nursing home in Mexia, TX
The Manor Healthcare Residence
831 Tehuacana Hwy, Mexia, TX 76667 · (254) 562-3867
CMS overall star rating
- Health inspections★★★★★5
- Staffing★★★★★3
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
The Manor Healthcare Residence at a glance
The Manor Healthcare Residence is a 66-bed for-profit nursing home in Mexia, Texas (Limestone County).
CMS gives it 5 out of 5 stars on its overall star rating, better than the Texas average of 2.7.
Residents receive about 3.2 hours of nursing care per day (0.3 of them from registered nurses), close to the state average of 3.4 hours.
Its most recent standard health inspection (December 11, 2025) found 2 health citations. The Texas average is 9.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 25.8% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 66
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Coryell County Memorial Hospital Authority
- Medicare-certified since
- May 26, 1994
- Resident/family council
- Resident
- County
- Limestone County
- CMS Certification Number
- 675307
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 5 / 5 | 2.7 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 5 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 1.9 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3.7 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 4 / 5 | 3.8 / 5 | Better |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.22 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.25 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.65 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.95 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 25.8% | 55.3% | 45.8% | Better |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 2 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 12 | 102 | 80.6 | Better |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $44,141 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 2 | 1 | Better |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 66 | 113 | 107 | |
| Average residents per day | 41 | 76 | 86 | |
| Occupancy | 62.3% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 4.9% | 3.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 2.7% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 16.9% | 9.6% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.9% | 0.3% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 7% | 15.8% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 7.5% | 14% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 1.5% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 19.3% | 18% | 19.5% | Average |
| Long-stay residents with new or worse incontinence (lower is better) | 5.4% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 97.5% | 96.6% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 8% | 1.5% | 1.6% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 94.8% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 16 health deficiencies and 6 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| December 11, 2025 Fire safety | Follow proper procedures when the fire alarm was out of service for more than 4 hours. Smoke Deficiencies · Tag K0346 | F Potential harm, widespread | Corrected January 15, 2026 |
| December 11, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected January 15, 2026 |
| December 11, 2025 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | D Potential harm, isolated | Corrected January 15, 2026 |
| December 11, 2025 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | No revisit needed |
| December 11, 2025 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected January 2, 2026 |
| December 11, 2025 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected January 2, 2026 |
| September 12, 2024 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Deficient, Provider has no plan of correction |
| September 12, 2024 Standard | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | E Potential harm, pattern | Corrected October 10, 2024 |
| September 12, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected October 10, 2024 |
| September 12, 2024 Standard | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Tag F0565 | E Potential harm, pattern | Corrected October 10, 2024 |
| July 12, 2023 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Corrected January 29, 2024 |
| July 12, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected August 8, 2023 |
| July 12, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected August 8, 2023 |
| July 12, 2023 Standard | 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 · Tag F0584 | E Potential harm, pattern | Corrected August 8, 2023 |
| July 12, 2023 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected August 8, 2023 |
| July 12, 2023 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected August 8, 2023 |
| July 12, 2023 Standard | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Tag F0640 | D Potential harm, isolated | Corrected August 8, 2023 |
| July 12, 2023 Standard | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected August 8, 2023 |
| July 12, 2023 Standard | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | D Potential harm, isolated | Corrected August 8, 2023 |
| July 12, 2023 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | D Potential harm, isolated | Corrected August 8, 2023 |
| July 12, 2023 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected August 8, 2023 |
| July 12, 2023 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected August 8, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| TGR HEALTHCARE, LLC Organization | adp of the snf | NOT APPLICABLE | 04/29/2025 |
| THOMAS, BRIAN Individual | adp of the snf | NOT APPLICABLE | 11/01/2019 |
| VILLA, RICARDO Individual | adp of the snf | NOT APPLICABLE | 11/01/2019 |
| 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 |
| THOMAS, BRIAN Individual | operational/managerial control | NOT APPLICABLE | 11/01/2019 |
| VILLA, RICARDO Individual | operational/managerial control | NOT APPLICABLE | 11/01/2019 |
Other nursing homes near The Manor Healthcare Residence
Mexia LTC Nursing and Rehabilitation
601 Terrace Ln, Mexia, TX 76667 · under 1 mi
For-profit · 66 beds · Part of Gulf Coast LTC Partners
★★★★★2Below averageSkilled Care of Mexia
501 E Sumpter St, Mexia, TX 76667 · under 1 mi
Government · 80 beds · Part of Creative Solutions in Healthcare
★★★★★3AverageTeague Nursing and Rehabilitation
884 Hwy 84 W, Teague, TX 75860 · 11.4 mi
For-profit · 76 beds · Part of Gulf Coast LTC Partners
★★★★★5Much above averageGroesbeck LTC Nursing and Rehabilitation
607 Parkside Dr, Groesbeck, TX 76642 · 11.4 mi
Government · 90 beds · Part of Gulf Coast LTC Partners
★★★★★5Much above averageWindsor Healthcare Residence
1025 W Yeagua, Groesbeck, TX 76642 · 11.5 mi
For-profit · 90 beds · Part of Coryell County Memorial Hospital Authority
- Abuse citation
★★★★★2Below averageFairfield Nursing & Rehabilitation Center
420 Moody St, Fairfield, TX 75840 · 19.5 mi
Government · 101 beds · Part of Creative Solutions in Healthcare
★★★★★4Above average
Frequently asked questions
What is The Manor Healthcare Residence's rating?
The Manor Healthcare Residence has 5 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did The Manor Healthcare Residence receive?
Its most recent standard health inspection found 2 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does The Manor Healthcare Residence accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns The Manor Healthcare Residence?
It is for profit - limited liability company and part of Coryell County Memorial Hospital Authority. The ownership section on this page lists the owners and managers reported to CMS.
Where is The Manor Healthcare Residence and how do I contact it?
The Manor Healthcare Residence is at 831 Tehuacana Hwy, Mexia, TX 76667. Phone: (254) 562-3867.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.