St. Joseph Manor

Inspection history (38)

• April 2, 2026 · E

  Citation F0585

  Federal surveyors cited this nursing home on 2026-04-02 under CMS tag F0585 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. The deficiency was recorded as corrected on 2026-04-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-02.GOV

• April 2, 2026 · E

  Citation F0760

  Federal surveyors cited this nursing home on 2026-04-02 under CMS tag F0760 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure that residents are free from significant medication errors. The deficiency was recorded as corrected on 2026-04-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-02.GOV

• March 11, 2026 · D

  Citation F0692

  Federal surveyors cited this nursing home on 2026-03-11 under CMS tag F0692 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide enough food/fluids to maintain a resident's health. The deficiency was recorded as corrected on 2026-03-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-11.GOV

• March 11, 2026 · E

  Citation F0755

  Federal surveyors cited this nursing home on 2026-03-11 under CMS tag F0755 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. The deficiency was recorded as corrected on 2026-03-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-11.GOV

• March 11, 2026 · D

  Citation F0602

  Federal surveyors cited this nursing home on 2026-03-11 under CMS tag F0602 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Protect each resident from the wrongful use of the resident's belongings or money. The deficiency was recorded as corrected on 2026-03-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-11.GOV

• September 4, 2025 · D

  Citation F0694

  Federal surveyors cited this nursing home on 2025-09-04 under CMS tag F0694 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide for the safe, appropriate administration of IV fluids for a resident when needed. The deficiency was recorded as corrected on 2025-09-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-09-04.GOV

• September 4, 2025 · D

  Citation F0761

  Federal surveyors cited this nursing home on 2025-09-04 under CMS tag F0761 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-09-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-09-04.GOV

• September 4, 2025 · D

  Citation F0880

  Federal surveyors cited this nursing home on 2025-09-04 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2025-09-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-09-04.GOV

• September 4, 2025 · D

  Citation F0755

  Federal surveyors cited this nursing home on 2025-09-04 under CMS tag F0755 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. The deficiency was recorded as corrected on 2025-09-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-09-04.GOV

• July 30, 2025 · F

  Citation F0732

  Federal surveyors cited this nursing home on 2025-07-30 under CMS tag F0732 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Post nurse staffing information every day. The deficiency was recorded as corrected on 2025-08-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-07-30.GOV

• July 30, 2025 · K

  Citation F0757

  Federal surveyors cited this nursing home on 2025-07-30 under CMS tag F0757 (CMS scope/severity K: pattern, immediate jeopardy) for Ensure each resident’s drug regimen must be free from unnecessary drugs. The deficiency was recorded as corrected on 2025-08-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-07-30.GOV

• July 30, 2025 · K

  Citation F0770

  Federal surveyors cited this nursing home on 2025-07-30 under CMS tag F0770 (CMS scope/severity K: pattern, immediate jeopardy) for Provide timely, quality laboratory services/tests to meet the needs of residents. The deficiency was recorded as corrected on 2025-08-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-07-30.GOV

• June 26, 2025 · D

  Citation F0755

  Federal surveyors cited this nursing home on 2025-06-26 under CMS tag F0755 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. The deficiency was recorded as corrected on 2025-07-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-06-26.GOV

• June 12, 2025 · E

  Citation F0842

  Federal surveyors cited this nursing home on 2025-06-12 under CMS tag F0842 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2025-06-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-06-12.GOV

• March 27, 2025 · E

  Citation F0812

  Federal surveyors cited this nursing home on 2025-03-27 under CMS tag F0812 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2025-04-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-27.GOV

• March 27, 2025 · E

  Citation F0677

  Federal surveyors cited this nursing home on 2025-03-27 under CMS tag F0677 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide care and assistance to perform activities of daily living for any resident who is unable. The deficiency was recorded as corrected on 2025-04-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-27.GOV

• March 27, 2025 · E

  Citation F0656

  Federal surveyors cited this nursing home on 2025-03-27 under CMS tag F0656 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2025-04-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-27.GOV

• March 27, 2025 · D

  Citation F0880

  Federal surveyors cited this nursing home on 2025-03-27 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2025-04-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-27.GOV

• March 27, 2025 · D

  Citation F0759

  Federal surveyors cited this nursing home on 2025-03-27 under CMS tag F0759 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure medication error rates are not 5 percent or greater. The deficiency was recorded as corrected on 2025-04-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-27.GOV

• March 27, 2025 · D

  Citation F0636

  Federal surveyors cited this nursing home on 2025-03-27 under CMS tag F0636 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. The deficiency was recorded as corrected on 2025-04-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-27.GOV

Penalties

Total fines on file: $0

Staffing

Latest: 4.06 nurse staffing hours per resident per day (2026-06-01)

Ownership

Government - Hospital district

1. Parent organization: Burleson County Hospital District

   parent · PAC 4587888235