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Nursing HomeMedicaid Top Rated

The Manor Healthcare Residence

Strong Medicare quality ratings; families often praise friendly and polite staff. Still worth an in-person visit.

831 Tehuacana Hwy, Mexia, TX 7666766 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.0/5

based on 17 Google reviews

5
4
3
2
1
The Manor Healthcare Residence Nursing Home in Mexia, TX — Street View
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What this means for your family

The facility offers a friendly and home-like atmosphere that many families find comforting. However, you should closely monitor hygiene and supervision, as past reports indicate issues with medical waste disposal and unobserved patient falls.

Google Reviews

Google Reviews

17 reviews analyzed
Families can expect a generally friendly and clean environment with staff members often described as hardworking and polite. However, there are serious concerns regarding patient safety and hygiene, specifically regarding unmonitored falls and improper disposal of medical waste.

Quality Themes

Tap a score for details
FoodN/AStaff7.0Clean4.0ActivitiesN/AMedsN/AMemoryN/ACommsN/AValueN/A

Strengths

  • Friendly and polite staff
  • Clean environment
  • Home-like atmosphere
  • Hardworking nursing team

Concerns

  • Inadequate supervision leading to patient falls
  • Poor sanitary practices regarding medical waste disposal

Rating Trends

Tap a year to see what changed

2345.0'17(1)3.03.7'20(3)2.05.0'23(1)3.45.0'25(3)5.0'26(3)

Distribution

5
10
4
0
3
1
2
1
1
3

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Since many people mention how much they love the home-like atmosphere here, what specific features of the residence help residents feel at home?
  • 2With the nursing team being recognized for their hard work, how do you ensure they have enough support to provide constant supervision for residents at risk of falls?
  • 3How does the facility manage the disposal of medical waste to ensure the environment stays as clean and safe as possible?
  • 4What are some of the favorite daily activities or social events that the 66 residents here participate in together?
  • 5In the event of a medical emergency during the night, what is the protocol for getting immediate care for a resident?
  • 6How do you ensure that the high standards of your recent health inspections are maintained across all areas of the facility every day?

Personalized based on this facility's data


Key Review Excerpts

I was there visiting my grandmother and some elderly woman who was I'm assuming a patient fell out of wheelchair and no workers was around to help her and unto her wheelchair.she tells me how the staff normally doesn't do they're job.

Visitor · 2024☆☆☆☆

Nursing staff won't pick up after themselves. Especially changing a catheter . Instead of disposing of the used equipment. They just leave it on the floor.

Family of resident · 2021★★☆☆☆

Caring and friendly staff! Home like environment for the residents. Good CMS star rating!

Resident family member · 2024★★★★★
Source: 17 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.25hrs
33%
Registered nurses for medical care
Total Nursing
3.40hrs
83%
All nurses + aides combined
Staff Turnover
29%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 16 measures

Medicare Rating
4/ 5
Better Than Avg

9

measures

Worse Than Avg

4

measures

Mixed Results

3

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility6.8%
Better than Avg
Here
6.8%
US
19.4%
TX
14.2%
Limestone
12.9%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
TX
2.5%
Limestone
0.2%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility8.5%
Better than Avg
Here
8.5%
US
14.4%
TX
16.1%
Limestone
17.1%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility7.3%
Better than Avg
Here
7.3%
US
15.3%
TX
14.9%
Limestone
15.7%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility15.8%
Worse than Avg
Here
15.8%
US
15.4%
TX
9.4%
Limestone
12.4%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
TX
98.0%
Limestone
98.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility90.0%
Mixed vs Avgs
Here
90.0%
US
81.8%
TX
89.2%
Limestone
97.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility9.1%
Worse than Avg
Here
9.1%
US
1.6%
TX
1.5%
Limestone
0.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

2deficiencies
Well below state avg (9.1)
3 complaint-triggered

This facility shows a concerning pattern of recurring issues across three surveys, with families filing complaints that triggered investigations into safety hazards and abuse prevention policies. The most frequent problems involve heating and ventilation systems (cited in all three surveys), medication management, fire safety equipment, and care planning. While most deficiencies have correction dates, the persistent heating system problems and recent fire safety violations in December 2024 suggest ongoing maintenance challenges that warrant careful consideration during any visit.

Dec 11, 2025Routine
6
0346ModerateCorrected

Smoke Deficiencies

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

0644MinorCorrected

Resident Assessment and Care Planning Deficiencies

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

0759MinorCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0353MinorCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0355MinorCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0521Minor

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Sep 12, 2024Routine
4
0565ModerateCorrected

Resident Rights Deficiencies

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

0583ModerateCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

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

0521MinorCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Jul 12, 2023Complaint
3
0689ModerateCorrected

Quality of Life and Care Deficiencies

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

0607MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0609MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Jul 12, 2023Routine
9
0812ModerateCorrected

Nutrition and Dietary Deficiencies

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

0584ModerateCorrected

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.

0640MinorCorrected

Resident Assessment and Care Planning Deficiencies

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

0641MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0656MinorCorrected

Resident Assessment and Care Planning Deficiencies

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

0755MinorCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0761MinorCorrected

Pharmacy Service Deficiencies

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.

0921MinorCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0521MinorCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Coryell County Memorial Hospital Authority

Organization Type

for profit

Management Company

MEXIA HEALTHCARE, LLC

Administrator

KAREN EITSON

Chain Affiliation

Chain Name

Coryell County Memorial Hospital Authority

Chain Size

9 facilities nationwide

Chain avg rating: 2.5/5 · Rank 1 of 8 (Best)

Ownership & Management

Key personnel

Byrom, DavidOfficer / DirectorCoryell County Memorial Hospital AuthorityManagerTgr Healthcare, LLCManagerThomas, BrianManagerVilla, RicardoManager
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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