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Weslaco Nursing and Rehabilitation CenterCMS ratings, inspections and fines

Address
422 E 18th St, Weslaco, TX 78596
CCN
676037
Ownership type
Non-profit, corporation
Certified beds
120
Residents per day
113
CMS flags
None in the CMS record
CMS star ratings
Overall rating4 of 5
Health inspection rating4 of 5
Staffing rating1 of 5
Quality measure rating5 of 5
Care Compare record (Medicare.gov)

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 Weslaco Nursing and Rehabilitation Center an overall rating of 4 of 5 stars. The last standard survey was on 14 May 2025. The latest survey cycle has 10 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.

CMS star ratings of Weslaco Nursing and Rehabilitation Center, with medians
Rating (1 to 5 stars)This homeHidalgo County medianTexas medianUS average (CMS)
Overall rating43.03.03.0
Health inspection rating43.03.02.8
Staffing rating12.02.02.9
Quality measure rating54.04.03.6

A median is the middle value of the homes in the group: 22 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.

Health citations of Weslaco Nursing and Rehabilitation Center in the last three survey cycles
Survey cycleStandard surveyCitationsTexas median
Cycle 1 (latest)14 May 2025108
Cycle 214 Mar 2024128
Cycle 3No date48

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.

Scope and severity of the 26 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyJ0K0L0
Actual harm that is not immediate jeopardyG0H0I0
No actual harm, potential for more than minimal harmF0
No actual harm, potential for minimal harmA0B0C0

Survey cycle 1 (latest): 10 citations

Standard survey of this cycle: .

Health citations of Weslaco Nursing and Rehabilitation Center in survey cycle 1, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
24 Apr 2026F0641Ensure each resident receives an accurate assessment.DComplaint investigation25 Apr 2026
24 Apr 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation25 Apr 2026
19 Nov 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation20 Nov 2025
19 Nov 2025F0760Ensure that residents are free from significant medication errors.DComplaint investigation20 Nov 2025
14 May 2025F0578Honor 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.DStandard survey15 May 2025
14 May 2025F0641Ensure each resident receives an accurate assessment.DStandard survey15 May 2025
14 May 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey15 May 2025
14 May 2025F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DComplaint investigation15 May 2025
14 May 2025F0761Ensure 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.DStandard survey15 May 2025
14 May 2025F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.DStandard survey15 May 2025

Survey cycle 2: 12 citations

Standard survey of this cycle: .

Health citations of Weslaco Nursing and Rehabilitation Center in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
31 Mar 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation4 Apr 2025
31 Mar 2025F0880Provide and implement an infection prevention and control program.DComplaint investigation4 Apr 2025
14 Mar 2024F0578Honor 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.DStandard survey15 Mar 2024
14 Mar 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey15 Mar 2024
14 Mar 2024F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey15 Mar 2024
14 Mar 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey15 Mar 2024
14 Mar 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey15 Mar 2024
14 Mar 2024F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard survey15 Mar 2024
14 Mar 2024F0758Implement 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.EComplaint investigation15 Mar 2024
14 Mar 2024F0761Ensure 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.DStandard survey15 Mar 2024
14 Mar 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey15 Mar 2024
14 Mar 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey15 Mar 2024

Survey cycle 3: 4 citations

The CMS provider file has no standard survey date for this cycle.

Health citations of Weslaco Nursing and Rehabilitation Center in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
6 Jan 2023F0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.EStandard survey9 Jan 2023
6 Jan 2023F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey9 Jan 2023
6 Jan 2023F0693Ensure 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.DStandard survey9 Jan 2023
6 Jan 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey9 Jan 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.

Nurse staffing hours per resident per day at Weslaco Nursing and Rehabilitation Center
StaffThis homeTexas medianTexas average (CMS)
All nurse staff3.303.303.39
Registered nurses (RN)0.170.400.43
Licensed practical nurses (LPN)1.010.95
Nurse aides2.122.00
All nurse staff, weekends2.942.902.98
Nurse staff turnover in a year
23.8%
Nurse staff turnover, Texas median
52.1%
RN turnover in a year
No data
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.

Quality measures of Weslaco Nursing and Rehabilitation Center, average of four quarters (2025Q2-2026Q1)
Measure (CMS text)ResidentsThis homeTexas medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay10.7%14.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.3%0.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.5%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay2.7%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay11.1%12.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay3.8%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay9.1%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
Non-profit, corporation
Legal business name
Starr County Hospital District
Chain
Wellsential Health (67 homes in the CMS chain file)
Organisations in the CMS ownership record of Weslaco Nursing and Rehabilitation Center
OrganisationRole in the CMS recordInterestSince
Starr County Hospital District5% or greater direct ownership interest100%1 Apr 2017
Regency IHS of Weslaco LLCDirect ownership interest1 Apr 2017
CSV Rhea Management Holdco, LLCIndirect ownership interest1 Apr 2017
DWD TX Holdings LLCIndirect ownership interest1 Apr 2017
Jack and Nancy Dwyer Workforce Development Center IncIndirect ownership interest1 Apr 2017
Reg Bridge Opco LLCIndirect ownership interest1 Apr 2017
Reg HG Opco LLCIndirect ownership interest1 Apr 2017
Reg Operator Holdco LLCIndirect ownership interest1 Apr 2017
Regency Integrated Health Services LLCIndirect ownership interest1 Apr 2017
Regency Texas Holdings LLCIndirect ownership interest1 Apr 2017
Regency IHS of Weslaco LLCOperational/managerial control1 Apr 2017
Regency Integrated Health Services LLCOperational/managerial control1 Apr 2017
Starr County Hospital DistrictOperational/managerial control1 Apr 2017
422 East 18th Street LLCAdp of the snf1 Apr 2017
Regency IHS Clinical Consulting, LLCAdp of the snf1 Jan 2025
Regency IHS of Weslaco LLCAdp of the snf15 Apr 2025
Regency IHS Rehab LLCAdp of the snf1 Jan 2025
Regency Integrated Health Services LLCAdp of the snf15 Apr 2025
Starr County Hospital DistrictAdp of the snf15 Apr 2025

The site shows organisations only. It does not show the names of persons.

Other homes in Hidalgo County

The 12 nearest other nursing homes in Hidalgo County, Texas
Nursing homeCityOverall ratingCitations, latest cycleFinesLast standard survey
Valley Grande ManorWeslaco1 of 529$88,67925 Jul 2025
Windsor Nursing and Rehabilitation Center of WeslaWeslaco2 of 511$31,54120 May 2025
Mid Valley Nursing & RehabilitationMercedes2 of 511$16,6119 Apr 2026
The Heights of AlamoAlamo5 of 59$8,4145 Jun 2025
San Juan Nursing Home, Inc.San Juan4 of 57$011 Dec 2025
Windsor Las Palmas Nursing and Rehabilitation CentMcAllen5 of 56$38,3936 Mar 2025
McAllen Transitional Care CenterMcAllen4 of 510$8,82711 Mar 2026
Colonial Manor Advanced Rehab & HealthcarePharr1 of 511$54,99824 Apr 2025
Edinburg Nursing and Rehabilitation CenterEdinburg2 of 517$16,5652 Apr 2025
Alfredo Gonzalez Texas State Veterans HomeMcAllen2 of 514$14,9017 Jan 2026
McAllen Nursing CenterMcAllen2 of 511$17,45924 Apr 2025
Hidalgo Nursing and Rehabilitation CenterEdinburg1 of 510$7,58214 Apr 2026

All 22 nursing homes in Hidalgo County

Official channels

Cite this page

Centers for Medicare & Medicaid Services, Care Compare. Record of Weslaco Nursing and Rehabilitation Center (CCN 676037). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/weslaco-nursing-and-rehabilitation-center-weslaco-tx-676037/

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 Weslaco Nursing and Rehabilitation Center last inspected?
The latest inspection with a citation in the CMS record was on 24 Apr 2026. It was a complaint investigation. It gave 2 citations. The standard survey before the last one was on 14 Mar 2024.
Who operates Weslaco Nursing and Rehabilitation Center?
The CMS record gives the ownership type as non-profit, corporation. 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 Weslaco 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.