The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited July 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Nursing home report
CARRIAGE HOUSE MANOR
SULPHUR SPRINGS, TX · Medicare-certified · 144 beds
In good standing
For-profit
4 of 5 overall
Carriage House Manor (Sulphur Springs, TX) has an overall rating of 4 out of 5 stars, with solid health inspection and staffing scores and nurse staffing above the federal benchmark (4.43 vs. 4.1 hours per resident per day). It has no fines in the last 24 months, but recent inspection citations included food handling, medication storage, and food temperature issues, and its quality measures rating is 3 out of 5 stars.
Facility ratings
Health inspections
Staffing
4.4345 hrs/resident/day
Quality measures
Last inspection: July 23, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.4345.
Staffing detail
- Registered nurses
- 0.54
- Licensed practical nurses
- 0.93
- Nurse aides
- 2.96
- Weekend nursing
- 3.88
Hours per resident per day.
Total staff turnover: 50%
Registered nurse turnover: 30%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
10%11.9%Worsening
Residents with a fall causing major injury
4.8%6.8%Worsening
Residents with pressure ulcers (bedsores)
1.5%3.8%Worsening
Residents with a urinary tract infection
1.6%0%Improving
Residents who lost too much weight
0%1.9%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
38.3%3.8%Improving
Residents whose ability to walk got worse
—32%—
Long-stay residents on antianxiety or sleep medication
20.8%14.5%Improving
Short-stay residents newly given an antipsychotic
2.2%1.1%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
27.4%10.1%Improving
Residents with depressive symptoms
1.7%0%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—98.5%—
Long-stay residents given the pneumonia vaccine
98.4%100%Improving
Short-stay residents given the seasonal flu vaccine
—82.8%—
Short-stay residents given the pneumonia vaccine
98.4%98.5%No change
What the inspectors found
The home failed to properly label and securely store medications and biologicals. Cited July 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited July 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: E
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited June 2024 — limited pattern, potential for harm.
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F-Tag 641 — 42 CFR §483.20(g) — S/S: E
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited April 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Individual
- Occupancy
- 80.3 residents on an average day (56% of 144 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 32 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.