The nursing home failed to protect residents from abuse and neglect by others. Cited July 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: K
Nursing home report
Valley Grande Manor
Weslaco, TX · Medicare-certified · 147 beds
Needs attention
Abuse citationFor-profit
Data as of July 1, 2026
1 of 5 overall
Valley Grande Manor in Weslaco, TX has a 1-star overall rating, with 1-star health inspection and staffing ratings and 2-star quality measures. Reported nurse staffing is 2.94 hours per resident per day versus the 4.1 federal benchmark, and the facility has $25,257 in fines in the last 24 months plus a recent abuse citation.
Facility ratings
Health inspections
Staffing
2.936 hrs/resident/day
Quality measures
Last inspection: March 23, 2026Penalties, last 24 months: $25,257recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.936.
Staffing detail
- Registered nurses
- 0.10
- Licensed practical nurses
- 1.01
- Nurse aides
- 1.82
- Weekend nursing
- 2.65
Hours per resident per day.
Total staff turnover: 69%
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
22.7%7.6%Improving
Residents with a fall causing major injury
1.1%2%Worsening
Residents with pressure ulcers (bedsores)
2.6%2.4%No change
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
7%6.1%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
35.2%11.8%Improving
Residents whose ability to walk got worse
29.7%10.1%Improving
Long-stay residents on antianxiety or sleep medication
18.4%22%Worsening
Short-stay residents newly given an antipsychotic
—4.3%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
18.2%15.3%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
—97.2%—
Long-stay residents given the pneumonia vaccine
80.2%78%Worsening
Short-stay residents given the seasonal flu vaccine
—66.7%—
Short-stay residents given the pneumonia vaccine
40.5%47.6%Improving
What the inspectors found
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited December 2023 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: K
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited December 2023 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: K
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
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 June 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: G
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $14,744 was recorded.
- PENALTY
A federal fine of $10,513 was recorded.
- PENALTY
A federal fine of $10,358 was recorded.
Penalties & enforcement
On record with Medicare: 4 fines · $88,679 in total fines.
- $14,744
Federal fine
Jul 25, 2025
- $10,513
Federal fine
Jun 5, 2025
- $8,021
Federal fine
Apr 30, 2024
- $55,401
Federal fine
Dec 21, 2023
Operator & ownership
Recent ownership change · Nov 1, 2021
Now operated by Booker Hospital District, previously Vgm Valley Grande Manor Weslaco Ops INC..
- Ownership
- For profit - Individual
- Occupancy
- 105.3 residents on an average day (72% of 147 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 40 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.