Carriage House Manor — nursing home in Sulphur Springs, TX

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 144 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 74.1 CMS, MDS-derived
CMS Certification Number: 675181
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jul 12, 1993
Ownership type: For profit - Individual
Operator (legal business name): Uvalde County Hospital Authority
CMS chain: Not part of a CMS-reported chain
Phone: (903) 885-3589
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

8

latest Jul 8, 2026

Citations

31

27 health · 4 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D16	E11	F3
Minimal	A·	B1	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 675181
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 144
First approved: Jul 12, 1993
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Texas.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Jul 8, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Jul 23, 2025	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Jul 23, 2025	Health	Health Standard	7	Potential harm	—	Open →
Jun 26, 2024	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Jun 26, 2024	Health	Health Standard	5	Potential harm	—	Open →
Jun 13, 2024	Health	Health Complaint	2	Potential harm	—	Open →
Apr 26, 2023	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Apr 26, 2023	Health	Health Standard	12	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D16	E11	F3
Minimal	A·	B1	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jul 8, 2026	F-0761	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jul 9, 2026	Complaint
Jul 23, 2025	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 25, 2025
Jul 23, 2025	F-0636	Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 31, 2025
Jul 23, 2025	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 31, 2025
Jul 23, 2025	F-0761	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. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Aug 31, 2025
Jul 23, 2025	F-0804	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Aug 31, 2025
Jul 23, 2025	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Aug 31, 2025
Jul 23, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Aug 31, 2025
Jul 23, 2025	F-0640	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	B · Minimal Pattern	Corrected Aug 31, 2025
Jun 26, 2024	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 14, 2024
Jun 26, 2024	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Aug 9, 2024
Jun 26, 2024	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 9, 2024
Jun 26, 2024	F-0690	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 9, 2024
Jun 26, 2024	F-0758	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Aug 9, 2024
Jun 26, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Aug 9, 2024
Jun 13, 2024	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 26, 2024	Complaint
Jun 13, 2024	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jul 26, 2024	Complaint
Apr 26, 2023	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 31, 2023
Apr 26, 2023	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 31, 2023
Apr 26, 2023	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected May 31, 2023
Apr 26, 2023	F-0582	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 31, 2023
Apr 26, 2023	F-0640	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 31, 2023
Apr 26, 2023	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 31, 2023
Apr 26, 2023	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 31, 2023
Apr 26, 2023	F-0698	Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 31, 2023
Apr 26, 2023	F-0727	Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Staffing & supervision	E · Potential harm Pattern	Corrected Jun 1, 2023
Apr 26, 2023	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected May 31, 2023
Apr 26, 2023	F-0758	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Jun 2, 2023
Apr 26, 2023	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected May 31, 2023
Apr 26, 2023	F-0868	Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Administration & records	D · Potential harm Isolated	Corrected May 31, 2023
Apr 26, 2023	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected May 31, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 2.8

Health inspectionsstate 2.8

Staffingstate 1.9

Quality measuresstate 3.8

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing4.63

State avg 3.42US avg 3.90

Registered nurse (RN)0.54

State avg 0.44US avg 0.69

Licensed practical nurse1.08

State avg 0.94US avg 0.86

Nurse aide3.01

State avg 2.03US avg 2.35

Weekend total nurse3.96

State avg 2.99US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.03 (case-mix index 1.29).

Staff turnover

Total nursing staff turnover50.0%

State avg 50.8%US avg 45.3%

Registered nurse turnover30.0%

State avg 49.8%US avg 42.5%

Administrators who leftNot reported

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Jul 23, 2025
Cycle 1 health score: 48
Total weighted score: 47

Operating entity

Uvalde County Hospital Authority

CMS legal business name of the certified provider. Operates 38 facilities.

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

15

Organizations

2

Individuals

10

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
The Tanton Family Trust	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	not provided	Feb 1, 2024
Arvis Tanton	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	not provided	Feb 1, 2024

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
The Tanton Family Trust	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	not provided	Feb 1, 2024
Arvis Tanton	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	not provided	Feb 1, 2024
Carriage House Manor Inc	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 1, 2024
Terri Contreras	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 29, 2019
Sharla Tanton	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2005
Darren Arnecke	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2011
Jennifer Harrington	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	May 1, 2023
Adam Apolinar	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Feb 1, 2024
Terri Contreras	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Apr 29, 2019
The Tanton Family Trust	Organization	Trustee	TRUSTEE OF THE SNF	not provided	Feb 1, 2024
Carriage House Manor Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Feb 1, 2024
The Tanton Family Trust	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Feb 1, 2024
Darren Arnecke	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2011
Jennifer Harrington	Individual	Additional disclosable party	ADP OF THE SNF	not provided	May 1, 2023
Sharla Tanton	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2005

Other facilities operated by Uvalde County Hospital Authority

All 37 →

Facility	Beds	Last inspection	Citations (window)	Fines
Rosewood Heights 5700 E Central Texas Expwy, Killeen, TX 76543 CCN 455503	64	Apr 17, 2026	193 IJ2 harm	$37k
Laredo West Nursing and Rehabilitation Center 1200 E Lane St, Laredo, TX 78043 CCN 455528	188	Jul 28, 2026	583 IJ	$50k
Memorial Medical Nursing and Rehabilitation 307 W Cypress St, San Antonio, TX 78212 CCN 455597	135	Aug 5, 2026	872 IJ11 open	$35k
Hilltop Village Nursing and Rehabilitation 1400 Hilltop Rd, Kerrville, TX 78028 CCN 455628	150	Aug 20, 2026	601 IJ	—
Silver Creek Nursing and Rehabilitation 9014 Timber Path, San Antonio, TX 78250 CCN 455652	120	Jul 2, 2025	28	—
Kirkwood Manor 2590 Loop 337 N, New Braunfels, TX 78130 CCN 455732	162	Jun 17, 2026	691 IJ	$29k
Avir at San Knoll 5757 N. Knoll, San Antonio, TX 78240 CCN 455804	120	Jul 24, 2026	711 IJ	$28k
San Antonio North Nursing and Rehabilitation 501 Ogden, San Antonio, TX 78212 CCN 455817	118	Aug 6, 2026	762 IJ	$17k

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 210 Pipeline Rd, Sulphur Springs, TX 75482
ZIP: 75482
County: Hopkins County FIPS 48223
State: Texas
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Sunny Springs Nursing & Rehab 1200 Jackson St North, Sulphur Springs, TX 75482 CCN 675664	0.4 km	95	Sep 10, 2025	592 IJ	—
Sulphur Springs Health and Rehabilitation 411 Airport Rd, Sulphur Springs, TX 75482 CCN 455579	0.7 km	128	Jun 24, 2026	581 IJ	$44k
Rock Creek Health and Rehabilitation 1414 College Street, Sulphur Springs, TX 75482 CCN 676235	3.3 km	120	Aug 5, 2026	452 IJ	$59k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	675181	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	675181	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 675181

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction