per resident day | 0.7 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 38.5% | 38.5% | 52.1% | 45.8% |
| Fines listed | $22,143 | $33,059 | $16,801 | — |
County and state figures are medians across facilities (4 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 17 Dec 2025, 18 Sep 2024.
Severity mix: D ×5 E ×7
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 17 Dec 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 18 Dec 2025 |
| 17 Dec 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 31 Jan 2026 |
| 17 Dec 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 18 Dec 2025 |
| 21 Nov 2025 | F0555 | Honor the resident's right to choose his or her attending physician. | D | Complaint investigation | 22 Nov 2025 |
| 21 Nov 2025 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Complaint investigation | 22 Nov 2025 |
| 18 Sep 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 19 Sep 2024 |
| 18 Sep 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 19 Sep 2024 |
| 18 Sep 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint investigation | 14 Oct 2024 |
| 18 Sep 2024 | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | D | Complaint investigation | 19 Sep 2024 |
| 2 Aug 2023 | F0584 | 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. | E | Standard survey | 3 Aug 2023 |
| 2 Aug 2023 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 3 Aug 2023 |
| 2 Aug 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 3 Aug 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 21 Nov 2025 | Fine | $4,147 | |
| 25 Nov 2024 | Fine | $17,996 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 38.5%, RNs 28.6%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 8.9% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.8% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.4% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 11.7% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.9% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 7.0% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: government, hospital district. Legal business name: Bexar County Hospital District. Chain: Touchstone Communities (25 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Bexar County Hospital District | 5% or greater direct ownership interest | 100% | 02/28/2015 |
| Lument Real Estate Capital LLC | 5% or greater mortgage interest | NOT APPLICABLE | 05/05/2014 |
| Touchstone Strategies - Lavernia LLC | Operational/managerial control | NOT APPLICABLE | 03/01/2016 |
| Aegis Therapies, Inc. | Adp of the snf | NOT APPLICABLE | 02/28/2015 |
| Alamo Advisors LP | Adp of the snf | NOT APPLICABLE | 02/28/2015 |
| Care Inn Realty - Lavernia LLC | Adp of the snf | NOT APPLICABLE | 02/28/2015 |
| Carvajal Pharmacy LTC | Adp of the snf | NOT APPLICABLE | 07/01/2017 |
| Nutritious Lifestyles, Inc. | Adp of the snf | NOT APPLICABLE | 02/28/2015 |
| Touchstone Communities Inc | Adp of the snf | NOT APPLICABLE | 02/28/2015 |
| Touchstone Strategies - Lavernia LLC | Adp of the snf | NOT APPLICABLE | 07/24/2025 |
| Trident Health Services Inc | Adp of the snf | NOT APPLICABLE | 02/28/2015 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Wilson County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Frank M. Tejeda Texas State Veterans Homeabuse icon | Floresville | 160 | 3 | 2 | 4 | 22 | 13.8 | — | 8 May 2026 |
| Harmony Care At Floresville | Floresville | 144 | 2 | 3 | 1 | 40 | 27.8 | $87K | 12 Jun 2026 |
| Prairie Meadows Rehabilitation and Healthcare Cent | Floresville | 120 | 1 | 1 | 3 | 27 | 22.5 | $33K | 26 Jun 2026 |
All 4 facilities in Wilson County
Questions and answers
How many deficiencies has Country Care Manor been cited for?
12 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Country Care Manor been fined?
Yes. CMS lists fines totalling $22K in the period covered.
How does staffing at Country Care Manor compare?
Reported total nurse staffing is 3.2 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Country Care Manor?
It is part of the Touchstone Communities chain. Ownership type is government, hospital district. Organisations in the CMS ownership record include Bexar County Hospital District and Touchstone Strategies - Lavernia LLC. Individual owners and managers are not listed on this site.
When was Country Care Manor last inspected?
The most recent survey or investigation in the CMS record is dated 17 Dec 2025; the most recent standard health survey was 17 Dec 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.