nursing home in La Vernia, TX
Country Care Manor
2736 Fm 775, La Vernia, TX 78121 · (830) 779-2355
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★2
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Country Care Manor at a glance
Country Care Manor is a 91-bed government nursing home in La Vernia, Texas (Wilson County).
CMS gives it 4 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 (0.7 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (December 17, 2025) found 5 health citations. The Texas average is 9.4.
Federal regulators fined it 2 times in the past three years, totaling $22,143.
Nursing staff turnover is 38.5% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- Government - Hospital District
- Beds
- 91
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Touchstone Communities
- Medicare-certified since
- December 4, 2002
- Resident/family council
- Resident
- County
- Wilson County
- CMS Certification Number
- 675947
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 2.7 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.7 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 5 / 5 | 4 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 2 / 5 | 3.2 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.17 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.69 hrs | 0.43 hrs | 0.69 hrs | Average |
| Nurse aide hours per resident per day (higher is better) | 2.02 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.51 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 38.5% | 55.3% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 28.6% | 54.6% | 42.9% | 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) | 5 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 2 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 28 | 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) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $22,143 | $44,141 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 2 | 2 | 1 | Worse |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 91 | 113 | 107 | |
| Average residents per day | 77 | 76 | 86 | |
| Occupancy | 84.8% | 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) | 4.8% | 3.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 2.9% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 7% | 9.6% | 15.4% | Better |
| 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% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 8.9% | 15.8% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 11.7% | 14% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 1.1% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 1.7% | 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) | 16.2% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 14.2% | 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) | 100% | 96.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.4% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 92.4% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 98.1% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 12 health deficiencies and 4 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| December 17, 2025 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | E Potential harm, pattern | Corrected January 31, 2026 |
| December 17, 2025 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 | E Potential harm, pattern | Corrected January 31, 2026 |
| December 17, 2025 Standard | 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 · Tag F0842 | E Potential harm, pattern | Corrected December 18, 2025 |
| December 17, 2025 Standard | 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 · Tag F0690 | D Potential harm, isolated | Corrected December 18, 2025 |
| November 21, 2025 Complaint | Honor the resident's right to choose his or her attending physician. Resident Rights Deficiencies · Tag F0555 | D Potential harm, isolated | Corrected November 22, 2025 |
| November 21, 2025 Complaint | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · Tag F0627 | D Potential harm, isolated | Corrected November 22, 2025 |
| September 18, 2024 Complaint | 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 · Tag F0842 | E Potential harm, pattern | Corrected September 19, 2024 |
| September 18, 2024 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected September 19, 2024 |
| September 18, 2024 Complaint | 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 | E Potential harm, pattern | Corrected October 14, 2024 |
| September 18, 2024 Complaint | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. Administration Deficiencies · Tag F0944 | D Potential harm, isolated | Corrected September 19, 2024 |
| August 2, 2023 Fire safety | Meet other general requirements. Egress Deficiencies · Tag K0200 | E Potential harm, pattern | Corrected August 8, 2023 |
| August 2, 2023 Fire safety | Have properly installed hallway dispensers for alcohol-based hand rub. Smoke Deficiencies · Tag K0325 | E Potential harm, pattern | Corrected August 4, 2023 |
| August 2, 2023 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | E Potential harm, pattern | Corrected August 4, 2023 |
| August 2, 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 | E Potential harm, pattern | Corrected August 3, 2023 |
| August 2, 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 3, 2023 |
| August 2, 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 | D Potential harm, isolated | Corrected August 3, 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 2 federal penalties in the past three years, including $22,143 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| November 21, 2025 | Fine | $4,147 |
| November 25, 2024 | Fine | $17,996 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| BEXAR COUNTY HOSPITAL DISTRICT Organization | 5% or greater direct ownership interest | 100% | 02/28/2015 |
| LUMENT REAL ESTATE CAPITAL LLC Organization | 5% or greater mortgage interest | NOT APPLICABLE | 05/05/2014 |
| 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 | adp of the snf | NOT APPLICABLE | 09/13/2021 |
| 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 | adp of the snf | NOT APPLICABLE | 02/28/2015 |
| CLAYTON, JONATHON Individual | adp of the snf | NOT APPLICABLE | 05/01/2023 |
| FELLBAUM, ERNEST Individual | adp of the snf | NOT APPLICABLE | 02/28/2015 |
| 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 | adp of the snf | NOT APPLICABLE | 12/16/2016 |
| STUDER, STANLEY Individual | adp of the snf | NOT APPLICABLE | 02/28/2015 |
| THOMPSON, CHASE Individual | adp of the snf | NOT APPLICABLE | 08/16/2020 |
| TOUCHSTONE COMMUNITIES INC Organization | adp of the snf | NOT APPLICABLE | 02/28/2015 |
| TOUCHSTONE STRATEGIES - LAVERNIA LLC Organization | adp of the snf | NOT APPLICABLE | 07/24/2025 |
| TRIDENT HEALTH SERVICES INC Organization | adp of the snf | NOT APPLICABLE | 02/28/2015 |
| ZERTUCHE, BENJAMIN Individual | adp of the snf | NOT APPLICABLE | 12/01/2016 |
| ZUROVEC, DARRELL Individual | adp of the snf | NOT APPLICABLE | 08/01/2017 |
| HURLEY, CHRISTOPHER Individual | corporate officer | NOT APPLICABLE | 09/26/2014 |
| BARBOSA, MARY ANN Individual | operational/managerial control | NOT APPLICABLE | 09/13/2021 |
| CAMPBELL, LESLIE Individual | operational/managerial control | NOT APPLICABLE | 04/01/2020 |
| CASTILLO, LYNNEA Individual | operational/managerial control | NOT APPLICABLE | 02/28/2015 |
| CLAYTON, JONATHON Individual | operational/managerial control | NOT APPLICABLE | 05/01/2023 |
| SEHLKE, BRYON Individual | operational/managerial control | NOT APPLICABLE | 12/16/2016 |
| THOMPSON, CHASE Individual | operational/managerial control | NOT APPLICABLE | 08/16/2020 |
| TOUCHSTONE STRATEGIES - LAVERNIA LLC Organization | operational/managerial control | NOT APPLICABLE | 03/01/2016 |
| ZERTUCHE, BENJAMIN Individual | operational/managerial control | NOT APPLICABLE | 12/01/2016 |
| ZUROVEC, DARRELL Individual | operational/managerial control | NOT APPLICABLE | 08/01/2017 |
Other nursing homes near Country Care Manor
Prairie Meadows Rehabilitation and Healthcare Cent
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For-profit · 120 beds · Part of Nexion Health
★★★★★1Much below averageHarmony Care at Floresville
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★★★★★2Below averageFrank M. Tejeda Texas State Veterans Home
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Government · 160 beds · Part of Texvet
- Abuse citation
★★★★★3AverageSilver Tree Nursing and Rehabilitation Center
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Government · 120 beds · Part of Creative Solutions in Healthcare
★★★★★2Below averageSoutheast Nursing & Rehabilitation Center
4302 East Southcross Blvd, San Antonio, TX 78222 · 17 mi
Government · 116 beds · Part of Ruby Healthcare
★★★★★3AverageNormandy Terrace Nursing & Rehabilitation Center
841 Rice Road, San Antonio, TX 78220 · 17 mi
For-profit · 320 beds · Part of Creative Solutions in Healthcare
- Special Focus candidate
★★★★★1Much below average
Frequently asked questions
What is Country Care Manor's rating?
Country Care Manor has 4 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 Country Care Manor receive?
Its most recent standard health inspection found 5 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Country Care Manor 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 Country Care Manor?
It is government - hospital district and part of Touchstone Communities. The ownership section on this page lists the owners and managers reported to CMS.
Where is Country Care Manor and how do I contact it?
Country Care Manor is at 2736 Fm 775, La Vernia, TX 78121. Phone: (830) 779-2355.
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.