Nursing Home Alerts

Colonial Manor Advanced Rehab & Healthcare

1100 W Minnesota Rd, Pharr, TX 78577

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Colonial Manor Advanced Rehab & Healthcare is a nursing home in Pharr, Texas. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

At a glance

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

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One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.

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CMS flags

CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

  1. CMS update of October 28, 2026

    • Star rating

      The CMS overall star rating changed from 1 of 5 to 2 of 5.

    • Star rating

      The CMS staffing star rating changed from 1 of 5 to 2 of 5.

  2. CMS update of October 8, 2026

    • Star rating

      The CMS health inspection star rating changed from 1 of 5 to 2 of 5.

  3. Health inspection on August 12, 2026

    1 citation

    CMS lists this as a complaint inspection.

    Show the 1 citation
    • Citation F0573. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

      CMS lists it as corrected on August 13, 2026.

    See this home on CMS Care Compare

  4. CMS update of July 29, 2026

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 1 of 5.

    • Star rating

      The CMS health inspection star rating changed from 2 of 5 to 1 of 5.

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 1 of 5.

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 3 of 5.

  5. Health inspection on June 25, 2026

    10 citations

    CMS lists this as a standard inspection and a complaint inspection.

    Show the 10 citations
    • Citation F0727. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on July 1, 2026.

    • Citation F0812. Severity E: potential for more than minimal harm, pattern.

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

      CMS lists it as corrected on July 1, 2026.

      CMS has cited this home for F0812 2 times since 2024.

    • Citation F0880. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on July 1, 2026.

      CMS has cited this home for F0880 6 times since 2024.

    • Citation F0583. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Keep residents' personal and medical records private and confidential.

      CMS lists it as corrected on July 1, 2026.

    • Citation F0655. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

      CMS lists it as corrected on July 1, 2026.

    • Citation F0657. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

      CMS lists it as corrected on July 1, 2026.

    • Citation F0684. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on July 1, 2026.

      CMS has cited this home for F0684 3 times since 2024.

    • Citation F0689. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on July 1, 2026.

      CMS has cited this home for F0689 3 times since 2024.

    • Citation F0695. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on July 1, 2026.

      CMS has cited this home for F0695 4 times since 2024.

    • Citation F0755. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on July 1, 2026.

    See this home on CMS Care Compare

  6. Fire safety inspection on June 25, 2026

    2 citations

    CMS lists this as a standard inspection.

    Show the 2 citations
    • Citation K0374. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Install smoke barrier doors that can resist smoke for at least 20 minutes.

      CMS has cited this home for K0374 2 times since 2025.

    • Citation K0353. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS has cited this home for K0353 2 times since 2025.

    See this home on CMS Care Compare

  7. Health inspection on May 29, 2026

    1 citation

    CMS lists this as a complaint inspection.

    Show the 1 citation
    • Citation F0692. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide enough food/fluids to maintain a resident's health.

      CMS lists it as corrected on June 2, 2026.

    See this home on CMS Care Compare

  8. CMS update of May 27, 2026

    • Fine

      CMS changed the fine from July 16, 2025 from $16,149 to $16,442.

  9. Health inspection on May 14, 2026

    2 citations

    CMS lists this as a complaint inspection.

    Show the 2 citations
    • Citation F0761. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on June 5, 2026.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on June 5, 2026.

    See this home on CMS Care Compare

  10. CMS update of April 29, 2026

    • Star rating

      The CMS staffing star rating changed from 1 of 5 to 2 of 5.

    • Star rating

      The CMS quality measures star rating changed from 5 of 5 to 4 of 5.

  11. Health inspection on March 19, 2026

    1 citation

    CMS lists this as a complaint inspection.

    Show the 1 citation
    • Citation F0695. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on April 3, 2026.

    See this home on CMS Care Compare

  12. CMS update of February 25, 2026

    • Star rating

      The CMS overall star rating changed from 1 of 5 to 2 of 5.

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 5 of 5.

  13. Health inspection on January 15, 2026

    1 citation

    CMS lists this as a complaint inspection.

    Show the 1 citation
    • Citation F0684. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on February 12, 2026.

    See this home on CMS Care Compare

  14. Health inspection on November 20, 2025

    1 citation

    CMS lists this as a complaint inspection.

    Show the 1 citation
    • Citation F0600. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on December 19, 2025.

    See this home on CMS Care Compare

  15. CMS update of July 30, 2025

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 1 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 1 of 5.

    • Star rating

      The CMS quality measures star rating changed from 2 of 5 to 4 of 5.

    • Ownership

      CMS lists this home under a new chain.

  16. Health inspection on July 16, 2025

    2 citations

    CMS lists this as a complaint inspection.

    Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.

    407 of 1,177 Texas homes (35%) got a citation at the immediate jeopardy level in 2025.

    CMS fine of $16,442 on July 16, 2025.

    Show the 2 citations
    • Citation F0689. Severity J: immediate jeopardy, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on July 18, 2025.

    • Citation F0609. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      CMS lists it as corrected on July 18, 2025.

      CMS has cited this home for F0609 3 times since 2024.

    See this home on CMS Care Compare

  17. CMS update of June 25, 2025

    • Health citation

      CMS removed citation F0758 from the health inspection on February 17, 2024.

  18. CMS update of April 30, 2025

    • Star rating

      The CMS overall star rating changed from 1 of 5 to 2 of 5.

    • Star rating

      The CMS staffing star rating changed from 1 of 5 to 2 of 5.

  19. Health inspection on April 24, 2025

    4 citations

    CMS lists this as a standard inspection.

    Show the 4 citations
    • Citation F0558. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Reasonably accommodate the needs and preferences of each resident.

      CMS lists it as corrected on May 16, 2025.

    • Citation F0641. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident receives an accurate assessment.

      CMS lists it as corrected on May 16, 2025.

    • Citation F0695. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on May 16, 2025.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on May 16, 2025.

    See this home on CMS Care Compare

  20. Fire safety inspection on April 24, 2025

    4 citations

    CMS lists this as a standard inspection.

    Show the 4 citations
    • Citation K0226. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have horizontal exits used in accordance with safety requirements.

      CMS lists it as corrected on May 23, 2025.

    • Citation K0353. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on May 23, 2025.

    • Citation K0374. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Install smoke barrier doors that can resist smoke for at least 20 minutes.

      CMS lists it as corrected on May 23, 2025.

    • Citation K0761. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: To conduct inspection, testing and maintenance of fire doors by qualified individuals.

      CMS lists it as corrected on May 23, 2025.

    See this home on CMS Care Compare

  21. Health inspection on March 20, 2025

    1 citation

    CMS lists this as a complaint inspection.

    Show the 1 citation
    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on April 11, 2025.

    See this home on CMS Care Compare

  22. CMS update of February 26, 2025

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.

  23. CMS update of October 30, 2024

    • Fine

      CMS changed the fine from January 12, 2024 from $48,195 to $38,556.

  24. CMS update of September 26, 2024

    • Star rating

      The CMS health inspection star rating changed from 1 of 5 to 2 of 5.

  25. CMS update of July 31, 2024

    • Fine

      CMS changed the fine from August 17, 2023 from $12,649 to $12,887.

    • Fine

      CMS changed the fine from August 17, 2023 from $19,315 to $19,679.

  26. Health inspection on June 10, 2024

    2 citations

    CMS lists this as a complaint inspection.

    Show the 2 citations
    • Citation F0842. Severity E: potential for more than minimal harm, pattern.

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

      CMS lists it as corrected on June 21, 2024.

      CMS has cited this home for F0842 2 times since 2024.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on June 21, 2024.

    See this home on CMS Care Compare

  27. CMS update of May 29, 2024

    • Fine

      CMS changed the fine from August 17, 2023 from $19,460 to $12,649.

  28. CMS update of April 25, 2024

    • Changed ownership in the last 12 months

      CMS no longer shows a change of ownership in the past 12 months.

  29. CMS update of February 29, 2024

    • Fine

      CMS changed the fine from August 17, 2023 from $29,715 to $19,315.

  30. Health inspection on February 17, 2024

    8 citations

    CMS lists this as a standard inspection.

    Severity G is the second-highest of CMS's four levels. It means a resident was harmed.

    143 of 1,177 Texas homes (12%) got a citation at the actual harm level in 2024.

    Show the 8 citations
    • Citation F0689. Severity G: actual harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on March 15, 2024.

    • Citation F0880. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on March 15, 2024.

    • Citation F0609. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      CMS lists it as corrected on March 15, 2024.

    • Citation F0690. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on March 15, 2024.

    • Citation F0695. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on March 15, 2024.

    • Citation F0758. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on March 15, 2024.

    • Citation F0812. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on March 15, 2024.

    • Citation F0842. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on March 15, 2024.

    See this home on CMS Care Compare

  31. Fire safety inspection on February 17, 2024

    1 citation

    CMS lists this as a standard inspection.

    Show the 1 citation
    • Citation K0345. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have approved installation, maintenance and testing program for fire alarm systems.

      CMS lists it as corrected on March 15, 2024.

    See this home on CMS Care Compare

  32. Health inspection on February 9, 2024

    1 citation

    CMS lists this as a complaint inspection.

    Show the 1 citation
    • Citation F0698. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide safe, appropriate dialysis care/services for a resident who requires such services.

      CMS lists it as corrected on February 12, 2024.

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  33. CMS update of January 31, 2024

    • Star rating

      The CMS quality measures star rating changed from 2 of 5 to 3 of 5.

  34. Health inspection on January 12, 2024

    2 citations

    CMS lists this as a complaint inspection.

    CMS fine of $38,556 on January 12, 2024.

    Show the 2 citations
    • Citation F0609. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      CMS lists it as corrected on February 9, 2024.

    • Citation F0684. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on February 9, 2024.

    See this home on CMS Care Compare

  35. CMS update of December 21, 2023

    • Star rating

      The CMS overall star rating changed from 4 of 5 to 1 of 5.

    • Star rating

      The CMS health inspection star rating changed from 5 of 5 to 1 of 5.

CMS star ratings

Facts from CMS

Phone
(956) 686-2243
Last standard health inspection
June 25, 2026 (4 months ago)
Certified beds
123
Residents per day, on average
111.7
Ownership type
Government - Hospital district
Legal business name
Hamilton County Hospital District
Chain
Hamilton County Hospital District
Takes part in
Medicare and Medicaid

More health citations than the Texas average (37 vs 28).

Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

Questions

When was Colonial Manor Advanced Rehab & Healthcare last inspected?

CMS lists June 25, 2026 as the date of its most recent standard health inspection.

How many citations (violations) does Colonial Manor Advanced Rehab & Healthcare have?

CMS lists 37 health citations since January 12, 2024. CMS also calls these deficiencies.

Has Colonial Manor Advanced Rehab & Healthcare been fined?

CMS lists 2 fines in the past three years, $54,998 in total.

What is the CMS star rating of Colonial Manor Advanced Rehab & Healthcare?

Its CMS overall star rating is 2 of 5.

Is Colonial Manor Advanced Rehab & Healthcare a Special Focus Facility?

No. CMS does not list it as a Special Focus Facility or a candidate.