Medina Valley Health & Rehabilitation Center
Nursing Home · 913 Hwy 90 W, Castroville, TX 78009 · 8309312900
Scores by dimension
| Dimension | Score | Data confidence |
|---|---|---|
| Safety & compliance | 4.0 / 5 | high |
| Staffing | 2.5 / 5 | high |
| Clinical outcomes | 3.6 / 5 | high |
| Enforcement | 5.0 / 5 | high |
| Financial stability | 3.9 / 5 | med |
Key facts
| Care type | Nursing Home |
| Beds | 116 |
| Ownership | For Profit - Partnership |
| Operator | Medina County Hospital District |
| Certified since | 2003-06-20 |
| CMS overall star | 4 / 5 |
| Accepts Medicaid | Yes |
| Price tier | $$ of 5 · ~$266/day reported charge (within TX) |
Inspection & enforcement record
- Health-inspection citations: 0 immediate jeopardy · 0 actual harm · 34 potential for harm · 2 minor
- Federal fines: $0 · payment denials: 0 · penalty actions: 0
Recent inspection findings
The 8 most recent health-inspection deficiencies on file with CMS, newest first. Severity is the CMS scope/severity scale (A–L); G and above mean actual harm or immediate jeopardy. "Corrected" shows the date the facility certified the fix.
| Date | Finding | Severity | Status |
|---|---|---|---|
| 2026-02-27 | Assure that each resident’s assessment is updated at least once every 3 months. (Resident Assessment and Care Planning Deficiencies, tag 0638) | B | corrected 2026-03-27 |
| 2026-02-27 | Ensure each resident receives an accurate assessment. (Resident Assessment and Care Planning Deficiencies, tag 0641) | E | corrected 2026-03-27 |
| 2026-02-27 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Quality of Life and Care Deficiencies, tag 0686) | D | corrected 2026-03-27 |
| 2026-02-27 | 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. (Nursing and Physician Services Deficiencies, tag 0727) | D | corrected 2026-03-27 |
| 2026-02-27 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Resident Assessment and Care Planning Deficiencies, tag 0842) | D | corrected 2026-03-27 |
| 2026-02-27 | Provide and implement an infection prevention and control program. (Infection Control Deficiencies, tag 0880) | E | corrected 2026-03-27 |
| 2026-02-27 | Keep all essential equipment working safely. (Environmental Deficiencies, tag 0908) | D | corrected 2026-03-27 |
| 2024-11-15 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Resident Rights Deficiencies, tag 0580) | D | corrected 2024-12-18 |
Staffing
Nurse hours per resident per day (CMS Payroll-Based Journal) — the strongest objective predictor of care. "Expected" is what CMS's case-mix model says this facility's resident acuity calls for.
- Total nurse staffing: 2.98 hrs/resident/day (expected 3.82 for this facility's resident acuity — below expected) (US median 3.69 · TX 3.27)
- Registered-nurse staffing: 0.30 hrs/resident/day (expected 0.67 for this facility's resident acuity — below expected) (US median 0.58)
- Breakdown: nurse aide 1.83 · LPN 0.85 hrs/resident/day
- Weekend total staffing: 2.41 hrs/resident/day (expected 3.39 for this facility's resident acuity — below expected)
- Annual nursing-staff turnover: 34.3% · RN turnover 25.0% (US median 45.3% · lower is better)
- Resident acuity (nursing case-mix index): 1.37 (1.0 ≈ national average; higher = more care-intensive residents)
Clinical outcomes — the measures behind the score
The 8 CMS MDS quality measures (2025Q1-2025Q4) driving this facility's clinical score — the same measures behind the CMS QM star. All are adverse-event rates: lower is better. Worst first. The quarterly column shows the four most recent quarters (Q1→Q4); benchmarks are the national percentile and the TX state median.
| Measure | 4-qtr avg | Quarterly (Q1→Q4) | Benchmark |
|---|---|---|---|
| Percentage of long-stay residents with a urinary tract infection (long stay) | 1.3% | 1.3 → 2.6 → 1.3 → 0 | worse than 59% of US homes · TX median 0.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication (short stay) | 1.3% | 0 → 1.5 → 1.8 → 2.1 | worse than 59% of US homes · TX median 0.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury (long stay) | 3.2% | 2.4 → 3.8 → 3.9 → 2.7 | worse than 56% of US homes · TX median 3% |
| Percentage of long-stay residents whose ability to walk independently worsened (long stay) | 12.9% | not reported | better than 53% of US homes · TX median 13% |
| Percentage of long-stay residents whose need for help with daily activities has increased (long stay) | 9.4% | 20.3 → 10.2 → 7 → 0 | better than 67% of US homes · TX median 14.8% |
| Percentage of long-stay residents with pressure ulcers (long stay) | 2.6% | 5 → 2.8 → 1.5 → 0.9 | better than 76% of US homes · TX median 3.4% |
| Percentage of long-stay residents who received an antipsychotic medication (long stay) | 3.6% | 4.3 → 3.6 → 4.2 → 2.1 | better than 92% of US homes · TX median 8.1% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder (long stay) | 0% | 0 → 0 → 0 → 0 | better than 100% of US homes · TX median 0% |
What this costs
- This facility's reported avg daily charge: $266/day · $$ (price tier 2 of 5 among Texas nursing homes) — from its own federal cost report, FY ending 2024-09. Gross charges across all payers and services: higher than a quoted private rate, but computed identically for every facility, which makes the tier a fair within-state comparison.
- Payer mix (resident days): 63% Medicaid · 7% Medicare · 30% other/private · 78% occupancy
- Texas median (quoted rates): $185/day semi-private · $250/day private (national: $315 · $355)
- Accepts Medicaid: yes
- This facility's quoted rate: not public. This facility's quoted private rate isn't published by any federal or state source. Medicare covers short rehab stays (up to 100 days, copays after day 20); long-term stays are private pay until savings spend down to Medicaid. How to get the real number →
Market medians: CareScout Cost of Care Survey 2025 (collected July–November 2025), state-level — individual providers vary widely around a median. Facility-level prices aren't published by any government source; how to get a real quote.
Hospitals serving Medina County
Hospitals in the same county — those with an emergency department first, then by CMS hospital star rating. Useful for transfers and emergencies.
| Hospital | City | ER | CMS star | Type |
|---|---|---|---|---|
| Medina Regional Hospital | Hondo | Yes | — | Critical access |
Compare nearby
- B+ Devine Health & Rehabilitation · Devine
- C Community Care Center Of Hondo · Hondo
Full interactive report card → Facility's own website ↗ CMS Care Compare ↗
Source: CMS Provider Information + Health Deficiencies + Penalties (as of 2026-05). Part of our Medina County nursing homes coverage. Spot an error? Tell us.