The Manor Healthcare Residence
831 Tehuacana Hwy, Mexia, TX 76667 · Limestone County
For-profit · 66 certified beds · 62% occupancy · (254) 562-3867
The Manor Healthcare Residence reviews: what the government record shows
The U.S. government (CMS) rates The Manor Healthcare Residence 5 out of 5 stars overall, much above average. Its nurse staffing is 1% below the Texas median.
Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.
At a glance
- CMS overall rating
- 5 of 5 stars
- Nurse staffing
- 3.22 hrs/resident/day (-1% vs TX median)
- Antipsychotic drug use
- 16.9% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 4.9% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- None on record
- Inspection findings
- 16 cited
- Federal abuse-warning flag
- No
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.
What this means for your family
A strong option on the record. Still worth a visit to confirm it fits your parent.
Strengths
- ✓Earns 5 of 5 stars overall from CMS.
- ✓No federal fines on record in roughly the last three years.
Concerns
- !Nurse staffing of 3.22 hrs/resident/day is below the Texas median of 3.27.
Questions to ask on your visit
- ·How many residents does each nurse and aide care for on the day, evening, and overnight shifts?
Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.
A plain-English read of this home's public record. Not advice — always visit in person.
Common questions about The Manor Healthcare Residence
Is The Manor Healthcare Residence a good nursing home?
The Manor Healthcare Residence in Mexia, Texas holds a 5 of 5 star CMS overall rating. A strong option on the record. Still worth a visit to confirm it fits your parent.
How is The Manor Healthcare Residence staffed?
The Manor Healthcare Residence reports 3.22 nurse hours per resident per day, below the Texas median of 3.27 hours per resident per day.
Has The Manor Healthcare Residence been fined or flagged for abuse?
The Manor Healthcare Residence has no federal fines on record in roughly the last three years, and does not currently carry a federal abuse-warning flag.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.
3.22 nurse hours per resident per day. 1% below the Texas median of 3.27.
Nursing staff turnover: 25.8%
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Potential for harmTag F0644 · Dec 11, 2025Corrected Jan 2, 2026
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0759 · Dec 11, 2025Corrected Jan 2, 2026
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
- Potential for harmTag F0565 · Sep 12, 2024Corrected Oct 10, 2024
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies
- Potential for harmTag F0583 · Sep 12, 2024Corrected Oct 10, 2024
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies
- Potential for harmTag F0812 · Sep 12, 2024Corrected Oct 10, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Actual harmTag F0689 · Jul 12, 2023Corrected Aug 8, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
- Potential for harmTag F0812 · Jul 12, 2023Corrected Aug 8, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0584 · Jul 12, 2023Corrected Aug 8, 2023
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.
Resident Rights Deficiencies
- Potential for harmTag F0607 · Jul 12, 2023Corrected Aug 8, 2023
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Potential for harmTag F0609 · Jul 12, 2023Corrected Aug 8, 2023
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Showing the 10 most recent and serious of 16 findings. See the full inspection history on Medicare.gov.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is above the national median. Ask how the home decides to start these medications and how often it reviews them.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study
Preventable harm
Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.
The serious-fall rate here is above the national median. It is worth asking how the home prevents falls and whether recent injuries prompted any changes.
Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
No federal fines are on record for this home in roughly the last three years, a good sign.
Ownership
This home is for-profit (for profit - limited liability company). It is part of the Coryell County Memorial Hospital Authority chain, which operates 9 facilities, with a chain-average CMS rating of 2.8 stars.