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Country Care Manor
2736 Fm 775, LA Vernia, TX 78121 · CMS Certification Number (CCN) 675947
At a glance
- CMS overall rating
- ★★★★☆ 4 of 5
- Health inspection citations
- 12 in the last 3 inspection cycles (0 immediate jeopardy, 0 actual harm, 6 from complaints)
- Fire safety citations
- 4
- Fines (last 3 years)
- 2 fines, total $22,143
- Payment denials
- 0
- Most recent standard inspection
- December 17, 2025
- Official record
- Medicare Care Compare page for this facility
Source: CMS Nursing Home Provider Information: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
CMS star ratings
CMS rates every Medicare- and Medicaid-certified nursing home from 1 to 5 stars. Health inspection stars are relative to other homes in the same state: the top 10% get 5 stars and the bottom 20% get 1 star. CMS says to use the ratings together with other information, including a visit. Technical Users’ Guide
| Rating | This facility | Texas average | U.S. average |
|---|---|---|---|
| Overall | ★★★★☆ 4 of 5 | 2.7 | 3 |
| Health inspections | ★★★★☆ 4 of 5 | 2.8 | 2.8 |
| Staffing | ★★☆☆☆ 2 of 5 | 1.9 | 2.9 |
| Quality measures | ★★★★☆ 4 of 5 | 3.7 | 3.6 |
| Long-stay quality | ★★★★★ 5 of 5 | Not published | Not published |
| Short-stay quality | ★★☆☆☆ 2 of 5 | Not published | Not published |
Averages: CMS State and US Averages: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
Health inspections
| Inspection cycle | Standard survey date | Health citations | From standard survey | From complaints |
|---|---|---|---|---|
| Cycle 1 (most recent) | December 17, 2025 | 5 | 3 | 2 |
| Cycle 2 | September 18, 2024 | 4 | 4 | 4 |
CMS weighted health inspection score: 28 (lower is better; it counts citation severity, complaints and repeat revisits). Citations from infection control inspections: Not published. How to read these citations
12 health citations across 4 inspection dates, newest first. The letter is CMS’s scope/severity code: A–C means potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, and J–L immediate jeopardy.
December 17, 2025: 3 citations (Standard)
| Severity | Tag | What was cited | Type | Status |
|---|---|---|---|---|
| E | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies | Standard | Deficient, Provider has date of correction Corrected 01/31/2026 |
| E | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies | Standard | Deficient, Provider has date of correction Corrected 12/18/2025 |
| D | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies | Standard | Deficient, Provider has date of correction Corrected 12/18/2025 |
November 21, 2025: 2 citations (Complaint)
| Severity | Tag | What was cited | Type | Status |
|---|---|---|---|---|
| D | F-0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies | Complaint | Deficient, Provider has date of correction Corrected 11/22/2025 |
| D | F-0555 | Honor the resident's right to choose his or her attending physician. Resident Rights Deficiencies | Complaint | Deficient, Provider has date of correction Corrected 11/22/2025 |
September 18, 2024: 4 citations (Standard + Complaint)
| Severity | Tag | What was cited | Type | Status |
|---|---|---|---|---|
| D | F-0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. Administration Deficiencies | Standard + Complaint | Deficient, Provider has date of correction Corrected 09/19/2024 |
| E | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies | Standard + Complaint | Deficient, Provider has date of correction Corrected 10/14/2024 |
| E | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies | Standard + Complaint | Deficient, Provider has date of correction Corrected 09/19/2024 |
| E | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies | Standard + Complaint | Deficient, Provider has date of correction Corrected 09/19/2024 |
August 2, 2023: 3 citations (Standard)
| Severity | Tag | What was cited | Type | Status |
|---|---|---|---|---|
| E | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies | Standard | Deficient, Provider has date of correction Corrected 08/03/2023 |
| D | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies | Standard | Deficient, Provider has date of correction Corrected 08/03/2023 |
| E | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies | Standard | Deficient, Provider has date of correction Corrected 08/03/2023 |
Source: CMS Health Deficiencies: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
Fire safety inspections
4 fire safety citations across 2 inspection dates
| Date | Severity | Tag | What was cited | Status |
|---|---|---|---|---|
| 12/17/2025 | E | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies | Deficient, Provider has date of correction Corrected 01/31/2026 |
| 08/02/2023 | E | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies | Deficient, Provider has date of correction Corrected 08/04/2023 |
| 08/02/2023 | E | K-0325 | Have properly installed hallway dispensers for alcohol-based hand rub. Smoke Deficiencies | Deficient, Provider has date of correction Corrected 08/04/2023 |
| 08/02/2023 | E | K-0200 | Meet other general requirements. Egress Deficiencies | Deficient, Provider has date of correction Corrected 08/08/2023 |
Automatic sprinklers in all required areas: Yes. CMS does not count fire safety citations in the health inspection star rating.
Source: CMS Fire Safety Deficiencies: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
Penalties
| Date | Type | Fine amount | Payment denial |
|---|---|---|---|
| November 21, 2025 | Fine | $4,147 | — |
| November 25, 2024 | Fine | $17,996 | — |
Source: CMS Penalties: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
Staffing
| Measure | This facility | Texas average | U.S. average |
|---|---|---|---|
| Total nurse staff hours per resident per day | 3.17 | 3.39 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.69 | 0.43 | 0.69 |
| LPN/LVN hours per resident per day | 0.46 | Not published | Not published |
| Nurse aide hours per resident per day | 2.02 | Not published | Not published |
| Total nurse staff hours per resident per day, weekends | 2.51 | Not published | Not published |
| RN hours per resident per day, weekends | 0.45 | Not published | Not published |
| Total nursing staff turnover (%) | 38.5 | 55.3 | 45.8 |
| Registered nurse turnover (%) | 28.6 | Not published | Not published |
| Administrators who have left | 0 | Not published | Not published |
Reported hours come from the Payroll-Based Journal (PBJ) staffing data that facilities submit to CMS each quarter.
Source: CMS Provider Information; State and US Averages: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
Facility details
- Legal business name
- Bexar County Hospital District
- Ownership type
- Government - Hospital district
- Chain
- Touchstone Communities (25 facilities)
- Ownership changed in last 12 months
- No
- Certified beds
- 91
- Average residents per day
- 77.2
- Participates in
- Medicare and Medicaid
- Located inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- First approved for Medicare/Medicaid
- December 4, 2002
- County/parish
- Wilson
Source: CMS Provider Information: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
Owners and managers reported to CMS
31 ownership and management records
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| BEXAR COUNTY HOSPITAL DISTRICT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | undefined undefined, NaN |
| LUMENT REAL ESTATE CAPITAL LLC | 5% OR GREATER MORTGAGE INTEREST | Organization | NOT APPLICABLE | undefined undefined, NaN |
| HURLEY, CHRISTOPHER | CORPORATE OFFICER | Individual | NOT APPLICABLE | undefined undefined, NaN |
| TOUCHSTONE STRATEGIES - LAVERNIA LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | undefined undefined, NaN |
| BARBOSA, MARY ANN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | undefined undefined, NaN |
| CAMPBELL, LESLIE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | undefined undefined, NaN |
| CASTILLO, LYNNEA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | undefined undefined, NaN |
| CLAYTON, JONATHON | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | undefined undefined, NaN |
| SEHLKE, BRYON | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | undefined undefined, NaN |
| THOMPSON, CHASE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | undefined undefined, NaN |
| ZERTUCHE, BENJAMIN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | undefined undefined, NaN |
| ZUROVEC, DARRELL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | undefined undefined, NaN |
| AEGIS THERAPIES, INC. | ADP OF THE SNF | Organization | NOT APPLICABLE | undefined undefined, NaN |
| ALAMO ADVISORS LP | ADP OF THE SNF | Organization | NOT APPLICABLE | undefined undefined, NaN |
| CARE INN REALTY - LAVERNIA LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | undefined undefined, NaN |
| CARVAJAL PHARMACY LTC | ADP OF THE SNF | Organization | NOT APPLICABLE | undefined undefined, NaN |
| NUTRITIOUS LIFESTYLES, INC. | ADP OF THE SNF | Organization | NOT APPLICABLE | undefined undefined, NaN |
| PLANTE & MORAN PLLC | ADP OF THE SNF | Organization | NOT APPLICABLE | undefined undefined, NaN |
| TOUCHSTONE COMMUNITIES INC | ADP OF THE SNF | Organization | NOT APPLICABLE | undefined undefined, NaN |
| TOUCHSTONE STRATEGIES - LAVERNIA LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | undefined undefined, NaN |
| TRIDENT HEALTH SERVICES INC | ADP OF THE SNF | Organization | NOT APPLICABLE | undefined undefined, NaN |
| BARBOSA, MARY ANN | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| CAMPBELL, LESLIE | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| CASTILLO, LYNNEA | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| CLAYTON, JONATHON | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| FELLBAUM, ERNEST | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| SEHLKE, BRYON | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| STUDER, STANLEY | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| THOMPSON, CHASE | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| ZERTUCHE, BENJAMIN | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| ZUROVEC, DARRELL | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
Source: CMS Ownership: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
Check it yourself
- Medicare Care Compare: Country Care Manor. Full inspection reports, quality measures and staffing.
- HHSC long-term care complaint portal (TULIP). The state agency also takes nursing home complaints.
- Ask the facility to show you its most recent inspection report and plan of correction.
Page built from CMS data files processed September 1, 2026 (CMS refreshes monthly). Last checked October 26, 2026. Not a ranking or endorsement.