Trucare Living Centers Selma
16550 RETAMA PARKWAY, Selma, TX, 78154
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 - Corporation
- Certified beds
- 128 · avg 72 residents/day
- Total nursing staff turnover
- 65.4% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 80% — 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
State licensing & capacity
- License number
- 307767
- Service type
- Medicare/medicaid
- Licensed capacity
- 128 beds
- Bed type breakdown
- 18 Medicare-only · 110 Medicaid/Medicare
- Current license effective
- April 1, 2023
- Current license expires
- April 1, 2026
- Initial license date
- October 14, 2016
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Fannin County Hospital Authority (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Selma Management Llc
- Administrator
- Mickey L Menchaca
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Disclosed owners (9 on record)
- Clark r Sanderson
Corporate Officer · since 2020
- Fannin County Hospital Authority
5% or Greater Direct Ownership Interest · 100% · since 2020
- James m Stein
Operational/managerial Control · since 2020
- Majid Atique
Operational/managerial Control · since 2020
- Mickey Menchaca
Adp of The Snf · since 2020
- Paul m Stein
Operational/managerial Control · since 2020
+ 3 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 23)
- D0609·Apr 11, 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.
- D0842·Mar 4, 2025Complaint
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.
- D0693·Mar 4, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- D0580·Mar 4, 2025Complaint
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D0550·Mar 4, 2025Complaint
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E0880·Nov 22, 2024Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0755·Nov 22, 2024
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0623·Oct 25, 2024Complaint
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Fire-safety citations
1 Life-Safety-Code citation on file. Most recent: Aug 25, 2022. 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
Trucare Living Centers Selma is a 128-bed nursing home in Selma, TX, licensed to Fannin County Hospital Authority and managed by Selma Management LLC. CMS rates it 3 stars overall, with a 1-star staffing rating — the lowest tier, shared by about 38% of Texas nursing homes. Health inspections rate 4 stars, but short-stay quality measures rate 1 star. The facility is operating at roughly 56% of licensed beds.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star — the lowest tier. Each resident receives about 198 minutes of total nursing care per day, roughly 43 minutes less than at a 4-star-staffing facility in Texas. Of that, only 21 minutes per day involves a registered nurse, compared to 37 minutes at a 4-star-staffing facility in Texas. Residents here also require more hands-on care than at a typical facility — less mobile or medically complex on average — so those staffing hours stretch thinner than the raw numbers suggest.
Roughly 7 in 10 nursing staff left in the past year, and 8 in 10 registered nurses turned over in the same period. That RN turnover rate places this facility in the high tier. A long-stay resident will likely go through two or three primary caregivers, and the loss of experienced nurses compounds the already-thin staffing hours.
The facility is operating at about 56% of its licensed 128 beds, with 72 residents on an average day. That level of vacancy, combined with 1-star staffing and high turnover, is a pattern worth examining directly with the facility.
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
With a 1-star staffing rating and only 21 RN minutes per resident daily, ask how many nurses and aides are on the floor during evenings, nights, and weekends specifically.
Why so many staff have left
Seven in ten nursing staff turned over in the past year — ask what drove that and what concrete steps have been taken since.
RN coverage during a health crisis
With an 80% RN turnover rate, ask who is responsible for clinical decisions overnight and how quickly a registered nurse can be reached when a resident's condition changes.
Short-stay outcomes and rehab results
CMS rates short-stay quality measures at 1 star — ask what percentage of short-stay residents return home, and how that compares to similar facilities in the area.
Current bed availability and admissions pace
The facility is at roughly 56% occupancy — ask whether that reflects recent discharges, a slower admissions pace, or staffing-driven bed holds.
Resident Council activity and meeting frequency
The facility has a Resident Council but no Family Council — ask how often the Resident Council meets and how concerns raised there are documented and addressed.
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.