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Nursing home report

Colonial Manor Advanced Rehab & Healthcare

Pharr, TX · Medicare-certified · 123 beds

Needs attention
Government-runChain member
Data as of September 1, 2026
1 of 5 overall

Colonial Manor Advanced Rehab & Healthcare has an overall rating of 1 out of 5 stars, with low staffing (1 star) and health inspection at 2 stars. It also has a recent federal penalty with $16,442 in fines, and reported nurse staffing of 3.42 hours per resident per day is below the federal benchmark of 4.1.

Facility ratings

Health inspections

Staffing

3.4249 hrs/resident/day

Quality measures

Last inspection: June 25, 2026Penalties, last 24 months: $16,442recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4249.

Staffing detail

Registered nurses
0.13
Licensed practical nurses
1.39
Nurse aides
1.90
Weekend nursing
3.17

Hours per resident per day.

Total staff turnover: 39%
Registered nurse turnover: 38%

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

24.6%19.2%Improving

Residents with a fall causing major injury

3.9%0.9%Improving

Residents with pressure ulcers (bedsores)

0.6%2.5%Worsening

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

6.2%9.9%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

9.8%17.9%Worsening

Residents whose ability to walk got worse

8.6%16.4%Worsening

Long-stay residents on antianxiety or sleep medication

24.4%12.9%Improving

Short-stay residents newly given an antipsychotic

6.9%1.9%Improving

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

9.5%6.4%Improving

Residents with depressive symptoms

1%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

—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 have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited June 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 727 — 42 CFR §483.35 — S/S: E

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: E

The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited June 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 880 — 42 CFR §483.80(a) — S/S: E

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

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  6. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  7. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  8. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  9. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  10. PENALTY

    A federal fine of $16,442 was recorded.

Penalties & enforcement

On record with Medicare: 2 fines · $54,998 in total fines.

  • Federal fine

    Jul 16, 2025

    $16,442
  • Federal fine

    Jan 12, 2024

    $38,556

Operator & ownership

Recent ownership change · Mar 1, 2023

Now operated by Hamilton County Hospital District, previously Colonial Manor Snf, LLC.

Ownership
Government - Hospital district
Chain
Part of HAMILTON COUNTY HOSPITAL DISTRICT · 10 homes · 2.3 stars avg
Occupancy
115.8 residents on an average day (94% of 123 beds)
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.