The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2023 — limited pattern, immediate jeopardy to residents.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: K
Nursing home report
ALFREDO GONZALEZ TEXAS STATE VETERANS HOME
MCALLEN, TX · Medicare-certified · 160 beds
Needs attention
Abuse citationGovernment-runChain member
2 of 5 overall
2 out of 5 stars overall. This home also has a recent abuse citation, health inspection and quality ratings of 2 and 3 stars respectively, staffing at 3.48 hours per resident day below the 4.1-hour federal benchmark, and $22,925 in fines over the last 24 months.
Facility ratings
Health inspections
Staffing
3.4849 hrs/resident/day
Quality measures
Last inspection: February 27, 2026Penalties, last 24 months: $22,925recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4849.
Staffing detail
- Registered nurses
- 0.37
- Licensed practical nurses
- 0.93
- Nurse aides
- 2.18
- Weekend nursing
- 2.94
Hours per resident per day.
Total staff turnover: 31%
Registered nurse turnover: 28%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
9.5%Worsening
Residents with a fall causing major injury
4%Improving
Residents with pressure ulcers (bedsores)
2.3%Steady
Residents with a urinary tract infection
0.2%Worsening
Residents who lost too much weight
2%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
11.9%Improving
Residents whose ability to walk got worse
14.7%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
5.1%Worsening
Short-stay residents newly given an antipsychotic
2.5%Steady
Residents with a long-term catheter
0.7%Improving
Residents with new or worsening incontinence
18.2%Worsening
Residents with depressive symptoms
0.5%Improving
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
99%Worsening
Short-stay residents given the seasonal flu vaccine
94.6%Steady
Short-stay residents given the pneumonia vaccine
91%Worsening
What the inspectors found
The nursing home failed to protect residents from abuse and neglect by others. Cited February 2026 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited February 2026 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 607 — 42 CFR §483.12 — S/S: J
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited February 2026 — limited pattern, potential for harm.
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F-Tag 684 — 42 CFR §483.25 — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $22,925 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $35,600 in total fines.
- $22,925
Federal fine
Jan 7, 2026
- $12,675
Federal fine
Jul 17, 2023
Operator & ownership
- Ownership
- Government - State
- Chain
- Part of TEXVET · 9 homes · 3.2 stars avg
- Occupancy
- 157.2 residents on an average day (98% of 160 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 20 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.