Nursing homes › Texas › Medina Valley Health & Rehabilitation Center
913 Hwy 90 W, Castroville, TX 78009 · 8309312900 · 116 certified beds
CMS lists no chain affiliation for this facility. Ownership type on record: For profit - Partnership.
Total nurse staffing: 2.95 (Texas median: 3.27). RN hours: 0.28. Weekend total: 2.41. Nursing staff turnover: 38%.
All-time on record: 36 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-02-27 | Ensure each resident receives an accurate assessment. | E | Health | corrected 2026-03-27 |
| 2026-02-27 | Provide and implement an infection prevention and control program. | E | Health | corrected 2026-03-27 |
| 2026-02-27 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2026-03-27 |
| 2026-02-27 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | D | Health | corrected 2026-03-27 |
| 2026-02-27 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2026-03-27 |
| 2026-02-27 | Keep all essential equipment working safely. | D | Health | corrected 2026-03-27 |
| 2026-02-27 | Assure that each resident’s assessment is updated at least once every 3 months. | B | Health | corrected 2026-03-27 |
| 2024-11-15 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2024-12-18 |
| 2024-11-15 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Health | corrected 2024-12-18 |
| 2024-11-15 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2024-12-18 |
| 2024-11-15 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Health | corrected 2024-12-18 |
| 2024-11-15 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Health | corrected 2024-12-18 |
| 2024-11-15 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2024-12-18 |
| 2024-11-15 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2024-12-18 |
| 2024-11-15 | 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 | Health | corrected 2024-12-18 |
| 2024-11-15 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2024-12-18 |
| 2024-11-15 | 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 | Health | corrected 2024-12-18 |
| 2024-11-15 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2024-12-18 |
| 2024-11-15 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Health | corrected 2024-12-18 |
| 2024-11-15 | Provide and implement an infection prevention and control program. | D | Health | corrected 2024-12-18 |
| 2024-11-15 | Keep all essential equipment working safely. | D | Health | corrected 2024-12-17 |
| 2024-11-15 | Dispose of garbage and refuse properly. | B | Health | corrected 2024-12-18 |
| 2024-10-30 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-11-14 |
| 2024-10-30 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2023-12-11 |
| 2024-10-30 | 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 | corrected 2024-11-14 |
| 2024-09-21 | 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 | corrected 2024-10-01 |
| 2024-07-26 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-09-02 |
| 2023-11-15 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2023-12-11 |
| 2023-09-22 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | E | Health | corrected 2023-10-25 |
| 2023-09-22 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2023-10-25 |
| 2023-09-22 | Provide and implement an infection prevention and control program. | E | Health | corrected 2023-10-25 |
| 2023-09-22 | 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 | Health | corrected 2023-10-25 |
| 2023-09-22 | 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 | Health | corrected 2023-10-25 |
| 2023-09-22 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2023-10-25 |
| 2023-09-22 | Ensure that residents are free from significant medication errors. | D | Health | corrected 2023-10-25 |
| 2023-09-22 | Dispose of garbage and refuse properly. | D | Health | corrected 2023-10-25 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| MEDINA COUNTY HOSPITAL DISTRICT | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 08/01/2014 |
| BELL, BILLIE | Corporate Officer | Individual | NOT APPLICABLE | since 06/03/2023 |
| CASCADE HEALTH SERVICES, LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 08/01/2014 |
| CASCADE MEDINA HEALTH SERVICES, LTD | Operational/Managerial Control | Organization | NOT APPLICABLE | since 08/01/2014 |
| HANEY, RONALD | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/01/2014 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 675974. Corrections: data@carerecords.org.