Medina Valley Health & Rehabilitation Center
913 Hwy 90 W · Castroville, TX · 78009 · 8309312900
116 certified beds For profit - Partnership
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
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
RN staffing in the bottom 10% nationally
0.30 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.98 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 4 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 2.98 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.30 | 0.55–0.75 |
| Weekend hours / resident-day | 2.41 | ≈ weekday level |
| Nursing turnover / year | 34% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (36 in the current record)
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Potential for harm · E February 27, 2026
Ensure each resident receives an accurate assessment.
Corrected March 27, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 27, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 27, 2026 · Quality of Life and Care
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Potential for harm · D February 27, 2026
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.
Corrected March 27, 2026 · Nursing and Physician Services
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Potential for harm · D February 27, 2026
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 27, 2026 · Resident Assessment and Care Planning
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Potential for harm · E February 27, 2026
Provide and implement an infection prevention and control program.
Corrected March 27, 2026 · Infection Control
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Potential for harm · D February 27, 2026
Keep all essential equipment working safely.
Corrected March 27, 2026 · Environmental
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No harm found · B February 27, 2026
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected March 27, 2026 · Resident Assessment and Care Planning
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Potential for harm · D November 15, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected December 18, 2024 · Resident Rights
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Potential for harm · D November 15, 2024
Ensure each resident receives an accurate assessment.
Corrected December 18, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 15, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected December 18, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 15, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected December 18, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 15, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected December 18, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 15, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected December 18, 2024 · Quality of Life and Care
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Potential for harm · D November 15, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected December 18, 2024 · Quality of Life and Care
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Potential for harm · D November 15, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected December 18, 2024 · Pharmacy Service
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Potential for harm · D November 15, 2024
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 18, 2024 · Pharmacy Service
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Potential for harm · E November 15, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 18, 2024 · Nutrition and Dietary
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Potential for harm · D November 15, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected December 18, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 15, 2024
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected December 18, 2024 · Administration
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Potential for harm · D November 15, 2024
Provide and implement an infection prevention and control program.
Corrected December 18, 2024 · Infection Control
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Potential for harm · D November 15, 2024
Keep all essential equipment working safely.
Corrected December 17, 2024 · Environmental
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No harm found · B November 15, 2024
Dispose of garbage and refuse properly.
Corrected December 18, 2024 · Nutrition and Dietary
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Potential for harm · D October 30, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 14, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 30, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 11, 2023 · Quality of Life and Care
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Potential for harm · D October 30, 2024 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected November 14, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675974 · certified since June 20, 2003. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.