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Nursing homeFAID #14000

Carriage House Manor

210 PIPELINE RD, SULPHUR SPRINGS, TX, 75482
(903) 885-3589
144 licensed beds

CMS rates Carriage House Manor 4 out of 5 overall. Federal inspectors issued 31 citations across 8 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★4/5CMS Five-Star overall4/5 health inspections4/5 staffing3/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
144
CMS facility ID
675181
Care type
Nursing home
County
Hopkins
Facility name
Carriage House Manor
Street address
210 PIPELINE RD
City / state / ZIP
Sulphur Springs, TX 75482
Phone
(903) 885-3589

Carriage House Manor is a Medicare/Medicaid-certified skilled nursing facility in Sulphur Springs, Texas. It is licensed for 144 beds — above the median for skilled nursing facilities in Texas (120 beds).

It is one of 7 senior care facilities in Sulphur Springs and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Carriage House Manor 31 times across 8 inspections in the last three years, including 4 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Ownership type
For profit - Individual

Registered owners & officers

Apolinar, Adam
Officer — since 2024
Arnecke, Darren
Director · Additional disclosable party — since 2011
Carriage House Manor Inc
Operational control · Additional disclosable party — since 2024
Contreras, Terri
Officer · Operational control — since 2019
Harrington, Jennifer
Director · Additional disclosable party — since 2023
Tanton, Arvis
Direct owner — since 2024
Tanton, Sharla
Operational control · Additional disclosable party — since 2005
The Tanton Family Trust
Direct owner · Trustee · Additional disclosable party — since 2024

Regulatory standing

Licensed / certified since
1993-07-12
CMS overall rating
4 of 5 stars
Health deficiencies
8 at the last standard inspection
Federal fines
None on record
Last standard inspection
2025-07-23
Nurse staffing
4.6 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$325 per day (≈ $9,880/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
48% Medicaid · 17% Medicare · 34% private/other
Occupancy
50% (fiscal year 2023)
Vs. state median
17% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
144
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 4 food-safety citations on its three-year record — flagged below among the inspections.
2026-07-08Health inspectionComplaint-triggered1 citation
F-0761
D · No harm foundFrom a complaint
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 2026-07-09
2025-07-23Health inspection7 citations
F-0636
D · No harm found
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2025-08-31
F-0640
B · No harm found
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2025-08-31
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-08-31
F-0761
E · No harm found
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 2025-08-31
F-0804
E · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-08-31
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-08-31
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-08-31
6 earlier / fire-safety inspections (23 citations)
2024-06-26Health inspection5 citations
F-0641
E · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2024-08-09
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-08-09
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-08-09
F-0758
D · No harm found
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2024-08-09
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-08-09
2024-06-13Health inspectionComplaint-triggered2 citations
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-07-26
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-07-26
2023-04-26Health inspection12 citations
F-0550
E · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-05-31
F-0582
D · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-05-31
F-0640
D · No harm found
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2023-05-31
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2023-05-31
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-05-31
F-0698
D · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-05-31
F-0727
E · No harm found
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2023-06-01
F-0755
E · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-05-31
F-0758
E · No harm found
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2023-06-02
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-05-31
F-0868
D · No harm found
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2023-05-31
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-05-31
2025-07-23Fire-safety inspection1 citation
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-07-25
2024-06-26Fire-safety inspection1 citation
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-08-14
2023-04-26Fire-safety inspection2 citations
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-07-31
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-07-31
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 675181.
How it compares in Texas.
Inspection citations, 3 years
31
More than 43% of nursing homes in the state
State median: 33
Federal fines, 3 years
$0
No federal fines on record
State median: $15,642
Nurse staffing, hours per resident per day
4.6
Higher than 95% of nursing homes in the state
State median: 3.3
Nursing staff turnover, annual
50%
Higher than 47% of nursing homes in the state
State median: 50%

Resident outcomes

On 21 federal quality measures, this facility does better than the Texas average on 4 and worse on 9. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased16.5%15.8%13.5%Near state average
Lose too much weight2.5%2.9%5.1%Better than state
With a catheter inserted and left in their bladder0.4%0.3%0.7%Worse than state
With a urinary tract infection2.6%0.8%1.5%Worse than state
Have depressive symptoms0.5%2.3%13.5%Better than state
Were physically restrained0.0%0.0%0.1%Better than state
Experiencing one or more falls with major injury8.4%3.2%3.2%Worse than state
Assessed and appropriately given the pneumococcal vaccine99.6%96.4%93.7%Near state average
Ability to walk independently worsened22.6%12.9%12.7%Worse than state
Received an antianxiety or hypnotic medication16.7%17.8%19.5%Near state average
Assessed and appropriately given the seasonal influenza vaccine98.4%97.0%95.3%Near state average
With pressure ulcers4.2%3.7%4.5%Worse than state
With new or worsened bowel or bladder incontinence17.8%12.5%18.3%Worse than state
Received an antipsychotic medication10.5%9.8%15.4%Near state average
Hospitalizations per 1000 long-stay resident days2.632.051.81Worse than state
Outpatient emergency department visits per 1000 long-stay resident days2.171.971.69Near state average
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine84.7%88.7%82.3%Near state average
Newly received an antipsychotic medication0.5%1.4%1.5%Better than state
Were assessed and appropriately given the seasonal influenza vaccine73.1%85.4%80.1%Worse than state
Were rehospitalized after a nursing home admission24.6%25.5%23.4%Near state average
Had an outpatient emergency department visit16.4%12.2%11.8%Worse than state
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0812 3 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  • F-0761 2 inspections. 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.
  • F-0640 2 inspections. Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
  • F-0880 2 inspections. Provide and implement an infection prevention and control program.
  • K-0372 2 inspections. Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
  • F-0641 2 inspections. Ensure each resident receives an accurate assessment.
Where to check, and what's nearby.

Who to contact in Texas

  • Licensing: Texas Health and Human Services
  • File a complaint: 800-458-9858 · Online
  • Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
  • Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • Christus Mother Frances Hospital Sulphur Springs, about 0.1 miles. CMS rating 4 of 5.
  • Christus Mother Frances Hospital- Winnsboro, about 22 miles.
  • Ut Health East Texas Quitman Hospital, about 26 miles. CMS rating 4 of 5.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

What people say on Google.
3.326 ratings on Google
★★★★★Judson Thomas · 2023-10-26 · via Google

“Prompt, courteous and professional yet friendly facility. The administrator is down to earth and very sweet. I’ve noticed great team work here. I was wowed by the cleanliness but also the classy yet homelike appearance. So nice seeing the residents have private bible studies and small family gatherings here. It really is amazing. Family owned and operated means all the difference.”

★★★★★angela baldridge · 2026-03-21 · via Google

“My mother stayed in the rehab facility for about 3 weeks. All the staff was very attentive to her and her needs and they were very professional. She really loved all the staff she met during her stay. She was very satisfied with the care she received. I am very happy she got to stay there for her rehabilitation and I highly recommend them.”

★Ashlee Abrams · 2024-11-18 · via Google

“I went to look at this facility seeking comfort and care for a loved one . I was given a tour of the facility and it was nice , but the only thing I didn’t like is how it was a group of workers just standing around and talking real unprofessional. As they seen the young lady giving me a tour they stopped talking and gave me a blank stare . I want my loved one to be cared for at all times . It was …”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 31 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered