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.
View the original federal record
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
Data as of July 1, 2026
3 of 5 overall
Medina Valley Health & Rehabilitation Center has an overall rating of 3 out of 5 stars. Its strongest areas are health inspections and quality measures, both at 4 stars, but staffing is very low at 1 star; reported nurse staffing is 2.95 hours per resident per day versus the 4.1-hour federal benchmark. There were no fines in the last 24 months, though recent inspection concerns included assessment accuracy, infection prevention and control, and food handling standards.
Facility ratings
Health inspections
Staffing
2.9531 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 2.9531.
Staffing detail
- Registered nurses
- 0.28
- Licensed practical nurses
- 0.86
- Nurse aides
- 1.81
- Weekend nursing
- 2.41
Hours per resident per day.
Total staff turnover: 38%
Registered nurse turnover: 44%
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
3.6%7.1%Worsening
Residents with a fall causing major injury
3.8%2.5%Improving
Residents with pressure ulcers (bedsores)
2.8%2.7%No change
Residents with a urinary tract infection
2.6%1.3%Improving
Residents who lost too much weight
2.9%1.6%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
10.2%18%Worsening
Residents whose ability to walk got worse
—14.2%—
Long-stay residents on antianxiety or sleep medication
22.2%11.6%Improving
Short-stay residents newly given an antipsychotic
1.5%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
21.1%17.2%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
—83.9%—
Short-stay residents given the pneumonia vaccine
92.7%93.9%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.
View the original federal record
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.
View the original federal record
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
- 89.1 residents on an average day (77% 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.