Colonial Manor Advanced Rehab & Healthcare

1100 W Minnesota Rd · Pharr, TX · 78577 · 9566862243

123 certified beds For profit - Limited Liability company Chain: Hamilton County Hospital District

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $16,442 in fines in the last 24 months.
  • Inspection results have improved across recent cycles.

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

1 immediate-jeopardy citation in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

RN staffing in the bottom 10% nationally

0.15 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

Score breakdown

Inspection record 30% of score 31
Serious harm & abuse 20% 44
Staffing 20% 49
Federal penalties 15% 28
Trend 10% 84
Context 5% 75

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

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.343.48 min · 4.1 strong
RN hours / resident-day0.150.55–0.75
Weekend hours / resident-day3.13≈ weekday level
Nursing turnover / year44%median 45%
Fines (3-yr window)4 · $87,564

Inspection citations (40 in the current record)

  • Potential for harm · D March 19, 2026 · found via complaint

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

    Corrected April 3, 2026 · Quality of Life and Care

  • Potential for harm · D January 15, 2026 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected February 12, 2026 · Quality of Life and Care

  • Potential for harm · D November 20, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected December 19, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · J July 16, 2025 · found via complaint

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

    Corrected July 18, 2025 · Quality of Life and Care

  • Potential for harm · D July 16, 2025 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected July 18, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 24, 2025

    Reasonably accommodate the needs and preferences of each resident.

    Corrected May 16, 2025 · Resident Rights

  • Potential for harm · D April 24, 2025

    Ensure each resident receives an accurate assessment.

    Corrected May 16, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D April 24, 2025

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

    Corrected May 16, 2025 · Quality of Life and Care

  • Potential for harm · D April 24, 2025

    Provide and implement an infection prevention and control program.

    Corrected May 16, 2025 · Infection Control

  • Potential for harm · D March 20, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected April 11, 2025 · Infection Control

  • Potential for harm · E June 10, 2024 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected June 21, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D June 10, 2024 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected June 21, 2024 · Infection Control

  • Actual harm · G February 17, 2024

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

    Corrected March 15, 2024 · Quality of Life and Care

  • Potential for harm · D February 17, 2024

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected March 15, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D February 17, 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 March 15, 2024 · Quality of Life and Care

  • Potential for harm · D February 17, 2024

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

    Corrected March 15, 2024 · Quality of Life and Care

  • Potential for harm · D February 17, 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 March 15, 2024 · Pharmacy Service

  • Potential for harm · D February 17, 2024

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

    Corrected March 15, 2024 · Nutrition and Dietary

  • Potential for harm · D February 17, 2024

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected March 15, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E February 17, 2024

    Provide and implement an infection prevention and control program.

    Corrected March 15, 2024 · Infection Control

  • Potential for harm · E February 9, 2024 · found via complaint

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

    Corrected February 12, 2024 · Quality of Life and Care

  • Potential for harm · D January 12, 2024 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected February 9, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 12, 2024 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected February 9, 2024 · Quality of Life and Care

  • Potential for harm · D September 15, 2023 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected September 19, 2023 · Resident Assessment and Care Planning

  • Immediate jeopardy · J August 17, 2023 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected August 18, 2023 · Resident Rights

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

Federal penalties

DateTypeAmount / length
July 16, 2025Fine$16,442
January 12, 2024Fine$38,556
August 17, 2023Fine$12,887
August 17, 2023Fine$19,679

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675044 · certified since May 19, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.