Country Care Manor
2736 Farm To Market 775, La Vernia, TX 78121 · Wilson County · 91 certified beds · avg 77 residents/day · certified since Dec 4, 2002
Part of chain: TOUCHSTONE COMMUNITIES (25 facilities, chain avg rating 2.9★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (12)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Dec 17, 2025 | E · Potential for harm, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Dec 17, 2025 | E · Potential for harm, repeated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Dec 17, 2025 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Nov 21, 2025 | D · Potential for harm, one-off | The facility did not honor a resident's right to choose their own attending doctor. Residents get to decide which physician oversees their care. · from a complaint |
| Nov 21, 2025 | D · Potential for harm, one-off | The facility did not make sure a transfer or discharge met the resident's needs and preferences, or did not properly prepare the resident to leave safely. · from a complaint |
| Sep 18, 2024 | E · Potential for harm, repeated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint |
| Sep 18, 2024 | E · Potential for harm, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Sep 18, 2024 | E · Potential for harm, repeated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint |
| Sep 18, 2024 | D · Potential for harm, one-off | The facility did not give all staff the required training on its quality improvement program — the internal system for finding problems and making care better. · from a complaint |
| Aug 2, 2023 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Aug 2, 2023 | E · Potential for harm, repeated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Aug 2, 2023 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 3 | 0 | E |
| 2024 | 4 | 0 | E |
| 2025 | 5 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
2 fines totaling $22,143.
| Date | Type | Amount / length |
|---|---|---|
| Nov 21, 2025 | Fine | $4,147 |
| Nov 25, 2024 | Fine | $17,996 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Texas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 2.90 | 3.46 | 3.95 | bottom 17% in Texas; bottom 10% in the U.S. |
| Registered Nurse hours | 0.63 | 0.44 | 0.69 | top 14% in Texas; top 44% in the U.S. |
| Weekend total nurse staffing | 2.30 | 3.04 | 3.50 | bottom 7% in Texas; bottom 5% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.45 | 0.34 | 0.48 | top 18% in Texas; top 39% in the U.S. |
| Total nursing staff turnover (%) | 38.5 | 55.3 | 45.8 | top 17% in Texas; top 32% in the U.S. |
| RN turnover (%) | 28.6 | 54.6 | 42.9 | top 15% in Texas; top 26% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.17, RN 0.69, weekend 2.51. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 2/5
Who owns this facility
Government - Hospital district
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bexar County Hospital District | Organization | 5% or Greater Direct Ownership Interest | 100% | 02/28/2015 |
| Aegis Therapies, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 02/28/2015 |
| Alamo Advisors LP | Organization | ADP of the SNF | NOT APPLICABLE | 02/28/2015 |
| Barbosa, Mary Ann | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/13/2021 |
| Barbosa, Mary Ann | Individual | ADP of the SNF | NOT APPLICABLE | 09/13/2021 |
| Campbell, Leslie | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2020 |
| Campbell, Leslie | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2020 |
| Care Inn Realty - Lavernia LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/28/2015 |
| Carvajal Pharmacy LTC | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2017 |
| Castillo, Lynnea | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/28/2015 |
| Castillo, Lynnea | Individual | ADP of the SNF | NOT APPLICABLE | 02/28/2015 |
| Clayton, Jonathon | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2023 |
| Clayton, Jonathon | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2023 |
| Fellbaum, Ernest | Individual | ADP of the SNF | NOT APPLICABLE | 02/28/2015 |
| Hurley, Christopher | Individual | Corporate Officer | NOT APPLICABLE | 09/26/2014 |
| Lument Real Estate Capital LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 05/05/2014 |
| Nutritious Lifestyles, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 02/28/2015 |
| Plante & Moran PLLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/28/2015 |
| Sehlke, Bryon | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/16/2016 |
| Sehlke, Bryon | Individual | ADP of the SNF | NOT APPLICABLE | 12/16/2016 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you keep residents' medical records accurate, complete, and secure?"
- "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "If my family member wants to keep or change their doctor, how do you handle that request?"
- "Before a resident is discharged or transferred, how do you make sure the new place can actually meet their needs?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "How do frontline staff report care problems, and how does your quality improvement program act on them?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Prairie Meadows Rehabilitation and Healthcare Cent | 14.4 mi | Floresville, TX | ★☆☆☆☆ | 1/5 | |
| Harmony Care at Floresville | 15.0 mi | Floresville, TX | ★★☆☆☆ | 3/5 | |
| Frank M. Tejeda Texas State Veterans Home | 15.2 mi | Floresville, TX | ★★★☆☆ | 2/5 | abuse |
| Silver Tree Nursing and Rehabilitation Center | 16.9 mi | Schertz, TX | ★★☆☆☆ | 2/5 | |
| Southeast Nursing & Rehabilitation Center | 17.0 mi | San Antonio, TX | ★★☆☆☆ | 1/5 | |
| Normandy Terrace Nursing & Rehabilitation Center | 17.0 mi | San Antonio, TX | ★☆☆☆☆ | 1/5 | abuse |
| Buena Vida Nursing and Rehab-San Antonio | 17.5 mi | San Antonio, TX | ★☆☆☆☆ | 1/5 | abuseSFF |
| Pecan Valley Rehabilitation and Healthcare | 17.6 mi | San Antonio, TX | ★★★★☆ | 4/5 | |
| Army Residence Community | 17.6 mi | San Antonio, TX | ★★★★★ | 5/5 | |
| Crestway Nursing & Rehabilitation | 17.7 mi | San Antonio, TX | ★☆☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 675947.