Grand Terrace Rehabilitation and Healthcare
812 W Houston Ave · McAllen, TX · 78501 · 9566826331
93 certified beds For profit - Corporation Chain: The Ensign Group
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 5 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.25 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.41 | 0.55–0.75 |
| Weekend hours / resident-day | 2.79 | ≈ weekday level |
| Nursing turnover / year | 33% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (13 in the current record)
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Potential for harm · D February 19, 2026
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected February 20, 2026 · Resident Rights
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Potential for harm · D February 19, 2026
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected February 20, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 19, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 20, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 8, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 9, 2025 · Quality of Life and Care
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Potential for harm · D December 4, 2025 · found via complaint
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.
Corrected December 5, 2025 · Pharmacy Service
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Potential for harm · D November 19, 2025 · found via complaint
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.
Corrected November 20, 2025 · Pharmacy Service
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Potential for harm · D November 20, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 22, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 8, 2024 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected November 10, 2024 · Environmental
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Potential for harm · D August 31, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 1, 2023 · Resident Assessment and Care Planning
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Potential for harm · E August 31, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected September 1, 2023 · Quality of Life and Care
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Potential for harm · D August 31, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 1, 2023 · Quality of Life and Care
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Potential for harm · D August 31, 2023
Ensure 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.
Corrected September 1, 2023 · Quality of Life and Care
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Potential for harm · D August 31, 2023
Provide and implement an infection prevention and control program.
Corrected September 1, 2023 · Infection Control
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455586 · certified since August 21, 1985. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.