The Manor Healthcare Residence

831 Tehuacana Hwy · Mexia, TX · 76667 · 2545623867

66 certified beds For profit - Limited Liability company Chain: Coryell County Memorial Hospital Authority

  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

The complete Safety Report — $19

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.

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Red flags

RN staffing in the bottom 10% nationally

0.25 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

Score breakdown

Inspection record 30% of score 74
Serious harm & abuse 20% 94
Staffing 20% 56
Federal penalties 15% 100
Trend 10% 90
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 5 of 5 Inspections: 5 of 5 Staffing: 2 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.403.48 min · 4.1 strong
RN hours / resident-day0.250.55–0.75
Weekend hours / resident-day3.00≈ weekday level
Nursing turnover / year29%median 45%
Fines (3-yr window)none

Inspection citations (16 in the current record)

  • Potential for harm · D December 11, 2025

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected January 2, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D December 11, 2025

    Ensure medication error rates are not 5 percent or greater.

    Corrected January 2, 2026 · Pharmacy Service

  • Potential for harm · E September 12, 2024

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Corrected October 10, 2024 · Resident Rights

  • Potential for harm · E September 12, 2024

    Keep residents' personal and medical records private and confidential.

    Corrected October 10, 2024 · Resident Rights

  • Potential for harm · E September 12, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected October 10, 2024 · Nutrition and Dietary

  • Actual harm · G July 12, 2023 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected August 8, 2023 · Quality of Life and Care

  • Potential for harm · E July 12, 2023

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected August 8, 2023 · Resident Rights

  • Potential for harm · D July 12, 2023

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Corrected August 8, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D July 12, 2023

    Ensure each resident receives an accurate assessment.

    Corrected August 8, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D July 12, 2023

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected August 8, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D July 12, 2023

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected August 8, 2023 · Pharmacy Service

  • Potential for harm · D July 12, 2023

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Corrected August 8, 2023 · Pharmacy Service

  • Potential for harm · F July 12, 2023

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected August 8, 2023 · Nutrition and Dietary

  • Potential for harm · D July 12, 2023

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected August 8, 2023 · Environmental

  • Potential for harm · D July 12, 2023 · found via complaint

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected August 8, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D July 12, 2023 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected August 8, 2023 · Freedom from Abuse, Neglect, and Exploitation

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 675307 · certified since May 26, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.