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
Nursing home report
LA VIDA SERENA NURSING AND REHABILITATION
DEL RIO, TX · Medicare-certified · 120 beds
Needs attention
For-profitChain member
Data as of September 1, 2026
3 of 5 overall
3 of 5 stars overall. Health inspections are fairly strong at 4 stars, but staffing is very weak at 1 star with 2.87 nurse hours per resident per day versus the 4.1 federal benchmark, and the facility had $8,404 in fines in the last 24 months plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
2.8731 hrs/resident/day
Quality measures
Last inspection: December 12, 2025Penalties, last 24 months: $8,404recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.8731.
Staffing detail
- Registered nurses
- 0.25
- Licensed practical nurses
- 0.88
- Nurse aides
- 1.75
- Weekend nursing
- 2.57
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).
Long-stay residents on antipsychotic medication
4.5%2.4%Improving
Residents with a fall causing major injury
6.3%1.8%Improving
Residents with pressure ulcers (bedsores)
8.3%6.9%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%4.4%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
24.5%26.8%Worsening
Residents whose ability to walk got worse
—29.4%—
Long-stay residents on antianxiety or sleep medication
1.8%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
13.6%7.5%Improving
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).
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 home failed to protect residents’ right to organize and take part in resident and family groups. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 565 — 42 CFR §483.10 — S/S: E
The home failed to have a plan for how it would carry out quality improvement and oversight activities. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 865 — 42 CFR §483.75 — S/S: E
The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited December 2025 — 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.
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- 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.
- $8,404
Federal fine
May 8, 2025
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of CREATIVE SOLUTIONS IN HEALTHCARE · 149 homes · 2.1 stars avg
- Occupancy
- 68.4 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.