Carriage House Manor
210 PIPELINE RD, Sulphur Springs, TX, 75482
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 - Individual
- Certified beds
- 144 · avg 76 residents/day
- Total nursing staff turnover
- 46.3% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 30% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
State licensing & capacity
- License number
- 311894
- Service type
- Medicare/medicaid
- Licensed capacity
- 144 beds
- Bed type breakdown
- 33 Medicare-only · 111 Medicaid/Medicare
- Current license effective
- February 1, 2024
- Current license expires
- February 1, 2027
- Initial license date
- February 6, 1992
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Uvalde County Hospital Authority (HOSPITAL DISTRICT/AUTHORITY)
- Administrator
- Sharla Campbell
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Parent entity
Uvalde County Hospital Authority
Disclosed owners (9 on record)
- Adam Apolinar
Corporate Officer · since 2024
- Arvis Tanton
5% or Greater Direct Ownership Interest · 100% · since 2024
- Carriage House Manor Inc
Operational/managerial Control · 100% · since 2024
- The Tanton Family Trust
Trustee of The Snf · since 2024
- Uvalde County Hospital AuthorityParent
5% or Greater Direct Ownership Interest · 100% · since 2024
- Jennifer Harrington
Adp of The Snf · since 2023
+ 3 additional owners on the federal record.
Recent change of ownership
February 2024 (2 years ago) · acquired from Carriage House Manor
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Change of Ownership, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 26)
- D0880·Jul 23, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- F0812·Jul 23, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E0804·Jul 23, 2025
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E0761·Jul 23, 2025
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.
- D0695·Jul 23, 2025
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- B0640·Jul 23, 2025
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- D0636·Jul 23, 2025
Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- F0812·Jun 26, 2024
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Fire-safety citations
4 Life-Safety-Code citations on file. Most recent: Jul 23, 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
Carriage House Manor is a 144-bed Medicare- and Medicaid-certified nursing home in Sulphur Springs, Hopkins County, licensed under Uvalde County Hospital Authority. CMS rates it 4 stars overall, with 4-star ratings on both health inspections and staffing. The quality-measures rating is 2 stars. The facility is currently operating at about 53% of its licensed beds — 75 residents on an average day — well below capacity.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 4 stars, placing this facility in roughly the top 9% of Texas nursing homes on staffing. Each resident receives about 273 minutes of nursing care per day — above the 241-minute threshold for a 4-star staffing rating in Texas. The resident mix here is less dependent on hands-on care than at a typical facility, so those staffing hours go further than at a home with sicker or less mobile residents on average.
RN turnover runs low: about 3 in 10 registered nurses left in the past year, below the Texas 25th-percentile cutoff — better than roughly three-quarters of nursing homes in the state.
The quality-measures rating is 2 stars — the lowest of the four CMS rating categories here. This score reflects outcomes like pressure wounds, falls, and pain management, and sits below the facility's inspection and staffing ratings.
The facility is operating at approximately 53% of its 144 licensed beds, with about 76 residents on a typical day. No other distress signals — such as safety flags or high turnover — accompany that figure.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Quality measures below other ratings
CMS rates staffing and inspections at 4 stars but quality measures at 2 stars — ask which specific outcome measures are driving that gap and what the facility is doing about them.
Half the beds are empty
With roughly 76 residents in a 144-bed facility, ask what's behind the low occupancy and whether it affects staffing levels or available services.
Resident council but no family council
The facility has a Resident Council but no Family Council — ask how families currently raise concerns or stay informed about care changes.
Licensee is a hospital authority
The licensee is Uvalde County Hospital Authority, but CMS lists the ownership type as for-profit individual — ask who the day-to-day operating entity is and how decisions are made.
Weekend staffing relative to weekdays
Reported weekend nursing hours run about 3.9 hours per resident per day versus 4.5 on weekdays — ask how care routines and staffing levels differ on weekends.
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.