For profit - Corporation · 128 certified beds · CMS number 676406
Trucare Living Centers - Selma, Selma, TX
CMS records 25 health deficiencies at Trucare Living Centers - Selma in Selma, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Feb 13, 2026. The highest severity cited is E (no actual harm, potential for more than minimal harm). CMS lists no fines or payment denials in the last three years.
- 25deficiencies, 3 cycles (TX median 25)
- 9in the latest cycle (TX median 8)
- Ehighest severity · Potential for harm
- $0fines, last 3 years
- 2CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Trucare Living Centers - Selma as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Trucare Living Centers - Selma may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (9 deficiencies)
Standard inspection Feb 13, 2026. CMS counts 9 health deficiencies and 2 fire safety deficiencies in this cycle.
Apr 26, 2026 · Complaint inspection
1 deficiency, highest E
F711 · Physician review at each visit
Requirement cited (CMS): Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 27, 2026
Feb 13, 2026 · Standard inspection
8 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 14, 2026
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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 14, 2026
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 14, 2026
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 14, 2026
F645 · Pre-admission screening for mental disorder or intellectual disability
Requirement cited (CMS): PASARR screening for Mental disorders or Intellectual Disabilities
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 14, 2026
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 14, 2026
F628 · Discharge paperwork, notices, and bed-hold information
Requirement cited (CMS): Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 14, 2026
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 Feb 14, 2026
Previous cycle: 12 deficiencies (standard inspection Nov 22, 2024)
Standard inspection Nov 22, 2024. CMS counts 12 health deficiencies and 0 fire safety deficiencies in this cycle.
Apr 11, 2025 · Complaint inspection
1 deficiency, highest D
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 12, 2025
Mar 4, 2025 · Complaint inspection
4 deficiencies, highest D
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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 5, 2025
F693 · Feeding tube use and care
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 5, 2025
F580 · Telling residents and families about changes
Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 5, 2025
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 5, 2025
Nov 22, 2024 · Standard + complaint inspection
2 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 23, 2024
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 23, 2024
Oct 25, 2024 · Complaint inspection
1 deficiency, highest D
F623 · Written notice before a move
Requirement cited (CMS): Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 26, 2024
Sep 25, 2024 · Complaint inspection
4 deficiencies, highest E
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 26, 2024
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 26, 2024
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 26, 2024
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 26, 2024
Earlier cycle: 4 deficiencies (standard inspection Oct 6, 2023)
Standard inspection Oct 6, 2023. CMS counts 4 health deficiencies and 0 fire safety deficiencies in this cycle.
Apr 4, 2024 · Complaint inspection
1 deficiency, highest D
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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 5, 2024
Oct 6, 2023 · Standard + complaint inspection
3 deficiencies, highest E
F814 · Garbage disposal
Requirement cited (CMS): Dispose of garbage and refuse properly.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 9, 2023
F645 · Pre-admission screening for mental disorder or intellectual disability
Requirement cited (CMS): PASARR screening for Mental disorders or Intellectual Disabilities
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Oct 9, 2023
F644 · Coordinating with PASARR screening
Requirement cited (CMS): Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Oct 9, 2023
Tags cited in more than one inspection
4 tags cited on more than one inspection date at Trucare Living Centers - Selma; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F645 Pre-admission screening for mental disorder or intellectual disability | 2 | Feb 13, 2026; Oct 6, 2023 |
| F755 Pharmacy services and a consultant pharmacist | 2 | Nov 22, 2024; Sep 25, 2024 |
| F842 Complete, confidential medical records | 2 | Mar 4, 2025; Apr 4, 2024 |
| F880 Infection prevention and control program | 2 | Feb 13, 2026; Nov 22, 2024 |
Fines and payment denials
CMS lists no fines or payment denials for this nursing home in the last three years.
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.41 h (about the same as the Texas median of 3.27 h)
- RN hours per resident per day
- 0.41 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.85 h
- Nursing staff turnover
- 66.3% (Texas median 52.1%)
- Administrators who left
- 0
- CMS overall rating
- 2 of 5
- Health inspection rating
- 3 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 4 of 5
CMS figures for Trucare Living Centers - Selma, copied as published; Texas medians are ours.
Facility details
- Address
- 16550 Retama Parkway, Selma, TX 78154
- Phone
- (210) 886-8393
- County
- Guadalupe
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Chain (CMS)
- Not part of a chain in CMS data
- Certified beds
- 128
- Average residents per day
- 75.8
- In Medicare/Medicaid since
- Oct 14, 2016
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Both
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How does the home confirm the pre-admission screening is done for new residents with a mental health condition or intellectual disability? (F645, cited 2 times)
- How are new medication orders filled, and how quickly can urgent medications arrive? (F755, cited 2 times)
- Does the home use electronic health records, and can families get access through a portal? (F842, cited 2 times)
- How do staff track and report infections among residents? (F880, cited 2 times)
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.