Carriage House Manor

210 Pipeline Rd · Sulphur Springs, TX · 75482 · 9038853589

144 certified beds For profit - Individual

  • No federal fines or payment denials in CMS’s 3-year window.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 59
Serious harm & abuse 20% 100
Staffing 20% 76
Federal penalties 15% 100
Trend 10% 60
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 4 of 5 Staffing: 4 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day4.433.48 min · 4.1 strong
RN hours / resident-day0.540.55–0.75
Weekend hours / resident-day3.88≈ weekday level
Nursing turnover / year50%median 45%
Fines (3-yr window)none

Inspection citations (26 in the current record)

  • Potential for harm · D July 23, 2025

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Corrected August 31, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D July 23, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected August 31, 2025 · Quality of Life and Care

  • Potential for harm · E July 23, 2025

    Ensure 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 locked compartments, separately locked, compartments for controlled drugs.

    Corrected August 31, 2025 · Pharmacy Service

  • Potential for harm · E July 23, 2025

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected August 31, 2025 · Nutrition and Dietary

  • Potential for harm · F July 23, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected August 31, 2025 · Nutrition and Dietary

  • Potential for harm · D July 23, 2025

    Provide and implement an infection prevention and control program.

    Corrected August 31, 2025 · Infection Control

  • No harm found · B July 23, 2025

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Corrected August 31, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E June 26, 2024

    Ensure each resident receives an accurate assessment.

    Corrected August 9, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D June 26, 2024

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected August 9, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D June 26, 2024

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected August 9, 2024 · Quality of Life and Care

  • Potential for harm · D June 26, 2024

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Corrected August 9, 2024 · Pharmacy Service

  • Potential for harm · F June 26, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected August 9, 2024 · Nutrition and Dietary

  • Potential for harm · D June 13, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected July 26, 2024 · Quality of Life and Care

  • Potential for harm · D June 13, 2024 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected July 26, 2024 · Pharmacy Service

  • Potential for harm · E April 26, 2023

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected May 31, 2023 · Resident Rights

  • Potential for harm · D April 26, 2023

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected May 31, 2023 · Resident Rights

  • Potential for harm · D April 26, 2023

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Corrected May 31, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D April 26, 2023

    Ensure each resident receives an accurate assessment.

    Corrected May 31, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D April 26, 2023

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected May 31, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D April 26, 2023

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected May 31, 2023 · Quality of Life and Care

  • Potential for harm · E April 26, 2023

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Corrected June 1, 2023 · Nursing and Physician Services

  • Potential for harm · E April 26, 2023

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected May 31, 2023 · Pharmacy Service

  • Potential for harm · E April 26, 2023

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Corrected June 2, 2023 · Pharmacy Service

  • Potential for harm · E April 26, 2023

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected May 31, 2023 · Nutrition and Dietary

  • Potential for harm · D April 26, 2023

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Corrected May 31, 2023 · Administration

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Better-scoring options nearby

No better-scoring facility within 25 miles in the current data — this one leads its area. See the whole state.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675181 · certified since July 12, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.