Colonial Manor Advanced Rehab & Healthcare in Pharr, TX has an overall 2 out of 5 stars, with 2-star health inspection and staffing ratings but a 4-star quality measures rating. It reports 3.34 nurse staffing hours per resident per day, below the 4.1 federal benchmark, and it has had $16,442 in fines in the last 24 months with a recent federal penalty.
Last inspection: March 19, 2026Penalties, last 24 months: $16,442recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3353.
Staffing detail
Registered nurses
0.15
Licensed practical nurses
1.33
Nurse aides
1.86
Weekend nursing
3.13
Hours per resident per day.
Total staff turnover: 44%
Registered nurse turnover: 43%
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).
Last yrNowTrend
Long-stay residents on antipsychotic medication
27.1%23.4%Improving
Residents with a fall causing major injury
3%2.9%No change
Residents with pressure ulcers (bedsores)
0.7%0%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
9.1%8.2%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
21.3%12.7%Improving
Residents whose ability to walk got worse
3.5%21.8%Worsening
Long-stay residents on antianxiety or sleep medication
22.8%22.2%Improving
Short-stay residents newly given an antipsychotic
6.9%1.8%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
15.3%11.9%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).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited August 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: J
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited August 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: J
The nursing home failed to ensure residents were free from significant medication errors. Cited August 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: J
The home failed to safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited June 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 842 — 42 CFR §483.70 — S/S: E
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.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal fine of $16,442 was recorded.
Penalties & enforcement
On record with Medicare: 4 fines · $87,564 in total fines.
Federal fine
Jul 16, 2025
$16,442
Federal fine
Jan 12, 2024
$38,556
Federal fine
Aug 17, 2023
$19,679
Federal fine
Aug 17, 2023
$12,887
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of HAMILTON COUNTY HOSPITAL DISTRICT · 10 homes · 2.2 stars avg
Occupancy
117.1 residents on an average day (95% of 123 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.