La Vida Serena Nursing and Rehabilitation in Del Rio, TX has an overall 3-star rating, with stronger health inspection results (4 stars) but very weak staffing (1 star) and reported staffing below the federal benchmark (3.09 vs 4.1 hours per resident per day). It also has $8,404 in fines in the last 24 months and a recent federal penalty.
Last inspection: May 8, 2025Penalties, last 24 months: $8,404recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0874.
Staffing detail
Registered nurses
0.30
Licensed practical nurses
0.85
Nurse aides
1.93
Weekend nursing
2.68
Hours per resident per day.
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
15.4%4.4%Improving
Residents with a fall causing major injury
9.8%1.6%Improving
Residents with pressure ulcers (bedsores)
5.1%5.3%No change
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
1.9%5.7%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
12.8%16.3%Worsening
Residents whose ability to walk got worse
—24.6%—
Long-stay residents on antianxiety or sleep medication
7.4%0%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
10.3%18.4%Worsening
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited May 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: G
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited July 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 641 — 42 CFR §483.20(g) — S/S: E
The nursing home failed to ensure residents were free from significant medication errors. Cited August 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: E
The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited August 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 921 — 42 CFR §483.90 — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
PENALTY
A federal fine of $8,404 was recorded.
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $8,404 in total fines.
Federal fine
May 8, 2025
$8,404
Operator & ownership
Ownership
For profit - Corporation
Chain
Part of CREATIVE SOLUTIONS IN HEALTHCARE · 149 homes · 2.3 stars avg
Occupancy
68.5 residents on an average day (57% of 120 beds)
Resident voice
Resident council
Medicare history
Certified for 27 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.