Colonial Manor Nursing Center
2035 N Granbury St · Cleburne, TX · 76031 · 8176459134
137 certified beds For profit - Corporation Chain: Ruby Healthcare
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection results have improved across recent cycles.
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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
RN staffing in the bottom 10% nationally
0.27 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.77 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.27 | 0.55–0.75 |
| Weekend hours / resident-day | 3.45 | ≈ weekday level |
| Nursing turnover / year | 54% | median 45% |
| Fines (3-yr window) | 2 · $60,239 |
Inspection citations (26 in the current record)
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Actual harm · G February 13, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected February 15, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 13, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected February 15, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 4, 2025 · found via complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected September 22, 2025 · Resident Rights
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Potential for harm · E February 6, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 21, 2025 · Infection Control
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Immediate jeopardy · K December 23, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 26, 2023 · Resident Assessment and Care Planning
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Immediate jeopardy · K December 23, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 26, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E December 23, 2023
Reasonably accommodate the needs and preferences of each resident.
Corrected December 24, 2023 · Resident Rights
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Potential for harm · D December 23, 2023
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected December 24, 2023 · Resident Assessment and Care Planning
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Potential for harm · D December 23, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Corrected December 24, 2023 · Quality of Life and Care
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Potential for harm · F December 23, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 24, 2023 · Nutrition and Dietary
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Potential for harm · E September 21, 2023 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 22, 2023 · Quality of Life and Care
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Potential for harm · E August 18, 2023 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected August 19, 2023 · Resident Rights
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Potential for harm · D August 18, 2023 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 19, 2023 · Nutrition and Dietary
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Potential for harm · D August 18, 2023 · found via complaint
Provide and implement an infection prevention and control program.
Corrected August 21, 2023 · Infection Control
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Potential for harm · D September 30, 2022
Keep residents' personal and medical records private and confidential.
Corrected November 13, 2022 · Resident Rights
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Potential for harm · D September 30, 2022
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected November 13, 2022 · Resident Assessment and Care Planning
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Potential for harm · E September 30, 2022
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected November 13, 2022 · Resident Assessment and Care Planning
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Potential for harm · D September 30, 2022
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 13, 2022 · Quality of Life and Care
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Potential for harm · D September 30, 2022
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected November 13, 2022 · Quality of Life and Care
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Potential for harm · E September 30, 2022
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 13, 2022 · Quality of Life and Care
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Potential for harm · E September 30, 2022
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected November 13, 2022 · Pharmacy Service
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Potential for harm · E September 30, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 13, 2022 · Nutrition and Dietary
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Potential for harm · E September 30, 2022
Dispose of garbage and refuse properly.
Corrected November 13, 2022 · Nutrition and Dietary
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Potential for harm · E September 30, 2022
Provide and implement an infection prevention and control program.
Corrected November 13, 2022 · Infection Control
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Potential for harm · E September 30, 2022
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected November 13, 2022 · Nursing and Physician Services
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 13, 2026 | Fine | $24,700 |
| December 23, 2023 | Fine | $35,539 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455631 · certified since January 23, 1986. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.