Medina Valley Health & Rehabilitation CenterCMS ratings, inspections and fines
- Address
- 913 Hwy 90 W, Castroville, TX 78009
- CCN
- 675974
- Ownership type
- For-profit, partnership
- Certified beds
- 116
- Chain
- None in the CMS record
- Residents per day
- 89
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Medina Valley Health & Rehabilitation Center an overall rating of 3 of 5 stars. The last standard survey was on 27 Feb 2026. The latest survey cycle has 7 health citations. The median for nursing homes in Texas is 8. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Medina County median | Texas median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 3 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 4 | 4.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 1.0 | 2.0 | 2.9 |
| Quality measure rating | 4 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 3 homes in the county, 1,177 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Texas median |
|---|---|---|---|
| Cycle 1 (latest) | 27 Feb 2026 | 7 | 8 |
| Cycle 2 | 15 Nov 2024 | 19 | 8 |
| Cycle 3 | No date | 10 | 8 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | C0 |
Survey cycle 1 (latest): 7 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 27 Feb 2026 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | B | Standard survey | 27 Mar 2026 |
| 27 Feb 2026 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 27 Mar 2026 |
| 27 Feb 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 27 Mar 2026 |
| 27 Feb 2026 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | D | Standard survey | 27 Mar 2026 |
| 27 Feb 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 27 Mar 2026 |
| 27 Feb 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 27 Mar 2026 |
| 27 Feb 2026 | F0908 | Keep all essential equipment working safely. | D | Standard survey | 27 Mar 2026 |
Survey cycle 2: 19 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 15 Nov 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 18 Dec 2024 |
| 15 Nov 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 18 Dec 2024 |
| 15 Nov 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 18 Dec 2024 |
| 15 Nov 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 18 Dec 2024 |
| 15 Nov 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 18 Dec 2024 |
| 15 Nov 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 18 Dec 2024 |
| 15 Nov 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 18 Dec 2024 |
| 15 Nov 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 18 Dec 2024 |
| 15 Nov 2024 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 18 Dec 2024 |
| 15 Nov 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 18 Dec 2024 |
| 15 Nov 2024 | F0814 | Dispose of garbage and refuse properly. | B | Standard survey | 18 Dec 2024 |
| 15 Nov 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 18 Dec 2024 |
| 15 Nov 2024 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard survey | 18 Dec 2024 |
| 15 Nov 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 18 Dec 2024 |
| 15 Nov 2024 | F0908 | Keep all essential equipment working safely. | D | Standard survey | 17 Dec 2024 |
| 30 Oct 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 14 Nov 2024 |
| 30 Oct 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 11 Dec 2023 |
| 30 Oct 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 14 Nov 2024 |
| 21 Sep 2024 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Complaint investigation | 1 Oct 2024 |
Survey cycle 3: 10 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 26 Jul 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 2 Sep 2024 |
| 15 Nov 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 11 Dec 2023 |
| 22 Sep 2023 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | E | Standard survey | 25 Oct 2023 |
| 22 Sep 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 25 Oct 2023 |
| 22 Sep 2023 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Standard survey | 25 Oct 2023 |
| 22 Sep 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 25 Oct 2023 |
| 22 Sep 2023 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 25 Oct 2023 |
| 22 Sep 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 25 Oct 2023 |
| 22 Sep 2023 | F0814 | Dispose of garbage and refuse properly. | D | Standard survey | 25 Oct 2023 |
| 22 Sep 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 25 Oct 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Texas median | Texas average (CMS) |
|---|---|---|---|
| All nurse staff | 2.95 | 3.30 | 3.39 |
| Registered nurses (RN) | 0.28 | 0.40 | 0.43 |
| Licensed practical nurses (LPN) | 0.86 | 0.95 | |
| Nurse aides | 1.81 | 2.00 | |
| All nurse staff, weekends | 2.41 | 2.90 | 2.98 |
- Nurse staff turnover in a year
- 37.5%
- Nurse staff turnover, Texas median
- 52.1%
- RN turnover in a year
- 44.4%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 8.9% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.3% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.2% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.4% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 14.2% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.0% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 4.3% | 8.3% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, partnership
- Legal business name
- Medina County Hospital District
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Medina County Hospital District | 5% or greater direct ownership interest | 100% | 1 Aug 2014 |
| Cascade Health Services, LLC | Operational/managerial control | 1 Aug 2014 | |
| Cascade Medina Health Services, Ltd | Operational/managerial control | 1 Aug 2014 | |
| Castroville Care Center, Ltd | Adp of the snf | 1 Aug 2014 |
The site shows organisations only. It does not show the names of persons.
Other homes in Medina County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Devine Health & Rehabilitation | Devine | 5 of 5 | 1 | $0 | 27 Feb 2026 | |
| Community Care Center of Hondo | Hondo | 1 of 5 | 9 | $19,096 | 12 Sep 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Texas Health and Human Services: complaint and incident intakeThe complaint page of the State Survey Agency for Texas, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Medina Valley Health & Rehabilitation Center (CCN 675974). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/medina-valley-health-rehabilitation-center-castroville-tx-675974/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Medina Valley Health & Rehabilitation Center last inspected?
- The latest inspection with a citation in the CMS record was on 27 Feb 2026. It was a standard survey. It gave 7 citations. The standard survey before the last one was on 15 Nov 2024.
- Who operates Medina Valley Health & Rehabilitation Center?
- The CMS record gives the ownership type as for-profit, partnership. CMS lists no chain for the home. The CMS ownership file names Cascade Health Services, LLC and Cascade Medina Health Services, Ltd for operational or managerial control. This site does not show the names of persons.
- Is Medina Valley Health & Rehabilitation Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 6 homes in Texas as Special Focus Facilities and 30 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.