TRUCARE LIVING CENTERS – SELMA – SELMA, TX

CMS Verified | 2026-03-01

Trucare Living Centers – Selma

16550 RETAMA PARKWAY, Selma, TX 78154
(210) 886-8393
128 beds
All Selma facilities
3.0*
Overall
4.0*
Health Inspection
3.0*
Quality Care
1.0*
Staffing
67.19
Score /100
#9491
National Rank

#9491
of 14703 facilities
National
35.5% position
#726
of 1177 in TX
State Rank
#6
of 8 in Guadalupe
County Rank
#1
of 1 in Selma
City Rank
#3
of 3 in ZIP 78154
ZIP Rank






About Trucare Living Centers – SelmaTrucare Living Centers – Selma is located at 16550 Retama Parkway, Selma, TX, reachable at (210) 886-8393. This For profit – Corporation facility operates 128.0 certified beds and serves an average of 72 residents per day. Medicare and Medicaid services have been provided since 2016-10-14. The facility currently holds a average (3-star) overall CMS rating.
Facility

Trucare Living Centers – Selma

Address

16550 Retama Parkway, Selma, TX 78154

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 128 Certified Beds
  • Ownership: For profit – Corporation
  • Resident Council: Resident
  • Automatic Sprinklers: Yes

Quick Verdict

Overall Quality
⚠️ Average (3★) overall rating
Health Inspection
✅ Above Average (4★) health inspection
Staffing
❌ Poor (1★) staffing rating
Quality of Care
⚠️ Average (3★) quality of care
Compliance
❌ 8 fine(s) over 5 years
5-Year Trend
Improving over 5 years
67.19
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#9491 of 14703 nationally – #726 of 1177 in Texas

Who Is This Facility Best For?

Trucare Living Centers – Selma offers a mid-range care option in Selma, TX. It is particularly well-suited for long-term residents based on its Quality Measure scores. Families should inquire about nurse-to-resident ratios, as the CMS Staffing Rating is currently 1 out of 5.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

3 / 5
Health Inspection

4 / 5
Staffing Rating

1 / 5
Quality Measures (QM)

3 / 5
Long-Stay QM Rating

5 / 5
Short-Stay QM Rating

1 / 5

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightTrucare Living Centers – Selma currently provides 3 hours 18 minutes of total nurse staffing per resident per day, including 21 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 1 out of 5 is below average — a point worth discussing with facility management before admission. Total nursing staff turnover is high at 65.4%, which can affect care continuity.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing3 hours 18 minutes
Nurse Aide Hours2 hours 11 minutes
Licensed Practical Nurse (LPN) Hours46 minutes
Registered Nurse (RN) Hours21 minutes
Physical Therapist Hours5 minutes

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours2 hours 47 minutes
Weekend Registered Nurse (RN) Hours13 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryThe facility has received 8 fine(s) over the 5-year period, totaling $84,500. 13 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Number of Fines (current period) 0
Total Fines Amount $0.0
Payment Denials 0
Total Penalties 0
Abuse Flag on Record N
Total Weighted Health Survey Score 36.0 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#9,491
of 14,703
National
Bottom 35%
#726
TX State
Bottom 38% in TX
#6
of 8
️ Guadalupe County
#6 of 8
#1
of 1
️ Selma
Best in city
#3
of 3
ZIP 78154
#3 of 3

Nationally, Trucare Living Centers – Selma ranks 9491st out of 14,703 facilities (composite score: 67.2/100), placing it in the below average nationwide. Within TX, it ranks 726th out of 1,177 nursing homes. Among facilities sharing its ZIP code, it ranks 3rd of 3. For 2026 staffing: total nurse hours rank #11,141 nationally and RN hours rank #11,994 nationally (#663 in TX).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank TX State Rank Note
2022 3.09 #11,171 / 14,703 #709 / 1,177 ⚠️ Bottom 25%
2023 3.50 #7,876 / 14,703 #350 / 1,177 Below average
2024 3.11 #11,762 / 14,703 #651 / 1,177 ⚠️ Bottom 25%
2025 3.17 #11,895 / 14,703 #653 / 1,177 ⚠️ Bottom 25%
2026 3.29 #11,141 / 14,703 #536 / 1,177 ⚠️ Bottom 25%

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank TX State Rank Note
2022 0.17 #13,748 / 14,703 #1,023 / 1,177 ⚠️ Bottom 10%
2023 0.21 #13,430 / 14,703 #907 / 1,177 ⚠️ Bottom 10%
2024 0.17 #13,903 / 14,703 #1,031 / 1,177 ⚠️ Bottom 10%
2025 0.19 #13,865 / 14,703 #1,027 / 1,177 ⚠️ Bottom 10%
2026 0.34 #11,994 / 14,703 #663 / 1,177 ⚠️ Bottom 25%

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Trucare Living Centers – Selma is certified as a Medicare and Medicaid facility and has been approved to provide these services since 2016-10-14. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (210) 886-8393 or your local Medicaid office to verify current eligibility.

Trucare Living Centers – Selma holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 3 out of 5 stars. This is made up of three components: Health Inspection (4★), Staffing (1★), and Quality of Resident Care (3★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 67.2/100, placing it #9491 of 14703 facilities nationally and #726 of 1177 in Texas. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Trucare Living Centers – Selma receives a reported average of 3 hours 18 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 21 minutes; Licensed Practical Nurse (LPN) — 46 minutes; Nurse Aide — 2 hours 11 minutes. On weekends, total nurse staffing is 2 hours 47 minutes per resident per day. The CMS Staffing Rating for this facility is 1 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 65.4%. Families are encouraged to ask about current staffing schedules during their facility visit.

The facility has received 8 fine(s) over the 5-year period, totaling $84,500. 13 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 0 Medicare payment denial(s). Total penalties: 0. The Total Weighted Health Survey Score is 36.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Trucare Living Centers – Selma ranks 9491st out of 14,703 facilities (composite score: 67.2/100), placing it in the below average nationwide. Within TX, it ranks 726th out of 1,177 nursing homes. Among facilities sharing its ZIP code, it ranks 3rd of 3. For 2026 staffing: total nurse hours rank #11,141 nationally and RN hours rank #11,994 nationally (#663 in TX). Our composite quality score of 67.2/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Selma, visit: https://nursinghomesnearme.org/texas/selma/

Contact and Location

ADR
Address

16550 RETAMA PARKWAY, Selma, TX 78154
Get directions on Google Maps

TEL
LLC
Legal Name

FANNIN COUNTY HOSPITAL AUTHORITY

MAP
Browse by Location

All Texas ·
Guadalupe County ·
Selma ·
ZIP 78154

Facility Details

Number of Certified Beds 128
Average Residents / Day 72 (56% occupancy)
Ownership Type For profit – Corporation
Provider Type Medicare and Medicaid
County Guadalupe County, TX
City Selma, TX
ZIP Code 78154
Approved Since October 14, 2016
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 676406
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org

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