The nursing home failed to protect residents from abuse and neglect by others. Cited December 2023 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: K
Nursing home report
Colonial Manor Nursing Center
Cleburne, TX · Medicare-certified · 137 beds
Needs attention
Abuse citationFor-profitChain member
3 of 5 overall
Colonial Manor Nursing Center in Cleburne, TX is rated 3 out of 5 stars overall, with a 2-star health inspection rating, 3-star staffing, and 5-star quality measures. It has a recent abuse citation, $24,700 in fines over the last 24 months, and reported nurse staffing of 3.77 hours per resident per day, below the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
3.7671 hrs/resident/day
Quality measures
Last inspection: February 13, 2026Penalties, last 24 months: $24,700recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7671.
Staffing detail
- Registered nurses
- 0.27
- Licensed practical nurses
- 1.25
- Nurse aides
- 2.25
- Weekend nursing
- 3.45
Hours per resident per day.
Total staff turnover: 54%
Registered nurse turnover: 33%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
9.1%Worsening
Residents with a fall causing major injury
5.4%Steady
Residents with pressure ulcers (bedsores)
1.4%Improving
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
3.3%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
9.2%Improving
Residents whose ability to walk got worse
6.1%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
13.7%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
10%Improving
Residents with depressive symptoms
3.8%Improving
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
100%Steady
Short-stay residents given the pneumonia vaccine
100%Steady
What the inspectors found
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited December 2023 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: K
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 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 provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited February 2025 — limited pattern, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The nursing home failed to reasonably accommodate each resident’s needs and preferences. Cited December 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 558 — 42 CFR §483.10 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $24,700 was recorded.
- INSPECTION
Health inspection found 2 health deficiencies.
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
Penalties & enforcement
On record with Medicare: 2 fines · $60,239 in total fines.
- $24,700
Federal fine
Feb 13, 2026
- $35,539
Federal fine
Dec 23, 2023
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of RUBY HEALTHCARE · 7 homes · 3 stars avg
- Occupancy
- 74.8 residents on an average day (55% of 137 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 40 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.