MID VALLEY NURSING & REHABILITATION in Mercedes, TX has a 2-star overall rating, with a 1-star staffing rating and nurse staffing below the federal benchmark (3.21 vs. 4.1 hours per resident per day). It also has a recent federal penalty, $16,611 in fines over the last 24 months, and recent inspection citations involving care, infection prevention, and abuse/neglect policies.
Last inspection: January 13, 2026Penalties, last 24 months: $16,611recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2051.
Staffing detail
Registered nurses
0.23
Licensed practical nurses
1.05
Nurse aides
1.92
Weekend nursing
2.92
Hours per resident per day.
Total staff turnover: 41%
Registered nurse turnover: 20%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
4.7%Worsening
Residents with a fall causing major injury
0%Steady
Residents with pressure ulcers (bedsores)
1.1%Improving
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
0.4%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
9.7%Worsening
Residents whose ability to walk got worse
4%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
13.5%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
5.9%Steady
Residents with depressive symptoms
0.4%Steady
Long-stay residents given the seasonal flu vaccine
88.6%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
29.1%Steady
Short-stay residents given the pneumonia vaccine
95.9%Worsening
What the inspectors found
The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited December 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 690 — 42 CFR §483.25(e) — S/S: J
The nursing home failed to protect residents from abuse and neglect by others. Cited December 2024 — isolated incident, immediate jeopardy to residents.
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F-Tag 600 — 42 CFR §483.12 — S/S: J
The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited December 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 607 — 42 CFR §483.12 — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited December 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 842 — 42 CFR §483.70 — 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 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 3 health deficiencies.
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INSPECTION
Health inspection found 1 health deficiency.
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PENALTY
A federal fine of $8,330 was recorded.
PENALTY
A federal fine of $8,281 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $16,611 in total fines.
Federal fine
Dec 23, 2024
$8,330
Federal fine
Dec 23, 2024
$8,281
Operator & ownership
Ownership
Government - Hospital district
Chain
Part of TOUCHSTONE COMMUNITIES · 25 homes · 2.7 stars avg
Occupancy
79.3 residents on an average day (64% of 123 beds)
Resident voice
Resident council
Medicare history
Certified for 9 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.