Country Care Manor
Inspection Findings
F-Tag F0555
F 0555 Level of Harm - Minimal harm or potential for actual harm
committed to ensuring that each resident is under the care of a licensed physician who assumes responsibility for medical care while the resident/patient resides in the community. In cases where a resident's primary care physician does not round, does not hold privileges, or refuses to provide direct oversight or 24 hour on-call, the community will assign or offer access to an attending physician approved and/or credentialed privileges at the community to ensure continuity of care.
Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
11/21/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Country Care Manor
2736 Farm to Market 775 LA Vernia, TX 78121
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0627
F 0627 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
became aware of the refusal of the facility to readmit Resident #1 during the hospitalization beginning on 10/17/2025, he notified the Admin. that Resident #1 had a right to return to the facility, and that the actions of the facility constituted dumping. He said the Admin. told him that the facility Resident #1 did not have a physician overseeing his care properly, so he could not return. He said he also told the facility that Resident #1 should be issued a notice of discharge, but the facility refused. He notified the facility that Resident #1 was formally appealing the discharge, but the facility informed him that Resident #1 could not return despite
the appeal. He felt the facility was refusing to readmit Resident #1 due to conflicts with Resident #1's family member, not the issue regarding Resident #1's physician. In an interview with the Admin. on 11/20/2025 at 2:35 PM, he stated Resident #1 was initially terminated as a patient by the facility's MD, MD A, in August 2025, and the facility's second physician was not accepting new patients. Resident #1 then selected his outpatient physician, MD B, to be his physician at the facility, but he said MD B did not meet their expectations of responsiveness when the facility staff attempted to contact him after hours. He said that because of the lack of responsiveness from MD B, he felt readmitting Resident #1 under MD B's care would be a disservice. Since MD A had previously terminated Resident #1 and would not be accepted as a patient, he felt Resident #1's needs could not be met at the facility. He said he did not notify Resident #1 or his family member about the discharge by conversation or letter, and he was communicating only with the ombudsman. He said he was aware Resident #1 had appealed the discharge, but he was not permitted to return while the appeal was pending because the facility felt like there was not a physician available to oversee his care during the appeal period. He was unsure if Resident #1 had been given an opportunity to select a different physician prior to the refusal to readmit. He said the facility requested a discharge summary from MD B at the end of October, but the document had not been returned. In an interview with MD B's office on 11/21/2025 at 2:16 PM, MD B's medical assistant stated MD B was the physician overseeing Resident #1's care at the facility. She said the last communication made by the facility to MD B's office was on 10/16/2025 to the after hours on-call service regarding a change in condition. She said MD B had not been notified by the facility that Resident #1 had been discharged from the facility.Record review of
the facility policy titled Admission, Transfer, and discharge date d September 2022, revealed the following:The notice of transfer or discharge must be given at least 30 days before the resident is transferred or discharged . The community permits residents to return to the community after they are hospitalized or placed on therapeutic leave . If the community determines that a resident who was transferred with an expectation of returning to the community, the community will comply with the transfer and discharge requirements as they apply .
Event ID:
Facility ID:
If continuation sheet
Country Care Manor in La Vernia, TX inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in La Vernia, TX, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Country Care Manor or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.