Mid Valley Nursing & Rehabilitation
601 N Mile 2 West · Mercedes, TX · 78570 · 9562941689
123 certified beds Government - Hospital district Chain: Touchstone Communities
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
Red flags
4 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
RN staffing in the bottom 10% nationally
0.23 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.21 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.23 | 0.55–0.75 |
| Weekend hours / resident-day | 2.92 | ≈ weekday level |
| Nursing turnover / year | 41% | median 45% |
| Fines (3-yr window) | 2 · $16,611 |
Inspection citations (27 in the current record)
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Potential for harm · D April 9, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 1, 2026 · Pharmacy Service
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Potential for harm · D April 9, 2026
Ensure medication error rates are not 5 percent or greater.
Corrected May 1, 2026 · Pharmacy Service
-
Potential for harm · E April 9, 2026
Ensure that residents are free from significant medication errors.
Corrected May 1, 2026 · Pharmacy Service
-
Potential for harm · D April 9, 2026
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected May 1, 2026 · Nutrition and Dietary
-
Potential for harm · D April 9, 2026
Provide and implement an infection prevention and control program.
Corrected May 1, 2026 · Infection Control
-
Potential for harm · D January 13, 2026 · found via complaint
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected February 9, 2026 · Resident Rights
-
Potential for harm · D January 13, 2026 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected February 9, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D December 31, 2025 · found via complaint
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected January 16, 2026 · Resident Rights
-
Potential for harm · D December 31, 2025 · found via complaint
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected January 16, 2026 · Quality of Life and Care
-
Potential for harm · D December 31, 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 January 16, 2026 · Pharmacy Service
-
Potential for harm · D April 11, 2025 · 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 May 1, 2025 · Quality of Life and Care
-
Potential for harm · D March 7, 2025 · 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 April 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 7, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 5, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 28, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 5, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 28, 2025 · Quality of Life and Care
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Potential for harm · D February 5, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 28, 2025 · Nutrition and Dietary
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Potential for harm · D February 5, 2025
Provide and implement an infection prevention and control program.
Corrected February 28, 2025 · Infection Control
-
Potential for harm · E February 5, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected February 28, 2025 · Resident Assessment and Care Planning
-
Immediate jeopardy · J December 23, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 24, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J December 23, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected December 24, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J December 23, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 21, 2024 · Quality of Life and Care
-
Immediate jeopardy · J December 23, 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 December 24, 2024 · Quality of Life and Care
-
Potential for harm · D December 23, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 24, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 23, 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 December 24, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D April 16, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 9, 2024 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 23, 2024 | Fine | $8,281 |
| December 23, 2024 | Fine | $8,330 |
Better-scoring options nearby
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 676414 · certified since January 10, 2017. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.