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3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Colonial Manor Nursing Center is where life balances with style– creating an unmatched experience for seniors. The premier skilled nursing facility with rehabilitative care, residents will find endless possibilities await in Colonial Manor; they continue to maintain a sense of independence that leads to a life of fulfillment. At Colonial Manor, enjoy first-class hospitality and an elevated lifestyle during recovery.
Unmatched comfort delivered with an array of services and amenities ensures residents maintain an active day-to-day living supported by a vibrant lifestyle. The professional care staff strives to ensure that residents receive the best care possible when receiving skilled nursing care and therapies (occupational, speech, physical) and wound care management. Residents will live conveniently and stress-free with essential amenities, including housekeeping, maintenance, ADLs, enriching activities, engaging programs, and fine dining.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 47th out of 289 homes in Texas for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 16m per day | ▼ 37% State avg: 26m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 15m per day | ▲ 31% State avg: 57m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 15m per day | ▲ 11% State avg: 2h 1m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 27m per day | ▲ 16% State avg: 2h 59m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 5m per day | ▲ 16% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 22m per day | ▲ 6% State avg: 21m per day · National avg: 29m per day |
Higher than the Texas average: 63.5%Colonial Manor Nursing Center is administrated by II John L Tubbs.
Key information about the people who lead and staff this community.
In Texas, the Health and Human Services Commission (HHSC) is the primary regulatory body that conducts unannounced inspections and publishes quality reports for all long-term care homes.
Enforcement actions are formal penalties or interventions imposed by Texas regulators when a nursing home fails to meet state or federal care, safety, or regulatory standards. They may include directed plans of correction, civil monetary penalties, denial of payment, or appointment of temporary management.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Texas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 7 | 6 | This facility has 17% more total citations than a typical Texas nursing home (7 vs. TX avg 6).↑ 17% worse |
|
Health citations
Violations related to resident care, clinical practices, and day-to-day operations.
| 7 | 2 | This facility has 250% more health citations than a typical Texas nursing home (7 vs. TX avg 2).↑ 250% worse |
|
Life safety citations
Violations related to building safety — fire prevention, emergency egress, and similar.
| 7 | 6 | This facility has 17% more life safety citations than a typical Texas nursing home (7 vs. TX avg 6).↑ 17% worse |
|
Citations per year
Average citations per year since 2022.
| 1.8 | 1.5 | This facility has 20% more citations per year than a typical Texas nursing home (1.8 vs. TX avg 1.5).↑ 20% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Texas average 7.4
Last Health inspection on Sep 2025
Texas average 25.9
Texas average 3.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
17 of 25 citations resulted from standard inspections; 6 of 25 resulted from complaint investigations; and 2 of 25 came from combined inspections (standard and complaint).
In line with Texas averageTexas average: 2
100% better than Texas averageTexas average: 0.4
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
11% fewer staff per resident than Texas average
0% compared with Texas average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 4 RN Staff are full-time employees. No contractors work on this role.
4
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursAssists with medical care and medications.
All 19 LPN Staff are full-time employees. No contractors work on this role.
19
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursHelps with daily care and mobility.
All 38 CNA Staff are full-time employees. No contractors work on this role.
38
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 38 | 0 | 38 | 14,240 | 92 | 100% | 8.3 |
| Licensed Practical Nurse | 19 | 0 | 19 | 7,246 | 92 | 100% | 8.2 |
| RN Director of Nursing | 5 | 0 | 5 | 1,339 | 85 | 92% | 7.2 |
| Nurse Aide in Training | 6 | 0 | 6 | 1,214 | 87 | 95% | 7.8 |
| Registered Nurse | 4 | 0 | 4 | 1,080 | 74 | 80% | 9.4 |
| Physical Therapy Assistant | 4 | 0 | 4 | 558 | 66 | 72% | 6.1 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 532 | 62 | 67% | 7.6 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Administrator | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Dietitian | 1 | 0 | 1 | 462 | 61 | 66% | 7.6 |
| Mental Health Service Worker | 1 | 0 | 1 | 423 | 62 | 67% | 6.8 |
| Physical Therapy Aide | 1 | 0 | 1 | 341 | 51 | 55% | 6.7 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 287 | 31 | 34% | 9.3 |
| Other Dietary Services Staff | 1 | 0 | 1 | 286 | 41 | 45% | 7 |
| Qualified Social Worker | 1 | 0 | 1 | 151 | 21 | 23% | 7.2 |
| Speech Language Pathologist | 1 | 0 | 1 | 96 | 40 | 43% | 2.4 |
Includes penalties issued in 2023
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
56% lower than Texas averageTexas average: $80K
60% fewer fines than Texas averageTexas average: 2.5
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Texas averageTexas average: 0.2
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Dec 23, 2023 · $36K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 23, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
5.1
41% better than Texas averageTexas average: 8.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
7.6
53% better than Texas averageTexas average: 16.0
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
7.7%
52% better than Texas averageTexas average: 16.2%
Percent of long-stay residents whose ability to move independently worsened
7.0%
57% better than Texas averageTexas average: 16.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
7.9%
49% better than Texas averageTexas average: 15.7%
Percent of long-stay residents experiencing one or more falls with major injury
5.6%
74% worse than Texas averageTexas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
2.2%
50% better than Texas averageTexas average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Texas averageTexas average: 0.8%
Percent of long-stay residents who lose too much weight
2.8%
18% better than Texas averageTexas average: 3.5%
Percent of long-stay residents who have depressive symptoms
3.2%
10% worse than Texas averageTexas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
2.9%
63% better than Texas averageTexas average: 7.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Texas averageTexas average: 97.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Texas averageTexas average: 97.9%
Number of hospitalizations per 1,000 long-stay resident days.
1.88
12% better than Texas averageTexas average: 2.13
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.45
30% better than Texas averageTexas average: 2.07
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.1%
10% better than Texas averageTexas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Texas averageTexas average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
14% better than Texas averageTexas average: 88.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
12.7%
51% better than Texas averageTexas average: 25.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
8.1%
33% better than Texas averageTexas average: 12.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Texas averageTexas average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
43.5%
19% worse than Texas averageTexas average: 53.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
31% of new residents, usually for short-term rehab.
28% of new residents, often for short stays.
41% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
68Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Colonial Manor Nursing Center from 2012–2024, based on CMS SNF Cost Reports.
Based on the 2024 CMS SNF Cost Report.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #257 / 297Payroll — State benchmarkedThis home is ranked 257th out of 297 homes in Texas. Shows total annual staff payroll benchmarked to the Texas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents stay for extended periods and receive ongoing daily care.
New residents most often arrive under Medicaid (41% of admissions), and a typical Medicaid stay runs around 1 - 2 years.
Coverage residents most often arrive under.
Coverage residents most often leave under.
1.7 miles from city center
Estimated distance in miles from Cleburne's city center to Colonial Manor Nursing Center's address, calculated via Google Maps.
— 16.12 miles to nearest hospital (Texas Health Huguley Hospital)
Add your location
Colonial Manor Nursing Center is located in Cleburne, Texas.
Here are the financial assistance programs available to residents in Texas.
The information below is reported by the Texas Health and Human Services Commission.
| Heritage Trails Nursing & Rehabilitation |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Cleburne (Lincoln Park Drive) | 122
Facility
122
TX AVG
80
Rank
#195 / 988 |
79.1%
Facility
79.1%
TX AVG
63.5%
Rank
#76 / 297 | +25% | 3.15
Facility
3.15
TX AVG
3.63
Rank
#231 / 289 | -46% | -13% | $67.1k
Facility
$67.1k
TX AVG
$81.8k
Rank
#216 / 294 | 12
Facility
12
TX AVG
25.9
Rank
#38 / 292 | 1.7
Facility
1.7
TX AVG
3.7
Rank
#10 / 292 | 3 | 85 | - |
35
Facility
35
TX AVG
41
Rank
#849 / 1391 | Cleburne Nursing And Rehab Center LLC | $13.0M
Facility
$13.0M
TX AVG
$8.4M
Rank
#105 / 297 | $5.7M
Facility
$5.7M
TX AVG
$3.5M
Rank
#109 / 297 | 44%
Facility
44%
TX AVG
47%
Rank
#184 / 297 | 675748 | ||||
| Colonial Manor Nursing Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
PC Palliative Care
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Cleburne (Granbury Street) | 137
Facility
137
TX AVG
80
Rank
#99 / 988 |
73.0%
Facility
73.0%
TX AVG
63.5%
Rank
#105 / 297 | +15% | 4.52
Facility
4.52
TX AVG
3.63
Rank
#47 / 289 | -41% | +25% | $60.2k
Facility
$60.2k
TX AVG
$81.8k
Rank
#175 / 294 | 25
Facility
25
TX AVG
25.9
Rank
#181 / 292 | 3.6
Facility
3.6
TX AVG
3.7
Rank
#181 / 292 | 2 | 100 | - |
13
Facility
13
TX AVG
41
Rank
#1196 / 1391 | - | $9.6M
Facility
$9.6M
TX AVG
$8.4M
Rank
#189 / 297 | $3.2M
Facility
$3.2M
TX AVG
$3.5M
Rank
#257 / 297 | 33.1%
Facility
33.1%
TX AVG
47%
Rank
#272 / 297 | 455631 |
Colonial Manor Nursing Center is in the Granbury Street neighborhood of Cleburne.
The legal owner and operator of Colonial Manor Nursing Center is Coryell County Memorial Hospital Authority.
Colonial Manor Nursing Center has a walk score of 13. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to TX state health department records, Colonial Manor Nursing Center's license number is 147962.
According to TX state health department records, Colonial Manor Nursing Center's license expires on January 9, 2026.
Colonial Manor Nursing Center's occupancy is 73%.
Ii John L Tubbs is the administrator of Colonial Manor Nursing Center.
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