CMS data snapshot: July 2026
Facility results compared with averages for CMS-certified nursing homes in Texas. Ratings, staffing and turnover measure different parts of care and should be reviewed together.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).
Swipe tabs for staffing, quality and ownership.
Medina Valley Health & Rehabilitation Center is a 3-star Medicare and Medicaid certified nursing home in Castroville, Texas with 116 certified beds. It has been operating since 2003. Its overall CMS rating is 3 out of 5.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
+ 6 more deficiencies
No penalties on record.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| MEDINA COUNTY HOSPITAL DISTRICT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Aug 1, 2014 |
| BELL, BILLIE | CORPORATE OFFICER | Individual | N/A | Jun 3, 2023 |
| CASCADE HEALTH SERVICES, LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Aug 1, 2014 |
| CASCADE MEDINA HEALTH SERVICES, LTD | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Aug 1, 2014 |
| HANEY, RONALD | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Aug 1, 2014 |
| DORROW, MARJORIE | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | N/A | May 8, 2025 |
| CASTROVILLE CARE CENTER, LTD | ADP OF THE SNF | Organization | N/A | Aug 1, 2014 |
| GREGORY, PATRICE | ADP OF THE SNF | Individual | N/A | Nov 30, 2020 |
| HANEY, MAX | ADP OF THE SNF | Individual | N/A | Aug 1, 2014 |
| HANEY, RONALD | ADP OF THE SNF | Individual | N/A | Aug 1, 2014 |
| JAAFAR, SALEH | ADP OF THE SNF | Individual | N/A | Aug 1, 2024 |
| KUBIK, DARLENE | ADP OF THE SNF | Individual | N/A | Aug 1, 2014 |
Compare CMS ratings and recorded fines for Medina Valley Health & Rehabilitation Center and nearby alternatives.
Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.