Government - Hospital district · 91 certified beds · CMS number 675947
Country Care Manor, La Vernia, TX
CMS records 12 health deficiencies at Country Care Manor in La Vernia, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Dec 17, 2025. The highest severity cited is E (no actual harm, potential for more than minimal harm). CMS lists 2 fines totaling $22,143 in the last three years.
- 12deficiencies, 3 cycles (TX median 25)
- 5in the latest cycle (TX median 8)
- Ehighest severity · Potential for harm
- $22,143fines, last 3 years
- 4CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Country Care Manor as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Country Care Manor may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (5 deficiencies)
Standard inspection Dec 17, 2025. CMS counts 5 health deficiencies and 1 fire safety deficiency in this cycle.
Dec 17, 2025 · Standard inspection
3 deficiencies, highest E
F921 · Safe, functional, sanitary building
Requirement cited (CMS): Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 31, 2026
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 18, 2025
F690 · Bladder, bowel, and catheter care
Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 18, 2025
Nov 21, 2025 · Complaint inspection
2 deficiencies, highest D
F627 · Permitted transfers, discharge planning, and return rights
Requirement cited (CMS): Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 22, 2025
F555 · Choosing an attending physician
Requirement cited (CMS): Honor the resident's right to choose his or her attending physician.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 22, 2025
Previous cycle: 4 deficiencies (standard inspection Sep 18, 2024)
Standard inspection Sep 18, 2024. CMS counts 4 health deficiencies and 0 fire safety deficiencies in this cycle.
Sep 18, 2024 · Standard + complaint inspection
4 deficiencies, highest E
F944 · Quality program training
Requirement cited (CMS): Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 19, 2024
F921 · Safe, functional, sanitary building
Requirement cited (CMS): Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Oct 14, 2024
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 19, 2024
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 19, 2024
Earlier cycle: 3 deficiencies (standard inspection Aug 2, 2023)
Standard inspection Aug 2, 2023. CMS counts 3 health deficiencies and 3 fire safety deficiencies in this cycle.
Aug 2, 2023 · Standard inspection
3 deficiencies, highest E
F921 · Safe, functional, sanitary building
Requirement cited (CMS): Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 3, 2023
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 3, 2023
F584 · Safe, clean, homelike surroundings
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 3, 2023
Tags cited in more than one inspection
2 tags cited on more than one inspection date at Country Care Manor; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F921 Safe, functional, sanitary building | 3 | Dec 17, 2025; Sep 18, 2024; Aug 2, 2023 |
| F842 Complete, confidential medical records | 2 | Dec 17, 2025; Sep 18, 2024 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Nov 21, 2025 | Fine | $4,147 |
| Nov 25, 2024 | Fine | $17,996 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.17 h (about the same as the Texas median of 3.27 h)
- RN hours per resident per day
- 0.69 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.51 h
- Nursing staff turnover
- 38.5% (Texas median 52.1%)
- Administrators who left
- 0
- CMS overall rating
- 4 of 5
- Health inspection rating
- 4 of 5
- Staffing rating
- 2 of 5
- Quality measure rating
- 4 of 5
CMS figures for Country Care Manor, copied as published; Texas medians are ours.
Facility details
- Address
- 2736 Fm 775, La Vernia, TX 78121
- Phone
- (830) 779-2355
- County
- Wilson
- Accepts
- Medicare and Medicaid
- Ownership
- Government - Hospital district
- Chain (CMS)
- Touchstone Communities
- Certified beds
- 91
- Average residents per day
- 77.2
- In Medicare/Medicaid since
- Dec 4, 2002
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How are maintenance requests from residents and families handled? (F921, cited 3 times)
- Does the home use electronic health records, and can families get access through a portal? (F842, cited 2 times)
- Can a resident keep their current doctor after moving in, and how would visits work? (F555, cited 1 time)
- How often are rooms cleaned and bed linens changed? (F584, cited 1 time)
Other nursing homes in La Vernia and the same chain
- Harker Heights Nursing & Rehabilitation
Harker Heights · 51 deficiencies - The Heights of Bulverde
Spring Branch · 47 deficiencies - The Enclave
San Antonio · 46 deficiencies - The Heights at Medical Center
San Antonio · 44 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.