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HomeTexasMedina Valley Health & Rehabilitation Center

Medina Valley Health & Rehabilitation Center

913 Hwy 90 W, Castroville, TX 780098309312900
3/5Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
4/5
Staffing
1/5
Quality
4/5
Beds
116
certified

How Medina Valley Health & Rehabilitation Center Compares in Texas

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.

CMS overall rating
3/5
TX average
2.7/5
Above state average
Health inspection rating
4/5
TX average
2.8/5
Above state average
Staffing rating
1/5
TX average
1.9/5
Below state average
Nursing hours per resident
2.95 hrs/day
TX average
3.39 hrs/day
Below state average
RN hours per resident
0.28 hrs/day
TX average
0.43 hrs/day
Below state average
Staff turnover
37.5%
TX average
55.3%
Lower than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 4/5 health inspection rating is above the Texas average of 2.8/5.
Reported nursing time is 2.95 hours per resident per day, below the state average of 3.39.
Reported RN time is 0.28 hours per resident per day, below the state average of 0.43.
Staff turnover is 37.5%, lower than the Texas average of 55.3%.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
21
deficiency citations
Inspected Nov 15, 2024
Most recent cycle
7
deficiency citations
Inspected Feb 27, 2026
The most recent cycle recorded 14 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$5,996/mo
Texas median
Private Room
$7,300/mo
Texas median
Medina County 65+
8,730
17.0% of county
County Population
51,432
Medina County

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.

Beds
116
Avg Residents/Day
89.1
Ownership
For profit - Partnership
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jun 20, 2003
Sprinklers
Yes
Council
Resident
County
Medina
Last Inspection
Feb 27, 2026
Deficiencies (Cycle 1)
7
Weighted Score
45.0
Infection Citations
0

Deficiency Citations (36)

F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Feb 27, 2026Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Feb 27, 2026Corrected: NoCycle: 1
F0686Potential for Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Feb 27, 2026Corrected: NoCycle: 1
F0727Potential for Harm

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.

Survey: Feb 27, 2026Corrected: NoCycle: 1
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Feb 27, 2026Corrected: NoCycle: 1
F0908Potential for Harm

Keep all essential equipment working safely.

Survey: Feb 27, 2026Corrected: NoCycle: 1
F0638Minimal Harm

Assure that each resident’s assessment is updated at least once every 3 months.

Survey: Feb 27, 2026Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Nov 15, 2024Corrected: NoCycle: 2
F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Nov 15, 2024Corrected: NoCycle: 2
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Nov 15, 2024Corrected: NoCycle: 2
F0644Potential for Harm

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Survey: Nov 15, 2024Corrected: NoCycle: 2
F0645Potential for Harm

PASARR screening for Mental disorders or Intellectual Disabilities

Survey: Nov 15, 2024Corrected: NoCycle: 2
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Nov 15, 2024Corrected: NoCycle: 2
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Nov 15, 2024Corrected: NoCycle: 2
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: Nov 15, 2024Corrected: NoCycle: 2
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Nov 15, 2024Corrected: NoCycle: 2
F0761Potential for Harm

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.

Survey: Nov 15, 2024Corrected: NoCycle: 2
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Nov 15, 2024Corrected: NoCycle: 2
F0849Potential for Harm

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.

Survey: Nov 15, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Nov 15, 2024Corrected: NoCycle: 2
F0908Potential for Harm

Keep all essential equipment working safely.

Survey: Nov 15, 2024Corrected: NoCycle: 2
F0814Minimal Harm

Dispose of garbage and refuse properly.

Survey: Nov 15, 2024Corrected: NoCycle: 2
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Oct 30, 2024Corrected: NoCycle: 2
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Oct 30, 2024Corrected: NoCycle: 2
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: Oct 30, 2024Corrected: NoCycle: 2
F0761Potential for Harm

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.

Survey: Sep 21, 2024Corrected: NoCycle: 2
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Jul 26, 2024Corrected: NoCycle: 2
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Nov 15, 2023Corrected: NoCycle: 3
F0604Potential for Harm

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Survey: Sep 22, 2023Corrected: NoCycle: 3
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Sep 22, 2023Corrected: NoCycle: 3

+ 6 more deficiencies

Total Fines
$0
Number of Fines
0
Payment Denials
0
Total Penalties
0

No penalties on record.

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.81 hrs
National avg: 2.32 hrs
LPN0.86 hrs
National avg: 0.86 hrs
RN0.28 hrs
National avg: 0.69 hrs
Total Nursing2.95 hrs
National avg: 3.86 hrs
Weekend Total2.41 hrs
National avg: 0.00 hrs
Physical Therapist0.06 hrs
National avg: 0.07 hrs
Total Turnover
37.5%
RN Turnover
44.4%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Partnership
Recent Change
No

Owners & Managers (12)

NameRoleTypeOwnership %Since
MEDINA COUNTY HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Aug 1, 2014
BELL, BILLIECORPORATE OFFICERIndividualN/AJun 3, 2023
CASCADE HEALTH SERVICES, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AAug 1, 2014
CASCADE MEDINA HEALTH SERVICES, LTDOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AAug 1, 2014
HANEY, RONALDOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 1, 2014
DORROW, MARJORIEINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualN/AMay 8, 2025
CASTROVILLE CARE CENTER, LTDADP OF THE SNFOrganizationN/AAug 1, 2014
GREGORY, PATRICEADP OF THE SNFIndividualN/ANov 30, 2020
HANEY, MAXADP OF THE SNFIndividualN/AAug 1, 2014
HANEY, RONALDADP OF THE SNFIndividualN/AAug 1, 2014
JAAFAR, SALEHADP OF THE SNFIndividualN/AAug 1, 2024
KUBIK, DARLENEADP OF THE SNFIndividualN/AAug 1, 2014

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Medina Valley Health & Rehabilitation Center and nearby alternatives.

All Texas facilities
Medina Valley Health & Rehabilitation Center
Castroville, TXCurrent facility
CMS
3/5
Health
4/5
Staffing
1/5
Recorded fines: None
Westover Hills Rehabilitation and Healthcare
San Antonio, TX8.6 mi
CMS
4/5
Health
3/5
Staffing
4/5
Recorded fines: $20,156
Legend Oaks Healthcare and Rehabilitation - West S
San Antonio, TX8.6 mi
CMS
3/5
Health
3/5
Staffing
3/5
Recorded fines: $8,632
The Mission at Blue Skies of Texas East
San Antonio, TX8.8 mi
CMS
5/5
Health
4/5
Staffing
4/5
Recorded fines: $17,345
Lakeside Nursing and Rehabilitation Center
San Antonio, TX9.2 mi
CMS
5/5
Health
4/5
Staffing
2/5
Recorded fines: $14,611
Las Colinas of Westover
San Antonio, TX9.4 mi
CMS
2/5
Health
2/5
Staffing
2/5
Recorded fines: $38,630
Windemere at Westover Hills
San Antonio, TX9.6 mi
CMS
2/5
Health
3/5
Staffing
1/5
Recorded fines: $8,281
FacilityDistanceCMSHealthStaffingRecorded fines
Medina Valley Health & Rehabilitation Center
Castroville, TX · Current facility
—3/54/51/5None recorded
Westover Hills Rehabilitation and Healthcare
San Antonio, TX
8.6 mi4/53/54/5$20,156
Legend Oaks Healthcare and Rehabilitation - West S
San Antonio, TX
8.6 mi3/53/53/5$8,632
The Mission at Blue Skies of Texas East
San Antonio, TX
8.8 mi5/54/54/5$17,345
Lakeside Nursing and Rehabilitation Center
San Antonio, TX
9.2 mi5/54/52/5$14,611
Las Colinas of Westover
San Antonio, TX
9.4 mi2/52/52/5$38,630
Windemere at Westover Hills
San Antonio, TX
9.6 mi2/53/51/5$8,281

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.

Frequently Asked Questions

What is the CMS rating for Medina Valley Health & Rehabilitation Center?▾
Medina Valley Health & Rehabilitation Center has an overall CMS rating of 3 out of 5 stars, with a health inspection rating of 4/5, staffing rating of 1/5, and quality measures rating of 4/5. This facility is rated average.
How much does Medina Valley Health & Rehabilitation Center cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Texas is $5,996/month for a semi-private room and $7,300/month for a private room (Genworth/CareScout 2024). Medina Valley Health & Rehabilitation Center participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Medina Valley Health & Rehabilitation Center had any health inspection violations?▾
Medina Valley Health & Rehabilitation Center had 7 deficiency citations in its most recent health inspection (Feb 27, 2026). The current CMS dataset records no fines for this facility.
What are the staffing levels at Medina Valley Health & Rehabilitation Center?▾
Medina Valley Health & Rehabilitation Center provides 2.95 total nursing staff hours per resident per day, including 0.28 RN hours, 0.86 LPN hours, and 1.81 nurse aide hours. The total staff turnover rate is 37.5%.
How many beds does Medina Valley Health & Rehabilitation Center have?▾
Medina Valley Health & Rehabilitation Center has 116 certified beds with an average of 89.1 residents per day, resulting in approximately 77% occupancy. The facility is For profit - Partnership owned.
Are there other nursing homes near Medina Valley Health & Rehabilitation Center?▾
Yes. This page lists 6 nearby nursing homes in Texas. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.