Colonial Manor Nursing Center
2035 N Granbury St · Cleburne, TX · 76031 · 8176459134
137 certified beds For profit - Corporation Chain: Ruby Healthcare
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection results have improved across recent cycles.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
RN staffing in the bottom 10% nationally
0.27 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.77 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.27 | 0.55–0.75 |
| Weekend hours / resident-day | 3.45 | ≈ weekday level |
| Nursing turnover / year | 54% | median 45% |
| Fines (3-yr window) | 2 · $60,239 |
Inspection citations (26 in the current record)
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Actual harm · G February 13, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected February 15, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 13, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected February 15, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 4, 2025 · found via complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected September 22, 2025 · Resident Rights
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Potential for harm · E February 6, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 21, 2025 · Infection Control
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Immediate jeopardy · K December 23, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 26, 2023 · Resident Assessment and Care Planning
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Immediate jeopardy · K December 23, 2023 · 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 26, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E December 23, 2023
Reasonably accommodate the needs and preferences of each resident.
Corrected December 24, 2023 · Resident Rights
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Potential for harm · D December 23, 2023
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected December 24, 2023 · Resident Assessment and Care Planning
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Potential for harm · D December 23, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Corrected December 24, 2023 · Quality of Life and Care
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Potential for harm · F December 23, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 24, 2023 · Nutrition and Dietary
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Potential for harm · E September 21, 2023 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 22, 2023 · Quality of Life and Care
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Potential for harm · E August 18, 2023 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected August 19, 2023 · Resident Rights
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Potential for harm · D August 18, 2023 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 19, 2023 · Nutrition and Dietary
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Potential for harm · D August 18, 2023 · found via complaint
Provide and implement an infection prevention and control program.
Corrected August 21, 2023 · Infection Control
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Potential for harm · D September 30, 2022
Keep residents' personal and medical records private and confidential.
Corrected November 13, 2022 · Resident Rights
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Potential for harm · D September 30, 2022
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected November 13, 2022 · Resident Assessment and Care Planning
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Potential for harm · E September 30, 2022
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected November 13, 2022 · Resident Assessment and Care Planning
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Potential for harm · D September 30, 2022
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 13, 2022 · Quality of Life and Care
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Potential for harm · D September 30, 2022
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected November 13, 2022 · Quality of Life and Care
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Potential for harm · E September 30, 2022
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 13, 2022 · Quality of Life and Care
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Potential for harm · E September 30, 2022
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected November 13, 2022 · Pharmacy Service
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Potential for harm · E September 30, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 13, 2022 · Nutrition and Dietary
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Potential for harm · E September 30, 2022
Dispose of garbage and refuse properly.
Corrected November 13, 2022 · Nutrition and Dietary
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Potential for harm · E September 30, 2022
Provide and implement an infection prevention and control program.
Corrected November 13, 2022 · Infection Control
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Potential for harm · E September 30, 2022
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected November 13, 2022 · Nursing and Physician Services
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 13, 2026 | Fine | $24,700 |
| December 23, 2023 | Fine | $35,539 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455631 · certified since January 23, 1986. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.