Country Care Manor: Physician Oversight Failure - TX]
The November 2025 complaint inspection, conducted by the Centers for Medicare and Medicaid Services, cited the 675947-licensed facility on Farm to Market 775 for failing to ensure each resident had a licensed physician assuming responsibility for their care. The citation affected a few residents.
The specific failure the inspection identified was a gap in how the facility handled situations where a resident's own doctor either didn't make rounds at the facility, didn't hold privileges there, or refused to provide direct oversight and 24-hour on-call coverage. In those cases, Country Care Manor was responsible for assigning or offering access to an attending physician who was credentialed at the facility. The inspection found that didn't consistently happen.
For residents in a nursing home, the question of who is medically responsible for them is not a bureaucratic detail. It is the answer to the question of who gets called at two in the morning when something changes, who reviews medications, who orders tests, and who makes the judgment calls that determine whether a problem gets caught before it becomes a crisis.
The deficiency was rated at the lowest level of harm — minimal harm or potential for actual harm — and a few residents were affected, according to the report. But the structure of the failure points to something beyond a paperwork lapse.
A nursing facility resident whose primary care physician doesn't round there, doesn't hold privileges, or won't take on-call responsibility is, in practical terms, without a physician unless the facility has filled that gap. Country Care Manor's own written policy acknowledged exactly this obligation. The facility committed, in its policy language, to assigning or offering access to an approved, credentialed attending physician to ensure continuity of care. The inspection found the gap between that commitment and what residents actually received.
The facility is located in La Vernia, a small community in Wilson County southeast of San Antonio. It operates under CMS provider number 675947.
CMS assigned the violation under F0555, which governs the right of residents to be under the care of a physician who takes responsibility for their medical treatment while they live at the facility. It is a foundational requirement, not a technical one. The system it protects is the chain of accountability that connects a resident's changing condition to a physician who can act on it.
The inspection report does not describe what happened to the residents who lacked that coverage during the period in question. It does not say whether any of them experienced a medical event that required physician attention, or whether the absence of a responsible physician caused any delay in care. The report rated the harm as minimal or potential.
What the report does establish is that for at least a few residents at Country Care Manor, the person responsible for answering that two-in-the-morning call either wasn't identified, wasn't credentialed, or wasn't there.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Country Care Manor from 2025-11-21 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 3, 2026 · Our methodology
Country Care Manor in La Vernia, TX was cited for violations during a health inspection on November 21, 2025.
The citation affected a few residents.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.