All states › Texas › Selma › Trucare Living Centers - Selma
16550 Retama Parkway Selma, TX 78154 · Guadalupe County
CMS certification number 676406 · See this home on Medicare Care Compare
Is Trucare Living Centers - Selma a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Trucare Living Centers - Selma as of October 2026.
CMS rates it 2 out of 5 stars overall, below the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.72 hours per resident per day at Trucare Living Centers - Selma, above the Texas median of 3.30 (US median: 3.72). About 0.41 of those hours are from registered nurses. On weekends it falls to 3.09 hours, 17% below its all-week average. Ask how weekends are staffed. 61.7% of nursing staff left within a year (Texas median 50.2%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Trucare Living Centers - Selma: Medicare and Medicaid
Trucare Living Centers - Selma is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on February 13, 2026 and found 8 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 25 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 25 citations at Trucare Living Centers - Selma across 9 inspection dates, 16 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 25 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were resident assessment and care planning (7) and resident rights (5). The most serious was cited under the CMS rule to "ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit" (tag F0711, level E, April 26, 2026). 1 citation was under CMS's abuse, neglect and exploitation rules.
April 26, 2026 · 1 citation · includes complaint inspection
EEnsure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
February 13, 2026 · 8 citations
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
DEnsure each resident receives an accurate assessment.
DPASARR screening for Mental disorders or Intellectual Disabilities
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DEnsure 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.
DProvide and implement an infection prevention and control program.
April 11, 2025 · 1 citation · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
March 4, 2025 · 4 citations · includes complaint inspection
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
November 22, 2024 · 2 citations · includes complaint inspection
EProvide and implement an infection prevention and control program.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
October 25, 2024 · 1 citation · includes complaint inspection
DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
September 25, 2024 · 4 citations · includes complaint inspection
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
April 4, 2024 · 1 citation · includes complaint inspection
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
October 6, 2023 · 3 citations · includes complaint inspection
ECoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
EPASARR screening for Mental disorders or Intellectual Disabilities
DDispose of garbage and refuse properly.
Questions to ask on a tour of Trucare Living Centers - Selma
- CMS cited the home under its abuse and neglect rules on April 11, 2025. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Weekend staffing is 17% below the all-week average. Who is on duty on Saturday nights?
- Nursing staff turnover was 61.7% a year. How many of the staff come from agencies?
- The home averages about 55% of its beds filled. Are any units closed?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 3/5 | 1/5 | 4/5 |
| August 2026 | 2/5 | 3/5 | 1/5 | 4/5 |
Add this rating badge to your websiteFree. Shows Trucare Living Centers - Selma's Medicare star rating and updates itself.
Size and colour
Preview
Paste it where the badge should appear: in WordPress, a Custom HTML block or a footer widget; on other sites, any spot that accepts HTML. The badge updates itself when CMS publishes new ratings.
Location
Hospitals near Trucare Living Centers - Selma
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 6.8 mi
-
8.9 mi
Baptist Neighborhood Hospital Thousand Oaks San AntonioEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 1h 55m for patients treated and sent home
-
9.1 mi
Methodist Stone Oak Hospital San AntonioEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 46m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Trucare Living Centers - Selma › All nursing homes in Selma ›
Compare Trucare Living Centers - Selma with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Army Residence Community · San Antonio · 5 stars · 4.8 mi
- Advanced Rehabilitation & Healthcare of Live Oak · Live Oak · 3 stars · 2.6 mi
- San Antonio Wellness & Rehabilitation · San Antonio · 3 stars · 3.2 mi
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.