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Nursing homeFAID #14042

The Manor Healthcare Residence

831 TEHUACANA HWY, MEXIA, TX, 76667
(254) 562-3867
66 licensed beds
★★★★★5/5CMS Five-Star overall5/5 health inspections3/5 staffing5/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
66
CMS facility ID
675307
Care type
Nursing home
County
Limestone
Facility name
The Manor Healthcare Residence
Street address
831 TEHUACANA HWY
City / state / ZIP
Mexia, TX 76667
Phone
(254) 562-3867

About this facility — The Manor Healthcare Residence

The Manor Healthcare Residence is a Medicare/Medicaid-certified skilled nursing facility in Mexia, Texas. It is licensed for 66 beds — below the median for skilled nursing facilities in Texas (120 beds).

It is one of 3 senior care facilities in Mexia and 1,178 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 The Manor Healthcare Residence 22 times across 7 inspections in the last three years, including 2 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 August 31, 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
Coryell County Memorial Hospital Authority
Ownership type
For profit - Limited Liability company

Registered owners & officers

Byrom, David
Director — since 2014
Coryell County Memorial Hospital Authority
Operational control — since 2014
Tgr Healthcare, Llc
Operational control · Additional disclosable party — since 2019
Thomas, Brian
Operational control · Additional disclosable party — since 2019
Villa, Ricardo
Operational control · Additional disclosable party — since 2019

Regulatory standing

Federal court records
1 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1994-05-26
CMS overall rating
5 of 5 stars
Health deficiencies
2 at the last standard inspection
Federal fines
None on record
Last standard inspection
2025-12-11
Nurse staffing
3.2 hours per resident per day

Cost & payer profile (FY2024 cost report)

Average billed charges
$288 per day (≈ $8,760/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
84% Medicaid · 2% Medicare · 14% private/other
Occupancy
63% (fiscal year 2024)
Vs. state median
4% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
66
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 2026-08-31. 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 2 food-safety citations on its three-year record — flagged below among the inspections.
2025-12-11Health inspection2 citations
F-0644
D · No harm found
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2026-01-02
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2026-01-02
2024-09-12Health inspection3 citations
F-0565
E · No harm found
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2024-10-10
F-0583
E · No harm found
Keep residents' personal and medical records private and confidential.
Corrected 2024-10-10
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 2024-10-10
4 earlier / fire-safety inspections (17 citations)
2023-07-12Health inspection11 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 2023-08-08
F-0607
D · No harm found
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-08-08
F-0609
D · No harm found
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-08-08
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 2023-08-08
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2023-08-08
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 2023-08-08
F-0689
G · Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-08-08
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-08-08
F-0761
D · 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 2023-08-08
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 2023-08-08
F-0921
D · 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 2023-08-08
2025-12-11Fire-safety inspection4 citations
K-0346
F · No harm found
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2026-01-15
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-01-15
K-0355
D · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2026-01-15
K-0521
C · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
2024-09-12Fire-safety inspection1 citation
K-0521
C · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
2023-07-12Fire-safety inspection1 citation
K-0521
C · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-01-29
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 675307.

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 22 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.
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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 2026-08-31
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