Nursing HomeInspections

Carriage House Manor

Nursing home in Sulphur Springs, TX

Medicare & Medicaid certified4★ overall (CMS)

Call (903) 885-3589Send a messageMap ↗

Public-record details

Address
210 Pipeline Rd, Sulphur Springs, TX 75482
Phone
(903) 885-3589
Listed under
For-profit, 4–5 star overall rating, No fines in 3 years
Medicare CCN
675181
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
4 of 5
Staffing rating
4 of 5
Quality measures rating
3 of 5
Certified beds
144
Average residents per day
82
Ownership
For-profit, individual
Legal business name
Uvalde County Hospital Authority
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jul 12, 1993
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 675181. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jul 23, 2025. CMS lists 26 health citations for this facility across its last three standard inspection cycles and complaint inspections (Apr 26, 2023 to Jul 23, 2025): 2 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Jul 23, 2025Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning		B
Potential for minimal harm, pattern
Jul 23, 2025Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jul 23, 2025Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jul 23, 2025Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Jul 23, 2025Ensure 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…
Pharmacy Service		E
Potential for more than minimal harm, pattern
Jul 23, 2025Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Jul 23, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread
Jun 26, 2024Develop 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		D
Potential for more than minimal harm, isolated
Jun 26, 2024Provide 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		D
Potential for more than minimal harm, isolated
Jun 26, 2024Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and…
Pharmacy Service		D
Potential for more than minimal harm, isolated
Jun 26, 2024Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		E
Potential for more than minimal harm, pattern
Jun 26, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread

Showing the 12 most recent of 26. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.29 hours
Registered nurse (RN) time per resident per day
0.48 hours
Nurse aide time per resident per day
2.87 hours
Total nurse staffing on weekends
3.75 hours
Nursing staff turnover (yearly)
47%
RN turnover (yearly)
30%

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Sulphur Springs

Sulphur Springs Health and Rehabilitation411 Airport Rd · Sulphur Springs, TX 75482 · (903) 885-7668 · Government-owned52 health citations in 3 inspection cycles · last standard inspection Mar 25, 2026 · $44,044 in CMS fines (3 yrs)Medicare & Medicaid certified3★ overall (CMS)Sunny Springs Nursing & Rehab1200 Jackson St North · Sulphur Springs, TX 75482 · (903) 885-6571 · Government-owned57 health citations in 3 inspection cycles · last standard inspection Sep 10, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified2★ overall (CMS)Rock Creek Health and Rehabilitation1414 College Street · Sulphur Springs, TX 75482 · (903) 439-0107 · For-profit38 health citations in 3 inspection cycles · last standard inspection Aug 14, 2025 · $58,807 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)

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