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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
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
Health
3/5
Staffing
2/5
Quality
3/5
Beds
116
certified

Key Findings

• CMS rates this facility 3/5 stars (average)

• Has 116 certified beds with an average of 85.3 residents per day (74% occupancy)

• Last health inspection found 15 deficiencies (inspected Nov 15, 2024)

• No fines on record

• Total nursing staff: 3.26 hours per resident per day

• Staff turnover rate: 32.9%

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. The facility scored at average compared to Texas facilities.

Beds
116
Avg Residents/Day
85.3
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
Nov 15, 2024
Deficiencies (Cycle 1)
15
Weighted Score
62.0
Infection Citations
0

Deficiency Citations (35)

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: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Nov 15, 2024Corrected: NoCycle: 1
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: 1
F0645Potential for Harm

PASARR screening for Mental disorders or Intellectual Disabilities

Survey: Nov 15, 2024Corrected: NoCycle: 1
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: 1
F0677Potential for Harm

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

Survey: Nov 15, 2024Corrected: NoCycle: 1
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: 1
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: 1
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: 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: 1
F0814Minimal Harm

Dispose of garbage and refuse properly.

Survey: Nov 15, 2024Corrected: 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: Nov 15, 2024Corrected: NoCycle: 1
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: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Nov 15, 2024Corrected: NoCycle: 1
F0908Potential for Harm

Keep all essential equipment working safely.

Survey: Nov 15, 2024Corrected: NoCycle: 1
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
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: 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: Sep 22, 2023Corrected: NoCycle: 2
F0726Potential for Harm

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Survey: Sep 22, 2023Corrected: NoCycle: 2
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Sep 22, 2023Corrected: NoCycle: 2
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Sep 22, 2023Corrected: NoCycle: 2
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: 2
F0814Potential for Harm

Dispose of garbage and refuse properly.

Survey: Sep 22, 2023Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Sep 22, 2023Corrected: 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
F0686Potential for Harm

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

Survey: Jul 29, 2022Corrected: NoCycle: 3

+ 5 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 Aide1.98 hrs
National avg: 2.35 hrs
LPN0.94 hrs
National avg: 0.86 hrs
RN0.34 hrs
National avg: 0.68 hrs
Total Nursing3.26 hrs
National avg: 3.89 hrs
Weekend Total2.62 hrs
National avg: 0.00 hrs
Physical Therapist0.07 hrs
National avg: 0.07 hrs
Total Turnover
32.9%
RN Turnover
33.3%
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 (5)

NameRoleTypeOwnership %Since
MEDINA COUNTY HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Aug 1, 2014
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
BELL, BILLIECORPORATE OFFICERIndividualN/AJun 3, 2023

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 3/5, staffing rating of 2/5, and quality measures rating of 3/5. This facility is rated average.
Has Medina Valley Health & Rehabilitation Center had any health inspection violations?▾
Medina Valley Health & Rehabilitation Center had 15 deficiency citations in its most recent health inspection (Nov 15, 2024). The facility has no fines on record.
What are the staffing levels at Medina Valley Health & Rehabilitation Center?▾
Medina Valley Health & Rehabilitation Center provides 3.26 total nursing staff hours per resident per day, including 0.34 RN hours, 0.94 LPN hours, and 1.98 nurse aide hours. The total staff turnover rate is 32.9%.
How many beds does Medina Valley Health & Rehabilitation Center have?▾
Medina Valley Health & Rehabilitation Center has 116 certified beds with an average of 85.3 residents per day, resulting in approximately 74% occupancy. The facility is For profit - Partnership owned.