Country Care Manor
La Vernia, Wilson County, Texas · CCN 675947 · Government (Hospital district) · part of Touchstone Communities (25 facilities, chain average 2.9 stars)
CMS rates Country Care Manor 4 of 5 overall as of August 2026. 91 certified beds, 77 residents a day on average. 12 citations on record from the current inspection cycles; 2 fines totalling $22,143.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★☆ 4 of 5 |
|---|---|
| Health inspections | ★★★★☆ 4 of 5 |
| Staffing | ★★☆☆☆ 2 of 5 |
| Quality measures | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 5 / 2 of 5 |
Staffing
| Total nurse staffing | 3.16679 hours per resident per day |
|---|---|
| Registered nurses | 0.68787 hours per resident per day |
| Weekend total | 2.51109 hours per resident per day |
| Nursing staff turnover | 38.5% (registered nurses 28.6%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2025-12-17 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · tag F0842 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-12-18 |
| 2025-12-17 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · tag F0921 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-01-31 |
| 2025-12-17 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · tag F0690 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-12-18 |
| 2025-11-21 complaint survey |
Honor the resident's right to choose his or her attending physician. Resident Rights Deficiencies · tag F0555 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-11-22 |
| 2025-11-21 complaint survey |
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · tag F0627 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-11-22 |
| 2024-09-18 complaint survey |
Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-19 |
| 2024-09-18 complaint survey |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · tag F0842 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-19 |
| 2024-09-18 complaint survey |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · tag F0921 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-10-14 |
| 2024-09-18 complaint survey |
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. Administration Deficiencies · tag F0944 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-19 |
| 2023-08-02 | 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 · tag F0584 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-08-03 |
| 2023-08-02 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · tag F0921 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-08-03 |
| 2023-08-02 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-08-03 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2025-11-21 | Fine | $4,147 |
| 2024-11-25 | Fine | $17,996 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Bexar County Hospital District Organization | 5% or greater direct ownership interest | 100% | 2015-02-28 |
| Lument Real Estate Capital LLC Organization | 5% or greater mortgage interest | — | 2014-05-05 |
| Aegis Therapies, Inc. Organization | adp of the snf | — | 2015-02-28 |
| Alamo Advisors Lp Organization | adp of the snf | — | 2015-02-28 |
| Care Inn Realty - Lavernia LLC Organization | adp of the snf | — | 2015-02-28 |
| Carvajal Pharmacy Ltc Organization | adp of the snf | — | 2017-07-01 |
| Nutritious Lifestyles, Inc. Organization | adp of the snf | — | 2015-02-28 |
| Plante & Moran PLLC Organization | adp of the snf | — | 2015-02-28 |
| Touchstone Communities Inc. Organization | adp of the snf | — | 2015-02-28 |
| Touchstone Strategies - Lavernia LLC Organization | adp of the snf | — | 2025-07-24 |
| Trident Health Services Inc. Organization | adp of the snf | — | 2015-02-28 |
| Touchstone Strategies - Lavernia LLC Organization | operational/managerial control | — | 2016-03-01 |
| Barbosa, Mary Ann Individual | adp of the snf | — | 2021-09-13 |
| Campbell, Leslie Individual | adp of the snf | — | 2020-04-01 |
| Castillo, Lynnea Individual | adp of the snf | — | 2015-02-28 |
| Clayton, Jonathon Individual | adp of the snf | — | 2023-05-01 |
| Fellbaum, Ernest Individual | adp of the snf | — | 2015-02-28 |
| Sehlke, Bryon Individual | adp of the snf | — | 2016-12-16 |
| Studer, Stanley Individual | adp of the snf | — | 2015-02-28 |
| Thompson, Chase Individual | adp of the snf | — | 2020-08-16 |
| Zertuche, Benjamin Individual | adp of the snf | — | 2016-12-01 |
| Zurovec, Darrell Individual | adp of the snf | — | 2017-08-01 |
| Hurley, Christopher Individual | corporate officer | — | 2014-09-26 |
| Barbosa, Mary Ann Individual | operational/managerial control | — | 2021-09-13 |
| Campbell, Leslie Individual | operational/managerial control | — | 2020-04-01 |
| Castillo, Lynnea Individual | operational/managerial control | — | 2015-02-28 |
| Clayton, Jonathon Individual | operational/managerial control | — | 2023-05-01 |
| Sehlke, Bryon Individual | operational/managerial control | — | 2016-12-16 |
| Thompson, Chase Individual | operational/managerial control | — | 2020-08-16 |
| Zertuche, Benjamin Individual | operational/managerial control | — | 2016-12-01 |
| Zurovec, Darrell Individual | operational/managerial control | — | 2017-08-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Country Care Manor.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Wilson County.