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
Data as of July 1, 2026
4 of 5 overall
CARRIAGE HOUSE MANOR in Sulphur Springs, TX has an overall rating of 4 out of 5 stars, with 4-star health inspection and staffing ratings and 3-star quality measures. Reported nurse staffing is 4.29 hours per resident per day, slightly above the 4.1 federal benchmark, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.2915 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 4.2915.
Staffing detail
- Registered nurses
- 0.48
- Licensed practical nurses
- 0.94
- Nurse aides
- 2.87
- Weekend nursing
- 3.75
Hours per resident per day.
Total staff turnover: 47%
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
6.8%9.1%Worsening
Residents with a fall causing major injury
4.9%8.2%Worsening
Residents with pressure ulcers (bedsores)
3.6%6.3%Worsening
Residents with a urinary tract infection
1.6%3.4%Worsening
Residents who lost too much weight
3.9%7.8%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
22%18.9%Improving
Residents whose ability to walk got worse
—26.6%—
Long-stay residents on antianxiety or sleep medication
13.7%15.1%Worsening
Short-stay residents newly given an antipsychotic
2%0%Improving
Residents with a long-term catheter
1.5%0%Improving
Residents with new or worsening incontinence
37.5%25.6%Improving
Residents with depressive symptoms
0%0%No change
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
100%98.4%Worsening
Short-stay residents given the seasonal flu vaccine
—82.8%—
Short-stay residents given the pneumonia vaccine
97.9%71.7%Worsening
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.
View the original federal record
F-Tag 641 — 42 CFR §483.20(g) — S/S: E
The home failed to properly reduce or limit psychotropic medication use and try safer non-drug approaches when appropriate. Cited April 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 758 — 42 CFR §483.45(e) — 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
Recent ownership change · Feb 1, 2024
Now operated by Uvalde County Hospital Authority, previously Carriage House Manor INC.
- Ownership
- For profit - Individual
- Occupancy
- 81.7 residents on an average day (57% of 144 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 33 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.