Rio Grande City Nursing and Rehabilitation CenterCMS ratings, inspections and fines
- Address
- 2530 Central Palm Dr, Rio Grande City, TX 78582
- CCN
- 676119
- Ownership type
- Government, hospital district
- Certified beds
- 110
- Chain
- Wellsential Health
- Residents per day
- 88
- 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 Rio Grande City Nursing and Rehabilitation Center an overall rating of 4 of 5 stars. The last standard survey was on 10 Sep 2025. The latest survey cycle has 11 health citations. The median for nursing homes in Texas is 8. CMS lists 1 fine of $13,514 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 | Starr County median | Texas median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 4 | 4.0 | 3.0 | 3.0 |
| Health inspection rating | 4 | 4.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 2.0 | 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: 2 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) | 10 Sep 2025 | 11 | 8 |
| Cycle 2 | 8 Aug 2024 | 4 | 8 |
| Cycle 3 | No date | 3 | 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 | H0 | I0 | |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | B0 |
Survey cycle 1 (latest): 11 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 11 Jun 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 12 Jun 2026 |
| 5 May 2026 | 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 | 27 May 2026 |
| 20 Nov 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Complaint investigation | 21 Nov 2025 |
| 20 Nov 2025 | 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 | Complaint investigation | 21 Nov 2025 |
| 20 Nov 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 21 Nov 2025 |
| 10 Sep 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 12 Sep 2025 |
| 10 Sep 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 | Standard survey | 12 Sep 2025 |
| 10 Sep 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 12 Sep 2025 |
| 10 Sep 2025 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard survey | 12 Sep 2025 |
| 10 Sep 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 | Standard survey | 12 Sep 2025 |
| 10 Sep 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 12 Sep 2025 |
Survey cycle 2: 4 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 4 Nov 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 8 Nov 2024 |
| 4 Nov 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 8 Nov 2024 |
| 8 Aug 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 3 Sep 2024 |
| 8 Aug 2024 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | E | Standard survey | 3 Sep 2024 |
Survey cycle 3: 3 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 |
|---|---|---|---|---|---|
| 20 Jun 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 | 21 Jun 2024 |
| 20 Jun 2024 | F0732 | Post nurse staffing information every day. | C | Complaint investigation | 21 Jun 2024 |
| 18 May 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 19 May 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.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 4 Nov 2024 | Fine | $13,514 |
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 | 3.28 | 3.30 | 3.39 |
| Registered nurses (RN) | 0.47 | 0.40 | 0.43 |
| Licensed practical nurses (LPN) | 0.75 | 0.95 | |
| Nurse aides | 2.07 | 2.00 | |
| All nurse staff, weekends | 2.95 | 2.90 | 2.98 |
- Nurse staff turnover in a year
- 24.2%
- 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 | 9.8% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.3% | 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 | 2.2% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.6% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 12.1% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.6% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 23.0% | 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
- Government, hospital district
- Legal business name
- Starr County Hospital District
- Chain
- Wellsential Health (67 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Starr County Hospital District | 5% or greater direct ownership interest | 100% | 28 Feb 2015 |
| Regency IHS of Rio Grande City, LLC | Direct ownership interest | 28 Feb 2015 | |
| CSV Rhea Management Holdco, LLC | Indirect ownership interest | 28 Feb 2015 | |
| DWD TX Holdings LLC | Indirect ownership interest | 28 Feb 2015 | |
| Jack and Nancy Dwyer Workforce Development Center Inc | Indirect ownership interest | 28 Feb 2015 | |
| Reg HG Opco 1, LLC | Indirect ownership interest | 28 Feb 2015 | |
| Reg HG Opco LLC | Indirect ownership interest | 28 Feb 2015 | |
| Reg Operator Holdco LLC | Indirect ownership interest | 28 Feb 2015 | |
| Regency Integrated Health Services LLC | Indirect ownership interest | 28 Feb 2015 | |
| Regency Texas Holdings LLC | Indirect ownership interest | 28 Feb 2015 | |
| Regency IHS of Rio Grande City, LLC | Operational/managerial control | 28 Feb 2025 | |
| Regency Integrated Health Services LLC | Operational/managerial control | 28 Feb 2015 | |
| Starr County Hospital District | Operational/managerial control | 28 Feb 2015 | |
| 2530 Central Palm Drive LLC | Adp of the snf | 28 Feb 2015 | |
| Regency IHS Clinical Consulting, LLC | Adp of the snf | 28 Feb 2015 | |
| Regency IHS Master Tenant LLC | Adp of the snf | 28 Feb 2015 | |
| Regency IHS of Rio Grande City, LLC | Adp of the snf | 28 Feb 2015 | |
| Regency IHS Rehab LLC | Adp of the snf | 28 Feb 2015 | |
| Regency Integrated Health Services LLC | Adp of the snf | 28 Feb 2015 | |
| Starr County Hospital District | Adp of the snf | 14 Apr 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Starr County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Starr County Nursing and Transitional Care | Rio Grande City | 4 of 5 | 9 | $0 | 13 Jan 2026 |
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 Rio Grande City Nursing and Rehabilitation Center (CCN 676119). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/rio-grande-city-nursing-and-rehabilitation-center-rio-grande-city-tx-676119/
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 Rio Grande City Nursing and Rehabilitation Center last inspected?
- The latest inspection with a citation in the CMS record was on 11 Jun 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 8 Aug 2024.
- Who operates Rio Grande City Nursing and Rehabilitation Center?
- The CMS record gives the ownership type as government, hospital district. CMS lists the home in the chain Wellsential Health. The CMS ownership file names 3 organisations for operational or managerial control. This site does not show the names of persons.
- Is Rio Grande City Nursing and 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.