For profit - Individual · 144 certified beds · CMS number 675181
Carriage House Manor, Sulphur Springs, TX
CMS records 27 health deficiencies at Carriage House Manor in Sulphur Springs, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jul 23, 2025. The highest severity cited is F (no actual harm, potential for more than minimal harm). CMS lists no fines or payment denials in the last three years.
- 27deficiencies, 3 cycles (TX median 25)
- 8in the latest cycle (TX median 8)
- Fhighest severity · Potential for harm
- $0fines, last 3 years
- 4CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Carriage House Manor as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Carriage House Manor may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (8 deficiencies)
Standard inspection Jul 23, 2025. CMS counts 8 health deficiencies and 1 fire safety deficiency in this cycle.
Jul 8, 2026 · Complaint inspection
1 deficiency, highest D
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 Jul 9, 2026
Jul 23, 2025 · Standard inspection
7 deficiencies, highest F
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 Aug 31, 2025
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
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Aug 31, 2025
F804 · Palatable, attractive food at safe temperatures
Requirement cited (CMS): Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 31, 2025
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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 31, 2025
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 Aug 31, 2025
F640 · Submitting assessment data on time
Requirement cited (CMS): Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- Severity
- B No actual harm, potential for minimal harm, pattern
- Status
- Correction date Aug 31, 2025
F636 · Full assessment at admission and yearly
Requirement cited (CMS): Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 31, 2025
Previous cycle: 5 deficiencies (standard inspection Jun 26, 2024)
Standard inspection Jun 26, 2024. CMS counts 5 health deficiencies and 1 fire safety deficiency in this cycle.
Jun 26, 2024 · Standard inspection
5 deficiencies, highest F
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
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Aug 9, 2024
F758 · Psychotropic drug safeguards
Requirement cited (CMS): Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 9, 2024
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 Aug 9, 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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 9, 2024
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 9, 2024
Earlier cycle: 14 deficiencies (standard inspection Apr 26, 2023)
Standard inspection Apr 26, 2023. CMS counts 14 health deficiencies and 2 fire safety deficiencies in this cycle.
Jun 13, 2024 · Complaint inspection
2 deficiencies, highest D
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 Jul 26, 2024
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 Jul 26, 2024
Apr 26, 2023 · Standard inspection
12 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 May 31, 2023
F868 · Quality committee membership and meetings
Requirement cited (CMS): Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 31, 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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 31, 2023
F758 · Psychotropic drug safeguards
Requirement cited (CMS): Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 2, 2023
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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 31, 2023
F727 · RN coverage and director of nursing
Requirement cited (CMS): Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 1, 2023
F698 · Dialysis care
Requirement cited (CMS): Provide safe, appropriate dialysis care/services for a resident who requires such services.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 31, 2023
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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 31, 2023
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 May 31, 2023
F640 · Submitting assessment data on time
Requirement cited (CMS): Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 31, 2023
F582 · Notice of covered and extra charges
Requirement cited (CMS): Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 31, 2023
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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 31, 2023
Tags cited in more than one inspection
8 tags cited on more than one inspection date at Carriage House Manor; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F812 Food safety and sanitation | 3 | Jul 23, 2025; Jun 26, 2024; Apr 26, 2023 |
| F640 Submitting assessment data on time | 2 | Jul 23, 2025; Apr 26, 2023 |
| F641 Accurate resident assessments | 2 | Jun 26, 2024; Apr 26, 2023 |
| F656 Comprehensive person-centered care plan | 2 | Jun 26, 2024; Apr 26, 2023 |
| F755 Pharmacy services and a consultant pharmacist | 2 | Jun 13, 2024; Apr 26, 2023 |
| F758 Psychotropic drug safeguards | 2 | Jun 26, 2024; Apr 26, 2023 |
| F761 Drug labeling and secure storage | 2 | Jul 8, 2026; Jul 23, 2025 |
| F880 Infection prevention and control program | 2 | Jul 23, 2025; Apr 26, 2023 |
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
- 4.29 h (above the Texas median of 3.27 h)
- RN hours per resident per day
- 0.48 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 3.75 h
- Nursing staff turnover
- 46.9% (Texas median 52.1%)
- Administrators who left
- not reported
- CMS overall rating
- 4 of 5
- Health inspection rating
- 4 of 5
- Staffing rating
- 4 of 5
- Quality measure rating
- 3 of 5
CMS figures for Carriage House Manor, copied as published; Texas medians are ours.
Facility details
- Address
- 210 Pipeline Rd, Sulphur Springs, TX 75482
- Phone
- (903) 885-3589
- County
- Hopkins
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Chain (CMS)
- Not part of a chain in CMS data
- Certified beds
- 144
- Average residents per day
- 81.7
- In Medicare/Medicaid since
- Jul 12, 1993
- 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.
- When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 3 times)
- Who is responsible for completing and submitting resident assessment data? (F640, cited 2 times)
- How does the home check that resident assessments match what staff actually observe? (F641, cited 2 times)
- How are a resident's goals and preferences written into the care plan? (F656, cited 2 times)
Other nursing homes in Sulphur Springs
- Sunny Springs Nursing & Rehab
Sulphur Springs · 57 deficiencies - Sulphur Springs Health and Rehabilitation
Sulphur Springs · 52 deficiencies - Rock Creek Health and Rehabilitation
Sulphur Springs · 38 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.