The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
RIO GRANDE CITY NURSING AND REHABILITATION CENTER
RIO GRANDE CITY, TX · Medicare-certified · 110 beds
Needs attention
Government-runChain member
3 of 5 overall
3-star nursing home overall, with strong health inspection and quality scores (4/5 each) but very low staffing (1/5) and reported nurse staffing below the federal benchmark (3.38 vs 4.1 hours/resident/day). It also has $13,514 in fines in the last 24 months and a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.3808 hrs/resident/day
Quality measures
Last inspection: November 20, 2025Penalties, last 24 months: $13,514recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3808.
Staffing detail
- Registered nurses
- 0.38
- Licensed practical nurses
- 0.81
- Nurse aides
- 2.19
- Weekend nursing
- 3.09
Hours per resident per day.
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
23.9%Improving
Residents with a fall causing major injury
1.2%Worsening
Residents with pressure ulcers (bedsores)
0.9%Improving
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
4.9%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
10.5%Improving
Residents whose ability to walk got worse
13%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
19.4%Improving
Short-stay residents newly given an antipsychotic
1.5%Improving
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
8.9%Improving
Residents with depressive symptoms
0.3%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
99.7%Steady
Short-stay residents given the seasonal flu vaccine
97.8%Steady
Short-stay residents given the pneumonia vaccine
98.5%Improving
What the inspectors found
The home failed to properly reduce or limit psychotropic medication use and try safer non-drug approaches when appropriate. Cited August 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 758 — 42 CFR §483.45(e) — S/S: E
The home failed to make sure residents fully understood their health status, care, and treatments. Cited November 2025 — isolated incident, potential for harm.
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F-Tag 552 — 42 CFR §483.10 — S/S: D
The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited November 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 726 — 42 CFR §483.35 — S/S: D
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited November 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — 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 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $13,514 was recorded.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $13,514 in total fines.
- $13,514
Federal fine
Nov 4, 2024
Operator & ownership
- Ownership
- Government - Hospital district
- Chain
- Part of WELLSENTIAL HEALTH · 68 homes · 2.6 stars avg
- Occupancy
- 87.1 residents on an average day (79% of 110 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 19 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.