COLEMAN HEALTHCARE CENTER in Coleman, TX has a 4-star overall rating, with 4 stars for health inspections, 3 stars for staffing, and 3 stars for quality measures. Reported nurse staffing is 3.84 hours per resident per day versus the federal benchmark of 4.1, with $0 in fines in the last 24 months; recent inspection citations included food handling, medication error rates, and drug labeling/storage issues.
Last inspection: September 11, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8431.
Staffing detail
Registered nurses
0.43
Licensed practical nurses
1.23
Nurse aides
2.18
Weekend nursing
3.43
Hours per resident per day.
Total staff turnover: 50%
Registered nurse turnover: 60%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
10.4%Steady
Residents with a fall causing major injury
3.6%Improving
Residents with pressure ulcers (bedsores)
1.7%Improving
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
1.7%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
11.2%Worsening
Residents whose ability to walk got worse
1.8%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
12.8%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
2.9%Improving
Residents with depressive symptoms
0.8%Steady
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
95.5%Steady
Short-stay residents given the pneumonia vaccine
96.8%Worsening
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited September 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to keep medication mistakes below the allowed level. Cited November 2024 — limited pattern, potential for harm.
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F-Tag 759 — 42 CFR §483.45(f)(1) — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited November 2024 — limited pattern, potential for harm.
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F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The nursing home failed to honor a resident’s right to manage their own money and financial affairs. Cited September 2023 — limited pattern, potential for harm.
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F-Tag 567 — 42 CFR §483.10 — S/S: E
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited September 2025 — isolated incident, potential for harm.
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F-Tag 550 — 42 CFR §483.10(a) — S/S: D
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
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INSPECTION
Health inspection found 1 health deficiency.
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INSPECTION
Health inspection found 2 health deficiencies.
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Operator & ownership
Ownership
For profit - Corporation
Chain
Part of NEXION HEALTH · 52 homes · 2.4 stars avg
Occupancy
35.3 residents on an average day (65% of 54 beds)
Resident voice
Resident council
Medicare history
Certified for 34 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.