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
Data as of July 1, 2026
4 of 5 overall
Rio Grande City Nursing and Rehabilitation Center has an overall 4 out of 5 stars, with strong health inspection and quality ratings but weaker staffing at 2 out of 5 stars; reported nursing hours are below the federal benchmark (3.28 vs 4.1), and it has had $13,514 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.2822 hrs/resident/day
Quality measures
Last inspection: May 5, 2026Penalties, last 24 months: $13,514recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2822.
Staffing detail
- Registered nurses
- 0.47
- Licensed practical nurses
- 0.75
- Nurse aides
- 2.07
- Weekend nursing
- 2.95
Hours per resident per day.
Total staff turnover: 24%
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
28.3%21.3%Improving
Residents with a fall causing major injury
0%4.9%Worsening
Residents with pressure ulcers (bedsores)
0.9%0%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
4.5%4.3%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
14%10.3%Improving
Residents whose ability to walk got worse
20.9%8%Improving
Long-stay residents on antianxiety or sleep medication
19.1%21.4%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%1.1%Worsening
Residents with new or worsening incontinence
8.3%9.3%Worsening
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
—97.8%—
Short-stay residents given the pneumonia vaccine
98.1%100%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 nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited May 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: D
The home failed to make sure residents fully understood their health status, care, and treatments. Cited November 2025 — isolated incident, potential for harm.
View the original federal record
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
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- 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
- 88 residents on an average day (80% 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.