Starfile

Starfile / Texas

St. Joseph Manor

2333 Manor Dr, Bryan, TX 77802 · CCN 675887

Ratings

Overall
★☆☆☆☆ 1
Health inspection
★☆☆☆☆ 1
Quality measures
★★★☆☆ 3
Staffing
★☆☆☆☆ 1

Facility

Ownership type
Government - Hospital district
Certified beds
81
Avg residents/day
63.6
Phone
9798217330

Inspection history vs Texas & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityTexas avgNational avgvs state
12025-03-27209.19.5+10.9 worse
22024-02-0779.49.8-2.4 better
32022-12-0868.19.3-2.1 better

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care5
Resident assessment and care planning3
Nursing and physician services1
Nutrition and dietary1
Pharmacy service7
Administration1
Infection control2

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)2.0390.1%
RN staffing (reported)0.1775.0%
Total nurse staffing (adjusted)2.10

Fines & penalties

Total fines
$0
Number of fines
0
Number of penalties
0
Payment denials
0

Chain

Chain
GULF COAST LTC PARTNERS
Facilities in chain
20
Chain avg overall
2.40 / 5

Inspection citations (33)2 immediate jeopardy

  1. DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2025-09-04 · Health · corrected 2025-09-12

    Potential for more than minimal harm

  2. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-09-04 · Health · corrected 2025-09-12

    Potential for more than minimal harm

  3. DF0761Ensure 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.2025-09-04 · Health · corrected 2025-09-12

    Potential for more than minimal harm

  4. DF0880Provide and implement an infection prevention and control program.2025-09-04 · Health · corrected 2025-09-12

    Potential for more than minimal harm

  5. FF0732Post nurse staffing information every day.2025-07-30 · Health · corrected 2025-08-22

    Potential for more than minimal harm

  6. KF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-07-30 · Health · corrected 2025-08-22

    Immediate jeopardy

  7. KF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2025-07-30 · Health · corrected 2025-08-22

    Immediate jeopardy

  8. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-06-26 · Health · corrected 2025-07-11

    Potential for more than minimal harm

  9. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-06-12 · Health · corrected 2025-06-27

    Potential for more than minimal harm

  10. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2025-03-27 · Health · corrected 2025-04-18

    Potential for more than minimal harm

  11. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-03-27 · Health · corrected 2025-04-18

    Potential for more than minimal harm

  12. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2025-03-27 · Health · corrected 2025-04-18

    Potential for more than minimal harm

  13. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-03-27 · Health · corrected 2025-04-18

    Potential for more than minimal harm

  14. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-03-27 · Health · corrected 2025-04-18

    Potential for more than minimal harm

  15. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-03-27 · Health · corrected 2025-04-18

    Potential for more than minimal harm

  16. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-03-27 · Health · corrected 2025-04-18

    Potential for more than minimal harm

  17. DF0759Ensure medication error rates are not 5 percent or greater.2025-03-27 · Health · corrected 2025-04-18

    Potential for more than minimal harm

  18. DF0761Ensure 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.2025-03-27 · Health · corrected 2025-04-18

    Potential for more than minimal harm

  19. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-03-27 · Health · corrected 2025-04-18

    Potential for more than minimal harm

  20. DF0880Provide and implement an infection prevention and control program.2025-03-27 · Health · corrected 2025-04-18

    Potential for more than minimal harm

  21. EF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2024-08-28 · Health · corrected 2024-08-30

    Potential for more than minimal harm

  22. EF0555Honor the resident's right to choose his or her attending physician.2024-07-31 · Health · corrected 2024-08-15

    Potential for more than minimal harm

  23. DF0761Ensure 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.2024-06-15 · Health · corrected 2024-07-03

    Potential for more than minimal harm

  24. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-05-17 · Health · corrected 2024-06-10

    Potential for more than minimal harm

  25. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-07 · Health · corrected 2024-02-22

    Potential for more than minimal harm

  26. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-02-07 · Health · corrected 2024-03-06

    Potential for more than minimal harm

  27. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-02-07 · Health · corrected 2024-03-06

    Potential for more than minimal harm

  28. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-12-08 · Health · corrected 2023-01-12

    Potential for more than minimal harm

  29. EF0695Provide safe and appropriate respiratory care for a resident when needed.2022-12-08 · Health · corrected 2023-01-12

    Potential for more than minimal harm

  30. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-12-08 · Health · corrected 2023-01-12

    Potential for more than minimal harm

  31. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2022-12-08 · Health · corrected 2023-01-12

    Potential for more than minimal harm

  32. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2022-12-08 · Health · corrected 2023-01-09

    Potential for more than minimal harm

  33. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2022-12-08 · Health · corrected 2023-01-12

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
BURLESON COUNTY HOSPITAL DISTRICTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2014-04-15
2333 MANOR DR OPCO, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2025-08-01
FREUND, NOCHUMIndividualOPERATIONAL/MANAGERIAL CONTROL2025-08-01
JIAN, PETERIndividualOPERATIONAL/MANAGERIAL CONTROL2024-04-01
TRAVITSKY, AARONIndividualOPERATIONAL/MANAGERIAL CONTROL2025-08-01
CHAPMAN, WAYNEIndividualCORPORATE DIRECTOR2000-05-01

Other facilities in Bryan

NameOverallBeds
Legacy Nursing and Rehabilitation★★☆☆☆117
Lampstand Nursing and Rehabilitation★☆☆☆☆140

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.