Texas › Hidalgo County › Mercedes
Mid Valley Nursing & Rehabilitation
601 N Mile 2 West, Mercedes, TX 78570
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Mid Valley Nursing & Rehabilitation, in Mercedes, Texas, is certified for 123 beds under government, hospital district ownership and belongs to the Touchstone Communities chain.
CMS gives it 2 of 5 stars overall, below the Texas median of 3; the health inspection rating is 2, staffing 1 and quality measures 5.
Inspectors recorded 28 health deficiencies across the three most recent survey cycles (11, 14, 3 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 22.8 per 100 beds, about the same as the state median of 22.5.
CMS lists 2 penalties in the period covered: fines totalling $17K.
Reported nurse staffing is 3.3 hours per resident per day (0.2 RN), close to the Texas median of 3.3; nursing staff turnover is 45.0%.
Compared with county, state and nation
| Measure | This facility | Hidalgo Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 28 | 24 | 25 | 28.7 |
| Citations per 100 beds | 22.8 | 18.3 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.3 | 3.3 | 3.3 | 3.9 |
| RN hours per resident day | 0.2 | 0.3 | 0.4 | 0.7 |
| Nursing staff turnover | 45.0% | 40.0% | 52.1% | 45.8% |
| Fines listed | $16,611 | $16,611 | $16,801 | — |
County and state figures are medians across facilities (22 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 9 Apr 2026, 5 Feb 2025.
Severity mix: J ×4 D ×20 E ×4
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 10 Jun 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 26 Jun 2026 |
| 9 Apr 2026 | F0760 | Ensure that residents are free from significant medication errors. | E | Standard survey | 1 May 2026 |
| 9 Apr 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 1 May 2026 |
| 9 Apr 2026 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 1 May 2026 |
| 9 Apr 2026 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Standard survey | 1 May 2026 |
| 9 Apr 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 1 May 2026 |
| 13 Jan 2026 | F0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D | Complaint investigation | 9 Feb 2026 |
| 13 Jan 2026 | 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 | Complaint investigation | 9 Feb 2026 |
| 31 Dec 2025 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Complaint investigation | 16 Jan 2026 |
| 31 Dec 2025 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Complaint investigation | 16 Jan 2026 |
| 31 Dec 2025 | 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 | 16 Jan 2026 |
| 11 Apr 2025 | 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 | 1 May 2025 |
| 7 Mar 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 3 Apr 2025 |
| 7 Mar 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 3 Apr 2025 |
| 5 Feb 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 28 Feb 2025 |
| 5 Feb 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 28 Feb 2025 |
| 5 Feb 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 28 Feb 2025 |
| 5 Feb 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 28 Feb 2025 |
| 5 Feb 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 28 Feb 2025 |
| 23 Dec 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 24 Dec 2024 |
| 23 Dec 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | J | Complaint investigation | 24 Dec 2024 |
| 23 Dec 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 21 Mar 2024 |
| 23 Dec 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. | J | Complaint investigation | 24 Dec 2024 |
| 23 Dec 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 24 Dec 2024 |
| 23 Dec 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 24 Dec 2024 |
| 16 Apr 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 9 May 2024 |
| 16 Nov 2023 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 17 Nov 2023 |
| 31 Oct 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 2 Nov 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 23 Dec 2024 | Fine | $8,330 | |
| 23 Dec 2024 | Fine | $8,281 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 45.0%, RNs 33.3%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 10.5% | 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 | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 5.4% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.0% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 4.2% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: government, hospital district. Legal business name: Uvalde County Hospital Authority. Chain: Touchstone Communities (25 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Capital Funding Group, Inc. | 5% or greater mortgage interest | NOT APPLICABLE | 04/01/2019 |
| International Bank of Commerce | 5% or greater security interest | NOT APPLICABLE | 04/28/2021 |
| Touchstone Strategies Mercedes LLC | Operational/managerial control | NOT APPLICABLE | 04/01/2019 |
| Aegis Therapies, Inc. | Adp of the snf | NOT APPLICABLE | 04/01/2019 |
| Alamo Advisors LP | Adp of the snf | NOT APPLICABLE | 04/01/2019 |
| Carvajal Pharmacy LTC | Adp of the snf | NOT APPLICABLE | 04/01/2019 |
| Touchstone Communities Inc | Adp of the snf | NOT APPLICABLE | 04/01/2019 |
| Touchstone Realty - Mercedes LLC | Adp of the snf | NOT APPLICABLE | 04/01/2019 |
| Touchstone Strategies Mercedes LLC | Adp of the snf | NOT APPLICABLE | 08/26/2025 |
| Trident Health Services Inc | Adp of the snf | NOT APPLICABLE | 04/01/2019 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Hidalgo County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Grand Terrace Rehabilitation and Healthcare | Mcallen | 93 | 5 | 5 | 2 | 16 | 17.2 | — | 17 Jun 2026 |
| The Heights of Alamo | Alamo | 130 | 5 | 4 | 2 | 12 | 9.2 | $8K | 13 Nov 2025 |
| Windsor Las Palmas Nursing and Rehabilitation Cent | Mcallen | 120 | 5 | 5 | 2 | 7 | 5.8 | $38K | 6 Sep 2025 |
| Mcallen Transitional Care Center | Mcallen | 100 | 4 | 3 | 3 | 18 | 18.0 | $9K | 11 Mar 2026 |
| Mission Nursing and Rehabilitation Center | Mission | 170 | 4 | 4 | 2 | 24 | 14.1 | $8K | 2 Apr 2026 |
| Mission Valley Nursing and Transitional Care | Mission | 120 | 4 | 3 | 2 | 18 | 15.0 | $39K | 11 Feb 2026 |
| San Juan Nursing Home, Inc. | San Juan | 114 | 4 | 4 | 3 | 11 | 9.6 | — | 18 Jun 2026 |
| Weslaco Nursing and Rehabilitation Center | Weslaco | 120 | 4 | 4 | 1 | 26 | 21.7 | — | 24 Apr 2026 |
All 22 facilities in Hidalgo County
Questions and answers
How many deficiencies has Mid Valley Nursing & Rehabilitation been cited for?
28 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Mid Valley Nursing & Rehabilitation been fined?
Yes. CMS lists fines totalling $17K in the period covered.
How does staffing at Mid Valley Nursing & Rehabilitation compare?
Reported total nurse staffing is 3.3 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Mid Valley Nursing & Rehabilitation?
It is part of the Touchstone Communities chain. Ownership type is government, hospital district. Organisations in the CMS ownership record include Touchstone Strategies Mercedes LLC. Individual owners and managers are not listed on this site.
When was Mid Valley Nursing & Rehabilitation last inspected?
The most recent survey or investigation in the CMS record is dated 10 Jun 2026; the most recent standard health survey was 9 Apr 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.