Trucare Living Centers Selma: Doctor Visit Records Fail - TX
A complaint investigation conducted on April 26 found that Trucare Living Centers had failed to ensure that physicians were reviewing resident care, writing progress notes, signing those notes, and dating their orders at each required visit. The deficiency was cited under the federal tag governing nursing and physician services.
Inspectors classified the violation as a pattern, meaning this wasn't an isolated lapse with a single resident on a single day. It was happening repeatedly, across enough cases that investigators characterized it as a recurring problem.
No actual harm was documented. But inspectors determined there was potential for more than minimal harm to residents.
That distinction matters. When a physician visit goes unrecorded, or when it's unclear whether a doctor reviewed a resident's current medications, recent lab work, or changes in condition, the care team loses the thread. Nursing staff rely on documented physician orders and progress notes to make decisions. Without them, problems that a doctor might have caught, and acted on, can go unaddressed.
The facility has filed no plan of correction.
That absence is notable on its own. After a deficiency finding, providers are expected to submit a written plan explaining what went wrong, what they're doing to fix it, and when the fix will be complete. Trucare Living Centers has not done that. Inspectors listed the correction status as: deficient, provider has no plan of correction.
The complaint investigation that triggered this finding means someone, likely a resident, family member, or staff member, raised a concern serious enough to prompt federal review. The inspection report does not identify who filed the complaint or what specifically prompted it.
What inspectors found when they arrived was a facility that could not demonstrate its physicians were meeting their obligations to residents at required visits. The requirement isn't complicated: doctors come, they review the resident's condition, they write a note, they sign it, they date it. That record becomes part of the resident's care history. It tells the next nurse, the next physician, the next consultant what was known and when.
When those records are missing or incomplete, that history has gaps.
A pattern-level finding means the problem wasn't confined to one chart or one doctor's oversight. Inspectors saw it often enough to conclude it was the way things were running at this facility, not an exception.
Trucare Living Centers operates in Selma, a community in Bexar County northeast of San Antonio. The April 26 inspection was a complaint investigation, not a routine annual survey. That means the problems inspectors found were not discovered through a scheduled visit. They were found because someone raised an alarm.
The facility now carries an open deficiency with no correction plan attached to it. Residents living at Trucare Living Centers in the weeks and months since the inspection have been in a facility that federal regulators have flagged for physician oversight failures and that has not, as of the inspection record, committed to a timeline or method for fixing them.
Physician documentation in a nursing home is not a paperwork formality. It is the mechanism by which a doctor's findings become part of a resident's care. A signed, dated progress note from a required visit tells everyone who comes after, including the next on-call physician at two in the morning, what the attending doctor saw, what they decided, and what they ordered. Without it, the record is silent.
At Trucare Living Centers, inspectors found that silence was a pattern.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Trucare Living Centers - Selma from 2026-04-26 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: July 28, 2026 · Our methodology
Trucare Living Centers - Selma in Selma, TX was cited for violations during a health inspection on April 26, 2026.
The deficiency was cited under the federal tag governing nursing and physician services.
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.