Texas › Hidalgo County › Weslaco
Valley Grande Manor
1212 S Bridge, Weslaco, TX 78596
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.
Valley Grande Manor, in Weslaco, Texas, is certified for 147 beds under for-profit, individual ownership.
CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 1, staffing 1 and quality measures 2.
Inspectors recorded 56 health deficiencies across the three most recent survey cycles (29, 17, 10 by cycle, most recent first), 6 of them at the actual-harm or immediate-jeopardy level. That is 38.1 per 100 beds, more than the state median of 22.5.
CMS lists 4 penalties in the period covered: fines totalling $89K.
Reported nurse staffing is 2.9 hours per resident per day (0.1 RN), close to the Texas median of 3.3; nursing staff turnover is 68.8%.
CMS flags that the facility carries the CMS abuse icon.
Compared with county, state and nation
| Measure | This facility | Hidalgo Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 56 | 24 | 25 | 28.7 |
| Citations per 100 beds | 38.1 | 18.3 | 22.5 | 26.8 |
| Total nurse hours per resident day | 2.9 | 3.3 | 3.3 | 3.9 |
| RN hours per resident day | 0.1 | 0.3 | 0.4 | 0.7 |
| Nursing staff turnover | 68.8% | 40.0% | 52.1% | 45.8% |
| Fines listed | $88,679 | $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: 25 Jul 2025, 17 May 2024.
Severity mix: J ×1 K ×3 G ×2 D ×41 E ×9
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 |
|---|---|---|---|---|---|
| 2 Jul 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 | Deficient, Provider has no plan of correction |
| 2 Jul 2026 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | E | Complaint investigation | Deficient, Provider has no plan of correction |
| 2 Jul 2026 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Complaint investigation | Deficient, Provider has no plan of correction |
| 2 Jul 2026 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint investigation | Deficient, Provider has no plan of correction |
| 2 Jul 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | Deficient, Provider has no plan of correction |
| 2 Jul 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | Deficient, Provider has no plan of correction |
| 11 Jun 2026 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Complaint investigation | 12 Jun 2026 |
| 23 Mar 2026 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Complaint investigation | 24 Mar 2026 |
| 23 Mar 2026 | F0603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | D | Complaint investigation | 24 Mar 2026 |
| 23 Mar 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 | 24 Mar 2026 |
| 23 Mar 2026 | F0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | D | Complaint investigation | 24 Mar 2026 |
| 23 Mar 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 24 Mar 2026 |
| 30 Jan 2026 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 7 Feb 2026 |
| 30 Jan 2026 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Complaint investigation | 7 Feb 2026 |
| 30 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 | Complaint investigation | 7 Feb 2026 |
| 21 Nov 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 22 Nov 2025 |
| 21 Nov 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 | 22 Nov 2025 |
| 21 Nov 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 | 22 Nov 2025 |
| 20 Nov 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 26 Nov 2025 |
| 25 Jul 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Complaint investigation | 28 Jun 2025 |
| 25 Jul 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 1 Aug 2025 |
| 25 Jul 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 1 Aug 2025 |
| 25 Jul 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 1 Aug 2025 |
| 25 Jul 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 | 1 Aug 2025 |
| 25 Jul 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 1 Aug 2025 |
| 25 Jul 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 1 Aug 2025 |
| 25 Jul 2025 | 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 | 1 Aug 2025 |
| 25 Jul 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 1 Aug 2025 |
| 25 Jul 2025 | F0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | D | Standard survey | 1 Aug 2025 |
| 5 Jun 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 13 Jun 2025 |
| 5 Jun 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | G | Complaint investigation | 13 Jun 2025 |
| 5 Jun 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 13 Jun 2025 |
| 5 Jun 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 13 Jun 2025 |
| 22 May 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 | 26 May 2025 |
| 22 May 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Complaint investigation | 26 May 2025 |
| 21 Feb 2025 | 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. | E | Complaint investigation | 24 Feb 2025 |
| 21 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 | Complaint investigation | 24 Feb 2025 |
| 21 Feb 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 | 24 Feb 2025 |
| 17 May 2024 | 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. | E | Complaint investigation | 5 Jun 2024 |
| 17 May 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 18 May 2024 |
| 17 May 2024 | F0922 | Have enough backup water supply for essential areas of the nursing home. | E | Standard survey | 20 May 2024 |
| 17 May 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 11 Jun 2024 |
| 17 May 2024 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Standard survey | 11 Jun 2024 |
| 17 May 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 | Standard survey | 11 Jun 2024 |
| 17 May 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 7 Jun 2024 |
| 17 May 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 14 Jun 2024 |
| 30 Apr 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 1 May 2023 |
| 30 Apr 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Complaint investigation | 16 May 2024 |
| 30 Apr 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 16 May 2024 |
| 30 Apr 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 16 May 2024 |
| 30 Apr 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 16 May 2024 |
| 21 Dec 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | K | Complaint investigation | 22 Dec 2023 |
| 21 Dec 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | K | Complaint investigation | 22 Dec 2023 |
| 21 Dec 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 22 Dec 2023 |
| 21 Dec 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 | 22 Dec 2023 |
| 3 Mar 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 31 Mar 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 25 Jul 2025 | Fine | $14,744 | |
| 5 Jun 2025 | Fine | $10,513 | |
| 30 Apr 2024 | Fine | $8,021 | |
| 21 Dec 2023 | Fine | $55,401 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 68.8%, RNs —; 1 administrator 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 | 25.6% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.5% | 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 | 2.1% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 6.8% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 17.2% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.9% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 16.5% | 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: for-profit, individual.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Booker Hospital District | 5% or greater direct ownership interest | 100% | 11/01/2021 |
| Vgm Valley Grande Manor Weslaco Ops Inc. | Operational/managerial control | NOT APPLICABLE | 11/01/2021 |
| Billy Schindele 2020 Irrv Tr | Adp of the snf | NOT APPLICABLE | 11/01/2025 |
| Trident LTC, Inc. | Adp of the snf | NOT APPLICABLE | 11/01/2021 |
| Trident One Leasing LLC | Adp of the snf | NOT APPLICABLE | 11/01/2021 |
| Vgl Valley Grande Leasing Inc | Adp of the snf | NOT APPLICABLE | 11/01/2021 |
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 Valley Grande Manor been cited for?
56 health deficiencies across the three most recent survey cycles, 6 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Valley Grande Manor been fined?
Yes. CMS lists fines totalling $89K in the period covered.
How does staffing at Valley Grande Manor compare?
Reported total nurse staffing is 2.9 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Valley Grande Manor?
Ownership type is for-profit, individual. Organisations in the CMS ownership record include Booker Hospital District and Vgm Valley Grande Manor Weslaco Ops Inc.. Individual owners and managers are not listed on this site.
When was Valley Grande Manor last inspected?
The most recent survey or investigation in the CMS record is dated 2 Jul 2026; the most recent standard health survey was 25 Jul 2025.
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.