Country Care Manor
2736 FM 775, La Vernia, TX, 78121
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Government - Hospital district · Chain: Touchstone Communities
- Certified beds
- 91 · avg 78 residents/day
- Total nursing staff turnover
- 40.8% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 40% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $24,376 total
State licensing & capacity
- License number
- 144579
- Service type
- Medicare/medicaid
- Licensed capacity
- 91 beds
- Bed type breakdown
- 91 Medicaid/Medicare
- Current license effective
- February 28, 2025
- Current license expires
- February 28, 2028
- Initial license date
- September 11, 1991
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Bexar County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Touchstone Strategies La Vernia Llc
- Administrator
- Chase Thompson
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Touchstone Communities chain — 28 facilities. Chain-wide average overall rating 2.8 / 5.
Disclosed owners (22 on record)
- Touchstone Strategies - Lavernia Llc
Adp of The Snf · since 2025
- Jonathon Dewey Clayton
Operational/managerial Control · since 2023
- Mary Ann Barbosa
Operational/managerial Control · since 2021
- Chase Thompson
Operational/managerial Control · since 2020
- Leslie d Campbell
Adp of The Snf · since 2020
- Darrell d Zurovec
Operational/managerial Control · since 2017
+ 16 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 12)
- E0921·Dec 17, 2025
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- E0842·Dec 17, 2025
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D0690·Dec 17, 2025
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D0627·Nov 21, 2025Complaint
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- D0555·Nov 21, 2025Complaint
Resident Rights Deficiencies
Honor the resident's right to choose his or her attending physician.
- D0944·Sep 18, 2024Complaint
Administration Deficiencies
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
- E0921·Sep 18, 2024Complaint
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- E0842·Sep 18, 2024Complaint
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Federal penalties
By year
- 20251 fine · $6,380
- 20241 fine · $18K
Most recent events
- Nov 21, 2025Fine · $6,380
- Nov 25, 2024Fine · $18K
Largest single fine on record: $18K.
Fire-safety citations
4 Life-Safety-Code citations on file. Most recent: Dec 17, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Country Care Manor is a 91-bed nursing home in La Vernia, Wilson County, accepting both Medicare and Medicaid. CMS rates it 4 stars overall — 4 stars on health inspections and quality measures, with a 2-star staffing rating. Managed by Touchstone Communities under a Bexar County Hospital District license, the facility has been operating since 1991 and holds an active license through February 2028.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 2 stars. Each resident receives about 197 minutes of nursing care per day — roughly 44 minutes less than at a 4-star-staffing facility in Texas. That gap matters more here because residents need more hands-on care than at a typical facility — sicker or less mobile on average — so the same staffing hours stretch thinner than the raw minutes suggest.
Roughly 4 in 10 nursing staff left in the past year — below Texas's 25th-percentile cutoff, meaning turnover is better than about three-quarters of nursing homes in the state.
CMS recorded 2 fines totaling $24,376 over the facility's inspection history on file. The state median for facilities that do receive fines is about $20,700; about 30% of Texas nursing homes have none.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on nights and weekends
Weekend nursing hours average 2.6 hours per resident per day — below the already-low weekday figure of 3.3 hours; ask how many nurses and aides are on duty overnight and on Saturdays and Sundays.
RN coverage through the day
Reported RN time is about 30 minutes per resident per day; ask how many hours a registered nurse is on-site each day and whether one is present overnight.
Staffing plan for higher-needs residents
The facility's resident mix trends toward greater care needs than the state average; ask how staffing assignments are adjusted when a resident's condition changes.
Details behind the two CMS fines
Two fines totaling $24,376 are on record; ask what deficiencies triggered them and what changes were made in response.
Family Council availability
The facility has a Resident Council but no Family Council; ask how family members can formally raise concerns outside of individual conversations with staff.
Touchstone Communities management structure
Day-to-day operations are managed by Touchstone Communities on behalf of the Bexar County Hospital District; ask who holds final authority on staffing budgets and care policy decisions.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.