The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited February 2026 — limited pattern, potential for harm.
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F-Tag 641 — 42 CFR §483.20(g) — S/S: E
Nursing home report
Medina Valley Health & Rehabilitation Center
Castroville, TX · Medicare-certified · 116 beds
In good standing
For-profit
4 of 5 overall
Medina Valley Health & Rehabilitation Center in Castroville, TX has an overall 4-star rating, with 4 stars for health inspections and quality measures but only 2 stars for staffing. It reports 2.98 nurse staffing hours per resident per day versus the 4.1 federal benchmark, with $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
2.9751 hrs/resident/day
Quality measures
Last inspection: February 27, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.9751.
Staffing detail
- Registered nurses
- 0.30
- Licensed practical nurses
- 0.85
- Nurse aides
- 1.83
- Weekend nursing
- 2.41
Hours per resident per day.
Total staff turnover: 34%
Registered nurse turnover: 25%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
3.6%Improving
Residents with a fall causing major injury
3.2%Steady
Residents with pressure ulcers (bedsores)
2.6%Improving
Residents with a urinary tract infection
1.3%Improving
Residents who lost too much weight
3.5%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
9.4%Improving
Residents whose ability to walk got worse
12.9%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
17.5%Improving
Short-stay residents newly given an antipsychotic
1.3%Worsening
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
16.1%Improving
Residents with depressive symptoms
0.7%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
83.9%Steady
Short-stay residents given the pneumonia vaccine
93.6%Improving
What the inspectors found
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 2026 — limited pattern, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited November 2024 — limited pattern, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to ensure residents were free from physical restraints unless they were needed for medical treatment. Cited September 2023 — limited pattern, potential for harm.
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F-Tag 604 — 42 CFR §483.12 — S/S: E
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited February 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — 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 7 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 15 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Partnership
- Occupancy
- 87 residents on an average day (75% of 116 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 23 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.