Texas › Limestone County › Mexia
The Manor Healthcare Residence
831 Tehuacana Hwy, Mexia, TX 76667
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.
Certified for 66 beds, The Manor Healthcare Residence serves Mexia in Limestone County, Texas and has taken Medicare and Medicaid residents since 1994.
CMS gives it 5 of 5 stars overall, above the Texas median of 3; the health inspection rating is 5, staffing 3 and quality measures 5.
Inspectors recorded 16 health deficiencies across the three most recent survey cycles (2, 3, 11 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 24.2 per 100 beds, about the same as the state median of 22.5.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.2 hours per resident per day (0.3 RN), close to the Texas median of 3.3; nursing staff turnover is 25.8%.
Compared with county, state and nation
| Measure | This facility | Limestone Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 16 | 16 | 25 | 28.7 |
| Citations per 100 beds | 24.2 | 20.0 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.2 | 3.3 | 3.3 | 3.9 |
| RN hours per resident day | 0.3 | 0.3 | 0.4 | 0.7 |
| Nursing staff turnover | 25.8% | 52.4% | 52.1% | 45.8% |
| Fines listed | $0 | $0 | $16,801 | — |
County and state figures are medians across facilities (5 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: 11 Dec 2025, 12 Sep 2024.
Severity mix: G ×1 D ×10 E ×4 F ×1
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 |
|---|---|---|---|---|---|
| 11 Dec 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 2 Jan 2026 |
| 11 Dec 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 2 Jan 2026 |
| 12 Sep 2024 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 10 Oct 2024 |
| 12 Sep 2024 | F0583 | Keep residents' personal and medical records private and confidential. | E | Standard survey | 10 Oct 2024 |
| 12 Sep 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 10 Oct 2024 |
| 12 Jul 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 8 Aug 2023 |
| 12 Jul 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 8 Aug 2023 |
| 12 Jul 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 | 8 Aug 2023 |
| 12 Jul 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 8 Aug 2023 |
| 12 Jul 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 8 Aug 2023 |
| 12 Jul 2023 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 8 Aug 2023 |
| 12 Jul 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 8 Aug 2023 |
| 12 Jul 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 8 Aug 2023 |
| 12 Jul 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 8 Aug 2023 |
| 12 Jul 2023 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 8 Aug 2023 |
| 12 Jul 2023 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard survey | 8 Aug 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 25.8%, RNs —; 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 | 7.0% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.9% | 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 | 4.9% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 8.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 7.5% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.7% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 16.9% | 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: for-profit, limited liability company. Legal business name: Coryell County Memorial Hospital Authority. Chain: Coryell County Memorial Hospital Authority (9 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Coryell County Memorial Hospital Authority | Operational/managerial control | NOT APPLICABLE | 10/01/2014 |
| Tgr Healthcare, LLC | Operational/managerial control | NOT APPLICABLE | 11/01/2019 |
| Tgr Healthcare, LLC | Adp of the snf | NOT APPLICABLE | 04/29/2025 |
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 Limestone County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Groesbeck LTC Nursing and Rehabilitation | Groesbeck | 90 | 5 | 5 | 2 | 6 | 6.7 | — | 22 May 2025 |
| Skilled Care of Mexia | Mexia | 80 | 3 | 4 | 1 | 16 | 20.0 | $25K | 17 Oct 2025 |
| Mexia LTC Nursing and Rehabilitation | Mexia | 66 | 2 | 4 | 1 | 16 | 24.2 | — | 18 Dec 2025 |
| Windsor Healthcare Residenceabuse icon | Groesbeck | 90 | 2 | 2 | 2 | 12 | 13.3 | $34K | 28 Aug 2025 |
All 5 facilities in Limestone County
Questions and answers
How many deficiencies has The Manor Healthcare Residence been cited for?
16 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has The Manor Healthcare Residence been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at The Manor Healthcare Residence 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 The Manor Healthcare Residence?
It is part of the Coryell County Memorial Hospital Authority chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Coryell County Memorial Hospital Authority and Tgr Healthcare, LLC. Individual owners and managers are not listed on this site.
When was The Manor Healthcare Residence last inspected?
The most recent survey or investigation in the CMS record is dated 11 Dec 2025; the most recent standard health survey was 11 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.