ElderGrade
B

83/100

Above average

The Manor Healthcare Residence

831 Tehuacana Hwy, Mexia, TX 76667

CMS 5/5 stars #1 of 5 in Limestone County (254) 562-3867
Certified beds
66
Occupancy
62%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 1 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

Staffing

13/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.6 total nurse hours per resident per day (national median 3.77)
  • 0.25 RN hours per resident per day
  • Weekend staffing drops 8% against weekdays

Staff stability

15/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 26% of nursing staff left in the last year

Resident outcomes

15/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 5 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.22 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.25 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 2.95 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 25.80%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 16 citations

Last standard health inspection: December 11, 2025 (8 months ago).

D Dec 11, 2025 F0644

Resident Assessment and Care Planning Deficiencies

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

No actual harm, potential for more than minimal harm

D Dec 11, 2025 F0759

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

No actual harm, potential for more than minimal harm

E Sep 12, 2024 F0565

Resident Rights Deficiencies

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

No actual harm, potential for more than minimal harm

E Sep 12, 2024 F0583

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

No actual harm, potential for more than minimal harm

E Sep 12, 2024 F0812

Nutrition and Dietary Deficiencies

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

No actual harm, potential for more than minimal harm

G Jul 12, 2023 F0689 From a complaint

Quality of Life and Care Deficiencies

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

Actual harm to a resident

F Jul 12, 2023 F0812

Nutrition and Dietary Deficiencies

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

No actual harm, potential for more than minimal harm

E Jul 12, 2023 F0584

Resident Rights Deficiencies

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.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY, which operates 9 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
BYROM, DAVID Individual CORPORATE DIRECTOR
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY Organization OPERATIONAL/MANAGERIAL CONTROL
TGR HEALTHCARE, LLC Organization OPERATIONAL/MANAGERIAL CONTROL
THOMAS, BRIAN Individual OPERATIONAL/MANAGERIAL CONTROL
VILLA, RICARDO Individual OPERATIONAL/MANAGERIAL CONTROL
TGR HEALTHCARE, LLC Organization ADP OF THE SNF
THOMAS, BRIAN Individual ADP OF THE SNF
VILLA, RICARDO Individual ADP OF THE SNF

What families say

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Common questions about The Manor Healthcare Residence

What is the ElderGrade for The Manor Healthcare Residence? +

The Manor Healthcare Residence holds an ElderGrade of B (83 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at The Manor Healthcare Residence? +

Residents receive an average of 3.22 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has The Manor Healthcare Residence been cited for harming residents? +

Yes. 1 of the 16 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does The Manor Healthcare Residence accept Medicaid? +

Yes, The Manor Healthcare Residence is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.