Trucare Living Centers - Selma

Name: Trucare Living Centers - Selma
Address: 16550 Retama Parkway, Selma, TX, 78154, US
Telephone: 2108868393

16550 Retama Parkway, Selma, TX 78154 · Guadalupe County · 128 certified beds · avg 76 residents/day · certified since Oct 14, 2016

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.48

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5

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 (25)

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
Apr 26, 2026	E · Potential for harm, repeated	The facility did not make sure the resident's doctor reviewed their care and wrote, signed, and dated progress notes and orders at each required visit. · from a complaint
Feb 13, 2026	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.
Feb 13, 2026	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.
Feb 13, 2026	D · Potential for harm, one-off	The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay).
Feb 13, 2026	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.
Feb 13, 2026	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Feb 13, 2026	D · Potential for 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.
Feb 13, 2026	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.
Feb 13, 2026	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Apr 11, 2025	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. · from a complaint
Mar 4, 2025	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint
Mar 4, 2025	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Mar 4, 2025	D · Potential for harm, one-off	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. · from a complaint
Mar 4, 2025	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Nov 22, 2024	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Nov 22, 2024	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.
Oct 25, 2024	D · Potential for harm, one-off	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · from a complaint
Sep 25, 2024	E · Potential for harm, repeated	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. · from a complaint
Sep 25, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Sep 25, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint
Sep 25, 2024	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. · from a complaint
Apr 4, 2024	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Oct 6, 2023	E · Potential for harm, repeated	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. · from a complaint
Oct 6, 2023	E · Potential for harm, repeated	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. · from a complaint
Oct 6, 2023	D · Potential for harm, one-off	The facility did not dispose of garbage and refuse properly. · from a complaint

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (2 → 8).

Year	Citations	Worst severity that year
2023	3	E
2024	8	E
2025	5	D
2026	9	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)

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)	3.48	3.46	3.95	top 36% in Texas; bottom 36% in the U.S.
Registered Nurse hours	0.42	0.44	0.69	top 43% in Texas; bottom 25% in the U.S.
Weekend total nurse staffing	2.92	3.04	3.50	top 49% in Texas; bottom 27% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.25	0.34	0.48	bottom 39% in Texas; bottom 23% in the U.S.
Total nursing staff turnover (%)	66.3	55.3	45.8	bottom 23% in Texas; bottom 9% 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 3.41, RN 0.41, weekend 2.85. Staffing rating: 1/5.

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: 3/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Fannin County Hospital Authority	Organization	5% or Greater Direct Ownership Interest	100%	05/01/2026
Atique, Majid	Individual	Managing Control - Governing Body	NOT APPLICABLE	05/01/2026
Atique, Majid	Individual	Operational/Managerial Control	NOT APPLICABLE	05/01/2026
Atique, Majid	Individual	ADP of the SNF	NOT APPLICABLE	05/01/2026
Burnam, Soon	Individual	Corporate Officer	NOT APPLICABLE	05/01/2026
Burnam, Soon	Individual	Operational/Managerial Control	NOT APPLICABLE	05/01/2026
Ensign Services INC	Organization	ADP of the SNF	NOT APPLICABLE	05/01/2026
Keetch, Chad	Individual	Corporate Officer	NOT APPLICABLE	03/01/2011
Magnolia Grove Healthcare LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	05/01/2026
Magnolia Grove Healthcare LLC	Organization	ADP of the SNF	NOT APPLICABLE	04/15/2026
Menchaca, Mickey	Individual	Managing Control - Governing Body	NOT APPLICABLE	05/01/2026
Menchaca, Mickey	Individual	Operational/Managerial Control	NOT APPLICABLE	05/01/2026
Menchaca, Mickey	Individual	ADP of the SNF	NOT APPLICABLE	05/01/2026
Retama Pkwy Health Holdings LLC	Organization	ADP of the SNF	NOT APPLICABLE	05/01/2026
Sanderson, Clark	Individual	Corporate Officer	NOT APPLICABLE	05/01/2026
Standard Bearer Healthcare Op, LP	Organization	ADP of the SNF	NOT APPLICABLE	05/01/2026
The Ensign Group INC	Organization	ADP of the SNF	NOT APPLICABLE	05/01/2026

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 often does each resident's doctor visit and review their care in person?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Before a resident is discharged or transferred, how do you make sure the new place can actually meet their needs?"
"What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"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
Advanced Rehabilitation & Healthcare of Live Oak	2.6 mi	Live Oak, TX	★★★☆☆	2/5
Avir at Schertz	2.9 mi	Schertz, TX	★★☆☆☆	1/5	abuse
San Antonio Wellness & Rehabilitation	3.2 mi	San Antonio, TX	★★☆☆☆	2/5
Avir at Converse	4.0 mi	Converse, TX	★☆☆☆☆	2/5
Silver Tree Nursing and Rehabilitation Center	4.4 mi	Schertz, TX	★★☆☆☆	2/5
Army Residence Community	4.8 mi	San Antonio, TX	★★★★★	5/5
Crestway Nursing & Rehabilitation	4.9 mi	San Antonio, TX	★☆☆☆☆	1/5
Windcrest Nursing and Rehabilitation	6.4 mi	Windcrest, TX	★☆☆☆☆	2/5
Avir at Heritage	6.6 mi	San Antonio, TX	★★★☆☆	4/5
Northeast Rehabilitation and Healthcare Center	9.0 mi	San Antonio, TX	★☆☆☆☆	1/5
The Enclave	9.3 mi	San Antonio, TX	★☆☆☆☆	2/5
Broadway Nursing & Rehabilitation	10.0 mi	San Antonio, TX	★☆☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Selma →

Facility data as of CMS processing date 2026-08-01. CCN 676406.

The Care File

Visit checklist — Trucare Living Centers - Selma

16550 Retama Parkway, Selma, TX 78154 · 2108868393

Health inspection rating 3/5 · CMS overall 2/5· Fines (3y): $0

Questions for the administrator:

☐ "How often does each resident's doctor visit and review their care in person?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Before a resident is discharged or transferred, how do you make sure the new place can actually meet their needs?"
☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "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 676406 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)