The Manor Healthcare Residence

Name: The Manor Healthcare Residence
Address: 831 Tehuacana Hwy, Mexia, TX, 76667, US
Telephone: 2545623867

831 Tehuacana Hwy, Mexia, TX 76667 · Limestone County · 66 certified beds · avg 41 residents/day · certified since May 26, 1994

Part of chain: CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY (9 facilities, chain avg rating 2.8★)

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.60

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5

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.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Jul 12, 2023 · F-0689

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Aug 8, 2023 (Deficient, Provider has date of correction)

All citations in the current public record (16)

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 11, 2025	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
Dec 11, 2025	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Sep 12, 2024	E · Potential for harm, repeated	The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council.
Sep 12, 2024	E · Potential for harm, repeated	The facility did not keep residents' personal and medical information private and confidential.
Sep 12, 2024	E · Potential for harm, repeated	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.
Jul 12, 2023	▲ G · Actual harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jul 12, 2023	F · Potential for harm, facility-wide	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.
Jul 12, 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.
Jul 12, 2023	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
Jul 12, 2023	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Jul 12, 2023	D · Potential for harm, one-off	The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require.
Jul 12, 2023	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Jul 12, 2023	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Jul 12, 2023	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Jul 12, 2023	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Jul 12, 2023	D · Potential for harm, one-off	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (3 → 2).

Year	Citations	Serious (G–L)	Worst severity that year
2023	11	1	G ▲
2024	3	0	E
2025	2	0	D

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)

No fines or payment denials in the published 3-year window.

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)	3.60	3.46	3.95	top 30% in Texas; bottom 42% in the U.S.
Registered Nurse hours	0.28	0.44	0.69	bottom 24% in Texas; bottom 8% in the U.S.
Weekend total nurse staffing	3.30	3.04	3.50	top 24% in Texas; bottom 47% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.27	0.34	0.48	bottom 43% in Texas; bottom 26% in the U.S.
Total nursing staff turnover (%)	25.8	55.3	45.8	top 3% in Texas; top 8% in the U.S.
RN turnover (%)	0.0	54.6	42.9	—

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 3.22, RN 0.25, weekend 2.95. Staffing rating: 3/5.

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: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Byrom, David	Individual	Corporate Director	NOT APPLICABLE	10/01/2014
Coryell County Memorial Hospital Authority	Organization	Operational/Managerial Control	NOT APPLICABLE	10/01/2014
TGR Healthcare, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	11/01/2019
TGR Healthcare, LLC	Organization	ADP of the SNF	NOT APPLICABLE	04/29/2025
Thomas, Brian	Individual	Operational/Managerial Control	NOT APPLICABLE	11/01/2019
Thomas, Brian	Individual	ADP of the SNF	NOT APPLICABLE	11/01/2019
Villa, Ricardo	Individual	Operational/Managerial Control	NOT APPLICABLE	11/01/2019
Villa, Ricardo	Individual	ADP of the SNF	NOT APPLICABLE	11/01/2019

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"Does your facility have an active resident council, and how does management respond to its concerns?"
"How do you protect residents' privacy, both in their medical records and in day-to-day care?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"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
Mexia LTC Nursing and Rehabilitation	0.2 mi	Mexia, TX	★★☆☆☆	4/5
Skilled Care of Mexia	0.7 mi	Mexia, TX	★★★☆☆	4/5
Teague Nursing and Rehabilitation	11.4 mi	Teague, TX	★★★★★	5/5
Groesbeck LTC Nursing and Rehabilitation	11.4 mi	Groesbeck, TX	★★★★★	5/5
Windsor Healthcare Residence	11.5 mi	Groesbeck, TX	★★☆☆☆	2/5	abuse
Fairfield Nursing & Rehabilitation Center	19.5 mi	Fairfield, TX	★★★★☆	5/5

Compare this facility with the 3 closest →

All facilities in Mexia →

Facility data as of CMS processing date 2026-08-01. CCN 675307.

The Care File

Visit checklist — The Manor Healthcare Residence

831 Tehuacana Hwy, Mexia, TX 76667 · 2545623867

Health inspection rating 5/5 · CMS overall 5/5· Fines (3y): $0

Most serious findings on record:

▲ Jul 12, 2023 (F-0689, Actual harm, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "Does your facility have an active resident council, and how does management respond to its concerns?"
☐ "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 675307 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)