Texas › Guadalupe County › Selma
Trucare Living Centers - Selma
16550 Retama Parkway, Selma, TX 78154
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.
Trucare Living Centers - Selma, in Selma, Texas, is certified for 128 beds under for-profit, corporation ownership.
CMS gives it 2 of 5 stars overall, below the Texas median of 3; the health inspection rating is 3, staffing 1 and quality measures 4.
Inspectors recorded 25 health deficiencies across the three most recent survey cycles (9, 12, 4 by cycle, most recent first), none at the actual-harm level. That is 19.5 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 3.4 hours per resident per day (0.4 RN), close to the Texas median of 3.3; nursing staff turnover is 66.3%.
Compared with county, state and nation
| Measure | This facility | Guadalupe Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 25 | 49 | 25 | 28.7 |
| Citations per 100 beds | 19.5 | 35.1 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.4 | 3.3 | 3.3 | 3.9 |
| RN hours per resident day | 0.4 | 0.3 | 0.4 | 0.7 |
| Nursing staff turnover | 66.3% | 60.8% | 52.1% | 45.8% |
| Fines listed | $0 | $24,499 | $16,801 | — |
County and state figures are medians across facilities (8 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: 13 Feb 2026, 22 Nov 2024.
Severity mix: D ×19 E ×6
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 |
|---|---|---|---|---|---|
| 26 Apr 2026 | F0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | E | Complaint investigation | 27 Apr 2026 |
| 13 Feb 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 14 Feb 2026 |
| 13 Feb 2026 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Standard survey | 14 Feb 2026 |
| 13 Feb 2026 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 14 Feb 2026 |
| 13 Feb 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 14 Feb 2026 |
| 13 Feb 2026 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 14 Feb 2026 |
| 13 Feb 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 14 Feb 2026 |
| 13 Feb 2026 | 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 | 14 Feb 2026 |
| 13 Feb 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 14 Feb 2026 |
| 11 Apr 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 12 Apr 2025 |
| 4 Mar 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 5 Mar 2025 |
| 4 Mar 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 5 Mar 2025 |
| 4 Mar 2025 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Complaint investigation | 5 Mar 2025 |
| 4 Mar 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 5 Mar 2025 |
| 22 Nov 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 23 Nov 2024 |
| 22 Nov 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 23 Nov 2024 |
| 25 Oct 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint investigation | 26 Oct 2024 |
| 25 Sep 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 26 Sep 2024 |
| 25 Sep 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 26 Sep 2024 |
| 25 Sep 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 26 Sep 2024 |
| 25 Sep 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 26 Sep 2024 |
| 4 Apr 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 5 Apr 2024 |
| 6 Oct 2023 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | Complaint investigation | 9 Oct 2023 |
| 6 Oct 2023 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | E | Complaint investigation | 9 Oct 2023 |
| 6 Oct 2023 | F0814 | Dispose of garbage and refuse properly. | D | Complaint investigation | 9 Oct 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 66.3%, 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 | 3.2% | 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 | 4.8% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.5% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 2.9% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.6% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 3.0% | 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: for-profit, corporation. Legal business name: Fannin County Hospital Authority.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Fannin County Hospital Authority | 5% or greater direct ownership interest | 100% | 05/01/2026 |
| Magnolia Grove Healthcare LLC | Operational/managerial control | NOT APPLICABLE | 05/01/2026 |
| Ensign Services Inc | Adp of the snf | NOT APPLICABLE | 05/01/2026 |
| Magnolia Grove Healthcare LLC | Adp of the snf | NOT APPLICABLE | 04/15/2026 |
| Retama Pkwy Health Holdings LLC | Adp of the snf | NOT APPLICABLE | 05/01/2026 |
| Standard Bearer Healthcare Op, LP | Adp of the snf | NOT APPLICABLE | 05/01/2026 |
| The Ensign Group Inc | Adp of the snf | NOT APPLICABLE | 05/01/2026 |
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 Guadalupe County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Avir At Walnut Springs | Seguin | 113 | 4 | 4 | 1 | 14 | 12.4 | — | 18 Nov 2025 |
| Avir At Schertzabuse icon | Schertz | 96 | 2 | 1 | 1 | 65 | 67.7 | $35K | 21 Mar 2026 |
| Guadalupe Valley Nursing and Rehabilitation Center | Seguin | 148 | 2 | 2 | 2 | 52 | 35.1 | $75K | 30 Jun 2026 |
| Silver Tree Nursing and Rehabilitation Center | Schertz | 120 | 2 | 2 | 2 | 60 | 50.0 | $114K | 12 Jun 2026 |
| Windsor Nursing and Rehabilitation Center of Segui | Seguin | 122 | 2 | 3 | 1 | 33 | 27.0 | $24K | 31 Jul 2025 |
| Avir At Seguinabuse icon | Seguin | 134 | 1 | 2 | 1 | 47 | 35.1 | $14K | 24 Jun 2026 |
| River Bend Healthcare | Seguin | 115 | 1 | 2 | 1 | 49 | 42.6 | $18K | 13 Feb 2026 |
All 8 facilities in Guadalupe County
Questions and answers
How many deficiencies has Trucare Living Centers - Selma been cited for?
25 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 Trucare Living Centers - Selma been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Trucare Living Centers - Selma compare?
Reported total nurse staffing is 3.4 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Trucare Living Centers - Selma?
Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Fannin County Hospital Authority and Magnolia Grove Healthcare LLC. Individual owners and managers are not listed on this site.
When was Trucare Living Centers - Selma last inspected?
The most recent survey or investigation in the CMS record is dated 26 Apr 2026; the most recent standard health survey was 13 Feb 2026.
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.