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Nursing homeFAID #14752

Trucare Living Centers - Selma

16550 RETAMA PARKWAY, SELMA, TX, 78154

(210) 886-8393

128 licensed beds

CMS rates Trucare Living Centers - Selma 2 out of 5 overall. Federal inspectors issued 27 citations across 15 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★2/5CMS Five-Star overall3/5 health inspections1/5 staffing4/5 quality measuresSource: CMS Care Compare

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Address

16550 Retama Parkway

Selma, TX 78154

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Public record summary

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Bed capacity

128

CMS facility ID

676406

Care type

Nursing home

County

Guadalupe

Facility name

Trucare Living Centers - Selma

Street address

16550 RETAMA PARKWAY

City / state / ZIP

Selma, TX 78154

Phone

(210) 886-8393

About this facility — Trucare Living Centers - Selma

Trucare Living Centers - Selma is a Medicare/Medicaid-certified skilled nursing facility in Selma, Texas. It is licensed for 128 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 1 senior care facility in Selma 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 Trucare Living Centers - Selma 27 times across 15 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 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

Ownership type

For profit - Corporation

Registered owners & officers

Fannin County Hospital Authority

Direct owner — 100% stake — since 2026

Atique, Majid

Governing body · Operational control · Additional disclosable party — since 2026

Burnam, Soon

Officer · Operational control — since 2026

Ensign Services Inc

Additional disclosable party — since 2026

Keetch, Chad

Officer — since 2011

Magnolia Grove Healthcare Llc

Operational control · Additional disclosable party — since 2026

Menchaca, Mickey

Governing body · Operational control · Additional disclosable party — since 2026

Retama Pkwy Health Holdings Llc

Additional disclosable party — since 2026

Sanderson, Clark

Officer — since 2026

Standard Bearer Healthcare Op, Lp

Additional disclosable party — since 2026

The Ensign Group Inc

Additional disclosable party — since 2026

Regulatory standing

Licensed / certified since

2016-10-14

CMS overall rating

2 of 5 stars

Health deficiencies

9 at the last standard inspection

Federal fines

None on record

Last standard inspection

2026-02-13

Nurse staffing

3.7 hours per resident per day

Cost & payer profile (FY2024 cost report)

Average billed charges

$256 per day (≈ $7,780/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

74% Medicaid · 6% Medicare · 20% private/other

Occupancy

64% (fiscal year 2024)

Vs. state median

8% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

128

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 2 food-safety citations on its three-year record — flagged below among the inspections.

2026-04-26Health inspectionComplaint-triggered1 citation

F-0711

E · No harm foundFrom a complaint

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Corrected 2026-04-27

2026-02-13Health inspection8 citations

F-0627

D · No harm found

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Corrected 2026-02-14

F-0628

D · No harm found

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2026-02-14

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2026-02-14

F-0645

D · No harm found

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2026-02-14

F-0689

D · No harm found

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

Corrected 2026-02-14

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 2026-02-14

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 2026-02-14

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-02-14

8 earlier / fire-safety inspections (18 citations)

2025-04-11Health inspectionComplaint-triggered1 citation

F-0609

D · No harm foundFrom a complaint

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

Corrected 2025-04-12

2025-03-04Health inspectionComplaint-triggered4 citations

F-0550

D · No harm foundFrom a complaint

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-03-05

F-0580

D · No harm foundFrom a complaint

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-03-05

F-0693

D · No harm foundFrom a complaint

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2025-03-05

F-0842

D · 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 2025-03-05

2024-11-22Health inspectionComplaint-triggered2 citations

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 2024-11-23

F-0880

E · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2024-11-23

2024-10-25Health inspectionComplaint-triggered1 citation

F-0623

D · No harm foundFrom a complaint

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2024-10-26

2024-09-25Health inspectionComplaint-triggered4 citations

F-0656

E · No harm foundFrom a complaint

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

Corrected 2024-09-26

F-0684

D · No harm foundFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-09-26

F-0695

D · No harm foundFrom a complaint

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-09-26

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 2024-09-26

2024-04-04Health inspectionComplaint-triggered1 citation

F-0842

D · 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 2024-04-05

2023-10-06Health inspectionComplaint-triggered3 citations

F-0644

E · No harm foundFrom a complaint

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

Corrected 2023-10-09

F-0645

E · No harm foundFrom a complaint

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2023-10-09

F-0814

D · No harm foundFood safetyFrom a complaint

Dispose of garbage and refuse properly.

Corrected 2023-10-09

2026-02-13Fire-safety inspection2 citations

K-0211

E · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2026-02-14

K-0321

E · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2026-02-14

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 676406.

Quality of care & staffing

How it compares in Texas.

Inspection citations, 3 years

More than 32% of nursing homes in the state

State median: 33

Federal fines, 3 years

No federal fines on record

State median: $15,642

Nurse staffing, hours per resident per day

3.7

Higher than 81% of nursing homes in the state

State median: 3.3

Nursing staff turnover, annual

62%

Higher than 79% 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 12 and worse on 5. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	5.1%	15.8%	13.5%	Better than state
Lose too much weight	0.0%	2.9%	5.1%	Better than state
With a catheter inserted and left in their bladder	0.0%	0.3%	0.7%	Better than state
With a urinary tract infection	3.2%	0.8%	1.5%	Worse than state
Have depressive symptoms	1.3%	2.3%	13.5%	Better than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	3.5%	3.2%	3.2%	Near state average
Assessed and appropriately given the pneumococcal vaccine	100.0%	96.4%	93.7%	Near state average
Ability to walk independently worsened	2.8%	12.9%	12.7%	Better than state
Received an antianxiety or hypnotic medication	24.5%	17.8%	19.5%	Worse than state
Assessed and appropriately given the seasonal influenza vaccine	100.0%	97.0%	95.3%	Near state average
With pressure ulcers	2.5%	3.7%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	2.3%	12.5%	18.3%	Better than state
Received an antipsychotic medication	2.3%	9.8%	15.4%	Better than state
Hospitalizations per 1000 long-stay resident days	2.56	2.05	1.81	Worse than state
Outpatient emergency department visits per 1000 long-stay resident days	2.77	1.97	1.69	Worse than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	99.5%	88.7%	82.3%	Better than state
Newly received an antipsychotic medication	0.0%	1.4%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	99.0%	85.4%	80.1%	Better than state
Were rehospitalized after a nursing home admission	25.1%	25.5%	23.4%	Near state average
Had an outpatient emergency department visit	13.8%	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-0645 2 inspections. PASARR screening for Mental disorders or Intellectual Disabilities
F-0880 2 inspections. Provide and implement an infection prevention and control program.
F-0842 2 inspections. Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F-0755 2 inspections. Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

What its owners also hold

Fannin County Hospital Authority has an ownership stake on file at 54 nursing homes, averaging 2.8 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

Baptist Neighborhood Hospital Thousand Oaks, about 8.9 miles. CMS rating 5 of 5.
Methodist Hospital Stone Oak, about 9.0 miles. CMS rating 4 of 5.
South Texas Spine and Surgical Hospital, about 9.3 miles.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Advanced Rehabilitation & Healthcare of Live Oak, Live Oak, about 2.6 miles. CMS rating 3 of 5.
Avir At Schertz, Schertz, about 2.9 miles. CMS rating 2 of 5.
San Antonio Wellness & Rehabilitation, San Antonio, about 3.2 miles. CMS rating 3 of 5.
Avir At Converse, Converse, about 4.0 miles. CMS rating 1 of 5.
Silver Tree Nursing and Rehabilitation Center, Schertz, about 4.4 miles. CMS rating 1 of 5.

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 27 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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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