Texas › Starr County › Rio Grande City
Starr County Nursing and Transitional Care
5260 Brand St, Rio Grande City, TX 78582
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.
Starr County Nursing and Transitional Care, in Rio Grande City, Texas, is certified for 120 beds under government, hospital district ownership and belongs to the Wellsential Health chain.
CMS gives it 4 of 5 stars overall, above the Texas median of 3; the health inspection rating is 4, staffing 2 and quality measures 4.
Inspectors recorded 27 health deficiencies across the three most recent survey cycles (9, 8, 10 by cycle, most recent first), none at the actual-harm level. That is 22.5 per 100 beds, about the same as the state median of 22.5.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.0 hours per resident per day (0.5 RN), close to the Texas median of 3.3; nursing staff turnover is 42.7%.
Compared with county, state and nation
| Measure | This facility | Starr Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 27 | 27 | 25 | 28.7 |
| Citations per 100 beds | 22.5 | 22.5 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.0 | 3.3 | 3.3 | 3.9 |
| RN hours per resident day | 0.5 | 0.5 | 0.4 | 0.7 |
| Nursing staff turnover | 42.7% | 42.7% | 52.1% | 45.8% |
| Fines listed | $0 | $13,514 | $16,801 | — |
County and state figures are medians across facilities (2 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: 13 Jan 2026, 17 Oct 2024.
Severity mix: D ×25 E ×2
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 |
|---|---|---|---|---|---|
| 13 Jan 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 15 Jan 2026 |
| 13 Jan 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 15 Jan 2026 |
| 13 Jan 2026 | 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 | 15 Jan 2026 |
| 13 Jan 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 15 Jan 2026 |
| 13 Jan 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 | 15 Jan 2026 |
| 8 Dec 2025 | F0760 | Ensure that residents are free from significant medication errors. | E | Complaint investigation | 9 Dec 2025 |
| 8 Dec 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 9 Dec 2025 |
| 8 Dec 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 | 9 Dec 2025 |
| 8 Dec 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 9 Dec 2025 |
| 17 Oct 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 25 Oct 2024 |
| 17 Oct 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 25 Oct 2024 |
| 17 Oct 2024 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard survey | 25 Oct 2024 |
| 17 Oct 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 25 Oct 2024 |
| 17 Oct 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 | 25 Oct 2024 |
| 17 Oct 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 25 Oct 2024 |
| 26 Sep 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 4 Oct 2024 |
| 26 Sep 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 4 Oct 2024 |
| 18 Jul 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 19 Jul 2024 |
| 18 Jul 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 9 Aug 2024 |
| 18 Jul 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 | 19 Jul 2024 |
| 12 Jun 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 19 Jun 2024 |
| 12 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 | 19 Jun 2024 |
| 3 Apr 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 12 Apr 2024 |
| 3 Apr 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 | Complaint investigation | 12 Apr 2024 |
| 21 Jul 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 22 Jul 2023 |
| 21 Jul 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 22 Jul 2023 |
| 21 Jul 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 22 Jul 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 42.7%, RNs 25.0%; 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 | 12.2% | 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 | 2.4% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.6% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 2.7% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.7% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 16.7% | 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: Oakbend Medical Center. Chain: Wellsential Health (67 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Oakbend Medical Center | 5% or greater direct ownership interest | 100% | 03/01/2023 |
| Regency Ihs Rgc LLC | Direct ownership interest | NOT APPLICABLE | 03/01/2023 |
| Csv Rhea Management Holdco, LLC | Indirect ownership interest | NOT APPLICABLE | 03/01/2023 |
| Dwd Tx Holdings LLC | Indirect ownership interest | NOT APPLICABLE | 03/01/2023 |
| Jack and Nancy Dwyer Workforce Development Center Inc | Indirect ownership interest | NOT APPLICABLE | 03/01/2023 |
| Reg Bridge Opco LLC | Indirect ownership interest | NOT APPLICABLE | 03/01/2023 |
| Reg Hg Opco LLC | Indirect ownership interest | NOT APPLICABLE | 03/01/2023 |
| Reg Operator Holdco LLC | Indirect ownership interest | NOT APPLICABLE | 03/01/2023 |
| Regency Integrated Health Services LLC | Indirect ownership interest | NOT APPLICABLE | 03/01/2023 |
| Regency Texas Holdings LLC | Indirect ownership interest | NOT APPLICABLE | 03/01/2023 |
| Oakbend Medical Center | Operational/managerial control | NOT APPLICABLE | 03/01/2023 |
| Regency Ihs Rgc LLC | Operational/managerial control | NOT APPLICABLE | 03/01/2023 |
| Regency Integrated Health Services LLC | Operational/managerial control | NOT APPLICABLE | 03/01/2023 |
| Oakbend Medical Center | Adp of the snf | NOT APPLICABLE | 04/29/2025 |
| Regency Ihs Rehab LLC | Adp of the snf | NOT APPLICABLE | 03/01/2023 |
| Regency Ihs Rgc LLC | Adp of the snf | NOT APPLICABLE | 04/29/2025 |
| Regency Integrated Health Services LLC | Adp of the snf | NOT APPLICABLE | 04/29/2025 |
| Starr County SNF Project LLC | Adp of the snf | NOT APPLICABLE | 03/01/2022 |
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 Starr County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Rio Grande City Nursing and Rehabilitation Center | Rio Grande City | 110 | 4 | 4 | 2 | 18 | 16.4 | $14K | 11 Jun 2026 |
All 2 facilities in Starr County
Questions and answers
How many deficiencies has Starr County Nursing and Transitional Care been cited for?
27 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Starr County Nursing and Transitional Care been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Starr County Nursing and Transitional Care compare?
Reported total nurse staffing is 3.0 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Starr County Nursing and Transitional Care?
It is part of the Wellsential Health chain. Ownership type is government, hospital district. Organisations in the CMS ownership record include Oakbend Medical Center, Regency Ihs Rgc LLC and Csv Rhea Management Holdco, LLC. Individual owners and managers are not listed on this site.
When was Starr County Nursing and Transitional Care last inspected?
The most recent survey or investigation in the CMS record is dated 13 Jan 2026; the most recent standard health survey was 13 Jan 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.