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Nursing homeFAID #14378

Country Care Manor

2736 FM 775, LA VERNIA, TX, 78121
(830) 779-2355
91 licensed beds

CMS rates Country Care Manor 4 out of 5 overall. Federal inspectors issued 16 citations across 8 inspections in the last three years, with $22,143 in fines. Listing last updated 2026-11-06.

★★★★★4/5CMS Five-Star overall4/5 health inspections2/5 staffing3/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
91
CMS facility ID
675947
Care type
Nursing home
County
Wilson
Facility name
Country Care Manor
Street address
2736 FM 775
City / state / ZIP
La Vernia, TX 78121
Phone
(830) 779-2355

About this facility — Country Care Manor

Country Care Manor is a Medicare/Medicaid-certified skilled nursing facility in La Vernia, Texas. It is licensed for 91 beds — below the median for skilled nursing facilities in Texas (120 beds).

It is one of 1 senior care facility in La Vernia 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.

It is listed as part of Touchstone Communities, a group of 25 facilities on this site.

Federal inspectors have cited Country Care Manor 16 times across 8 inspections in the last three years, including 1 food-safety citation, and CMS has imposed $22,143 in fines. 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.

Facility background

What the public record shows.

Ownership & operator

Parent company
Touchstone Communities
Ownership type
Government - Hospital district

Registered owners & officers

Bexar County Hospital District
Direct owner — 100% stake — since 2015
Aegis Therapies, Inc.
Additional disclosable party — since 2015
Alamo Advisors Lp
Additional disclosable party — since 2015
Barbosa, Mary Ann
Operational control · Additional disclosable party — since 2021
Campbell, Leslie
Operational control · Additional disclosable party — since 2020
Care Inn Realty - Lavernia Llc
Additional disclosable party — since 2015
Carvajal Pharmacy Ltc
Additional disclosable party — since 2017
Castillo, Lynnea
Operational control · Additional disclosable party — since 2015
Clayton, Jonathon
Operational control · Additional disclosable party — since 2023
Fellbaum, Ernest
Additional disclosable party — since 2015
Hurley, Christopher
Officer — since 2014
Lument Real Estate Capital Llc
Mortgage holder — since 2014
Nutritious Lifestyles, Inc.
Additional disclosable party — since 2015
Plante & Moran Pllc
Additional disclosable party — since 2015
Sehlke, Bryon
Operational control · Additional disclosable party — since 2016
Studer, Stanley
Additional disclosable party — since 2015
Thompson, Chase
Operational control · Additional disclosable party — since 2020
Touchstone Communities Inc
Additional disclosable party — since 2015
Touchstone Strategies - Lavernia Llc
Operational control · Additional disclosable party — since 2016
Trident Health Services Inc
Additional disclosable party — since 2015
Zertuche, Benjamin
Operational control · Additional disclosable party — since 2016
Zurovec, Darrell
Operational control · Additional disclosable party — since 2017

Regulatory standing

Licensed / certified since
2002-12-04
CMS overall rating
4 of 5 stars
Health deficiencies
5 at the last standard inspection
Federal fines
$22,143 total
Last standard inspection
2025-12-17
Nurse staffing
3.3 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$356 per day (≈ $10,820/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
54% Medicaid · 16% Medicare · 30% private/other
Occupancy
90% (fiscal year 2023)
Vs. state median
29% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
91
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.
2025-12-17Health inspection3 citations
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 2025-12-18
F-0842
E · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-12-18
F-0921
E · No harm found
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2026-01-31
2025-11-21Health inspectionComplaint-triggered2 citations
F-0555
D · No harm foundFrom a complaint
Honor the resident's right to choose his or her attending physician.
Corrected 2025-11-22
F-0627
D · No harm foundFrom a complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected 2025-11-22
4 earlier / fire-safety inspections (11 citations)
2024-09-18Health inspectionComplaint-triggered4 citations
F-0677
E · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-09-19
F-0842
E · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-09-19
F-0921
E · No harm foundFrom a complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-10-14
F-0944
D · No harm foundFrom a complaint
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected 2024-09-19
2023-08-02Health inspection3 citations
F-0584
E · No harm found
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 2023-08-03
F-0812
D · 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 2023-08-03
F-0921
E · No harm found
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2023-08-03
2025-12-17Fire-safety inspection1 citation
K-0211
E · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2026-01-31
2023-08-02Fire-safety inspection3 citations
K-0200
E · No harm found
Meet other general requirements.
Corrected 2023-08-08
K-0325
E · No harm found
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2023-08-04
K-0345
E · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-08-04

Federal penalties

2025-11-21Fine$4,147
2024-11-25Fine$17,996
Total fines$22,143
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 675947.

Quality of care & staffing

How it compares in Texas.
Inspection citations, 3 years
16
More than 7% of nursing homes in the state
State median: 33
Federal fines, 3 years
$22,143
More than 57% of nursing homes in the state
State median: $15,642
Nurse staffing, hours per resident per day
3.3
Higher than 55% of nursing homes in the state
State median: 3.3
Nursing staff turnover, annual
47%
Higher than 40% 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 13 and worse on 5. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased11.4%15.8%13.5%Better than state
Lose too much weight1.1%2.9%5.1%Better than state
With a catheter inserted and left in their bladder0.0%0.3%0.7%Better than state
With a urinary tract infection0.0%0.8%1.5%Better than state
Have depressive symptoms0.9%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 injury4.9%3.2%3.2%Worse than state
Assessed and appropriately given the pneumococcal vaccine100.0%96.4%93.7%Near state average
Ability to walk independently worsened8.6%12.9%12.7%Better than state
Received an antianxiety or hypnotic medication16.0%17.8%19.5%Near state average
Assessed and appropriately given the seasonal influenza vaccine100.0%97.0%95.3%Near state average
With pressure ulcers2.5%3.7%4.5%Better than state
With new or worsened bowel or bladder incontinence14.2%12.5%18.3%Worse than state
Received an antipsychotic medication7.5%9.8%15.4%Better than state
Hospitalizations per 1000 long-stay resident days2.582.051.81Worse than state
Outpatient emergency department visits per 1000 long-stay resident days1.201.971.69Better than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine98.7%88.7%82.3%Better than state
Newly received an antipsychotic medication1.0%1.4%1.5%Better than state
Were assessed and appropriately given the seasonal influenza vaccine99.1%85.4%80.1%Better than state
Were rehospitalized after a nursing home admission32.9%25.5%23.4%Worse than state
Had an outpatient emergency department visit16.7%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-0921 3 inspections. Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  • F-0842 2 inspections. Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

What its owners also hold

  • Bexar County Hospital District has an ownership stake on file at 4 nursing homes, averaging 4.3 of 5 on CMS's overall rating.
Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

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

  • Connally Memorial Medical Center, about 13 miles. CMS rating 3 of 5.
  • Guadalupe Regional Medical Center, about 19 miles. CMS rating 2 of 5.
  • Brooke Army Medical Center (ft Sam Houston), about 19 miles.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Inside your report

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 16 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
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Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
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