Colonial Manor Advanced Rehab & Healthcare
1100 W. MINNESOTA RD., Pharr, TX, 78577
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
- For profit - Limited Liability company · Chain: Hamilton County Hospital District
- Certified beds
- 123 · avg 120 residents/day
- Total nursing staff turnover
- 45% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 66.7% — higher 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)
- 3 fines · $71,122 total
State licensing & capacity
- License number
- 311247
- Service type
- Medicare/medicaid
- Licensed capacity
- 123 beds
- Bed type breakdown
- 20 Medicare-only · 103 Medicaid/Medicare
- Current license effective
- March 1, 2026
- Current license expires
- March 1, 2029
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Hamilton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Pharr Skilled Nursing Llc
- Administrator
- Jennifer Garza
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Hamilton County Hospital District chain — 10 facilities. Chain-wide average overall rating 2.7 / 5.
Disclosed owners (5 on record)
- Eliezer Scheiner
Operational/managerial Control · since 2023
- Grady Hooper
Corporate Director · since 2023
- Hamilton County Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2023
- Jennifer Garza
W-2 Managing Employee · since 2023
- Pharr Skilled Nursing Llc
Operational/managerial Control · 100% · since 2023
Recent change of ownership
March 2023 (3 years ago) · acquired from Colonial Manor Advanced Rehab & Healthcare
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 39)
- D0684·Jan 15, 2026Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D0600·Nov 20, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- J0689·Jul 16, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0609·Jul 16, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D0880·Apr 24, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0695·Apr 24, 2025
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- D0641·Apr 24, 2025
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- D0558·Apr 24, 2025
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Federal penalties
By year
- 20241 fine · $39K
- 20232 fines · $33K
Most recent events
- Jan 12, 2024Fine · $39K
- Aug 17, 2023Fine · $20K
- Aug 17, 2023Fine · $13K
Largest single fine on record: $39K.
Fire-safety citations
6 Life-Safety-Code citations on file. Most recent: Apr 24, 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
Colonial Manor Advanced Rehab & Healthcare is a 123-bed Medicare/Medicaid nursing home in Pharr, Hidalgo County, operating since 1971 under a hospital district license and managed by Pharr Skilled Nursing LLC. CMS rates it 2 stars overall, with a 1-star staffing rating — the lowest tier. Three CMS fines totaling $71,122 have been assessed. Quality-of-care outcome measures rate 5 stars. The facility is running at 97% of licensed capacity.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates this facility 1 star on staffing — the bottom tier, shared by about 38% of Texas nursing homes. Each resident receives roughly 196 minutes of total nursing care per day, about 45 minutes less than at a 4-star-staffing facility in Texas. The registered nurse figure is particularly low at 9 minutes per resident per day, compared to 37 minutes at a 4-star-staffing Texas facility. Residents here require more hands-on care than at a typical facility — they tend to be sicker or less mobile on average — so the same staffing hours are stretched thinner than the raw numbers already suggest.
Three CMS fines totaling $71,122 have been assessed against this facility. Texas nursing homes have a median fine total of $20,699 among those that have been fined at all, and about 30% of facilities in the state have no fines on record; this facility's total runs more than three times the state median.
At 97% of its 123 licensed beds filled, this facility is effectively at capacity. Families should expect a waitlist and confirm bed availability before making plans around this location.
Despite the staffing and fine record, CMS rates quality-of-care outcome measures at 5 stars overall — the top tier — with a 5-star long-stay rating and a 4-star short-stay rating. These scores reflect measurable resident outcomes such as rates of falls, pressure wounds, and hospital readmissions. A low-staffing, high-outcome pairing like this is uncommon; it may reflect efficient care coordination, a particular resident mix, or reporting patterns — the record doesn't explain it.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Registered nurse coverage each day
CMS data shows only 9 minutes of RN time per resident per day — ask how many registered nurses are on duty per shift and whether that coverage is consistent on nights and weekends.
What the three fines were for
Three CMS fines totaling $71,122 have been assessed — ask staff to walk you through what each citation involved and what changes followed.
Waitlist and admission timeline
The facility is running at 97% capacity, so ask directly whether there is a waitlist and what the typical wait has been in recent months.
How outcomes stay high despite low staffing
Quality-of-care outcome measures rate 5 stars while staffing rates 1 star — ask how care is coordinated and monitored given the nursing hours available.
Resident Council access and frequency
A Resident Council meets here but no Family Council exists — ask how family members can raise concerns or get updates between visits.
Management company's role day to day
The licensed owner is a hospital district, but daily operations are run by Pharr Skilled Nursing LLC — ask which entity makes staffing and care decisions and who to contact with problems.
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.