The home failed to safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 842 — 42 CFR §483.70 — S/S: E
Nursing home report
Country Care Manor
La Vernia, TX · Medicare-certified · 91 beds
Needs attention
Government-runChain member
4 of 5 overall
Country Care Manor in La Vernia, TX has a 4 out of 5 overall rating, with 4 out of 5 for health inspections, 3 out of 5 for quality measures, and a low 2 out of 5 for staffing. Reported nurse staffing is 3.24 hours per resident per day versus the 4.1 federal benchmark, and the home had $22,143 in fines in the last 24 months plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.237 hrs/resident/day
Quality measures
Last inspection: December 17, 2025Penalties, last 24 months: $22,143recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.237.
Staffing detail
- Registered nurses
- 0.69
- Licensed practical nurses
- 0.45
- Nurse aides
- 2.10
- Weekend nursing
- 2.55
Hours per resident per day.
Total staff turnover: 40%
Registered nurse turnover: 22%
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
8.7%7.5%Improving
Residents with a fall causing major injury
4.4%3.3%Improving
Residents with pressure ulcers (bedsores)
3.7%1%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%2.2%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
3.7%9.1%Worsening
Residents whose ability to walk got worse
—13.9%—
Long-stay residents on antianxiety or sleep medication
20.7%15.2%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
1.7%0%Improving
Residents with new or worsening incontinence
10.5%14.3%Worsening
Residents with depressive symptoms
4.5%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
—92.4%—
Short-stay residents given the pneumonia vaccine
93.2%98.2%Improving
What the inspectors found
The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 921 — 42 CFR §483.90 — S/S: E
The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited September 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: E
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited August 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited December 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 690 — 42 CFR §483.25(e) — 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 3 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $4,147 was recorded.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $17,996 was recorded.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $22,143 in total fines.
- $4,147
Federal fine
Nov 21, 2025
- $17,996
Federal fine
Nov 25, 2024
Operator & ownership
- Ownership
- Government - Hospital district
- Chain
- Part of TOUCHSTONE COMMUNITIES · 25 homes · 2.7 stars avg
- Occupancy
- 76.7 residents on an average day (84% of 91 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 23 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.