Valley Grande Manor
1212 S Bridge · Weslaco, TX · 78596 · 9569682121
147 certified beds For profit - Individual
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
- Inspection results have improved across recent cycles.
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Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
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.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
RN staffing in the bottom 10% nationally
0.10 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
2.88 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
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: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 2.88 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.10 | 0.55–0.75 |
| Weekend hours / resident-day | 2.59 | ≈ weekday level |
| Nursing turnover / year | 58% | median 45% |
| Fines (3-yr window) | 4 · $88,679 |
Inspection citations (49 in the current record)
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Potential for harm · D March 23, 2026 · found via complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected March 24, 2026 · Resident Rights
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Potential for harm · D March 23, 2026 · found via complaint
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Corrected March 24, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D March 23, 2026 · 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 March 24, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D March 23, 2026 · found via complaint
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected March 24, 2026 · Nursing and Physician Services
-
Potential for harm · D March 23, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 24, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D January 30, 2026 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected February 7, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 30, 2026 · found via complaint
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected February 7, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D January 30, 2026 · 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 February 7, 2026 · Pharmacy Service
-
Potential for harm · D November 21, 2025 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected November 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 21, 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 November 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 21, 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 November 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 20, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected November 26, 2025 · Infection Control
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Immediate jeopardy · K July 25, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected June 28, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D July 25, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected August 1, 2025 · Resident Rights
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Potential for harm · D July 25, 2025
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 August 1, 2025 · Resident Rights
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Potential for harm · D July 25, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 1, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 25, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected August 1, 2025 · Resident Rights
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Potential for harm · E July 25, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 1, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 25, 2025
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 August 1, 2025 · Quality of Life and Care
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Potential for harm · D July 25, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected August 1, 2025 · Quality of Life and Care
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Potential for harm · D July 25, 2025
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected August 1, 2025 · Nursing and Physician Services
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Potential for harm · E July 25, 2025
Provide and implement an infection prevention and control program.
Corrected August 1, 2025 · Infection Control
-
Actual harm · G June 5, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected June 13, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G June 5, 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 June 13, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 5, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected June 13, 2025 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 25, 2025 | Fine | $14,744 |
| June 5, 2025 | Fine | $10,513 |
| April 30, 2024 | Fine | $8,021 |
| December 21, 2023 | Fine | $55,401 |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455621 · certified since February 28, 1986. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.