Grand Terrace Rehabilitation and Healthcare in McAllen has an overall 5-star rating, with 5 stars for health inspections and quality measures, but only 2 stars for staffing. Reported nurse staffing is 3.25 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Last inspection: February 19, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2532.
Staffing detail
Registered nurses
0.41
Licensed practical nurses
0.79
Nurse aides
2.06
Weekend nursing
2.79
Hours per resident per day.
Total staff turnover: 33%
Registered nurse turnover: 18%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
11.8%Worsening
Residents with a fall causing major injury
2.2%Improving
Residents with pressure ulcers (bedsores)
2.5%Worsening
Residents with a urinary tract infection
0.4%Steady
Residents who lost too much weight
15.6%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
10.4%Improving
Residents whose ability to walk got worse
6.3%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
12.2%Worsening
Short-stay residents newly given an antipsychotic
0.9%Improving
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
14.2%Improving
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
98.9%Steady
Short-stay residents given the pneumonia vaccine
100%Steady
What the inspectors found
The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited August 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: E
The home failed to make sure residents fully understood their health status, care, and treatments. Cited February 2026 — isolated incident, potential for harm.
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F-Tag 552 — 42 CFR §483.10 — S/S: D
The home failed to prevent unnecessary mind-altering medications or ensure medicines did not limit a resident’s ability to function. Cited February 2026 — isolated incident, potential for harm.
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F-Tag 605 — 42 CFR §483.12 — S/S: D
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited February 2026 — isolated incident, potential for harm.
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F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: D
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited December 2025 — isolated incident, potential for harm.
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F-Tag 684 — 42 CFR §483.25 — S/S: D
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 3 health deficiencies.
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INSPECTION
Health inspection found 1 health deficiency.
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INSPECTION
Health inspection found 1 health deficiency.
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Operator & ownership
Ownership
For profit - Corporation
Chain
Part of THE ENSIGN GROUP · 338 homes · 3.2 stars avg
Occupancy
89.3 residents on an average day (96% of 93 beds)
Resident voice
Resident & family councils
Medicare history
Certified for 40 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.