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Nursing home report

Colonial Manor Advanced Rehab & Healthcare

Pharr, TX · Medicare-certified · 123 beds

Needs attention
For-profitChain member
2 of 5 overall

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.

Facility ratings

Health inspections

Staffing

3.3353 hrs/resident/day

Quality measures

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).

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).

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

  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. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. 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.