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    Nursing home · Castroville, TX

    Medina Valley Health & Rehabilitation Center

    913 Hwy 90 W, Castroville, TX 78009

    CMS certification number: 675974 · Updated October 1, 2026

    Request care assistance8309312900Directions

    At a glance

    Official CMS profile

    CMS overall rating

    3 / 5

    Certified beds

    116

    Residents / day

    84.8

    Ownership

    For profit - Partnership

    Facility information

    Certification
    Medicare and Medicaid
    Ownership
    For profit - Partnership
    County
    Medina
    Certified beds
    116
    Average residents per day
    84.8
    First certified
    June 20, 2003

    CMS quality ratings

    Overall
    3 / 5
    Health inspections
    4 / 5
    Staffing
    1 / 5
    Quality measures
    4 / 5

    These are CMS quality ratings, not customer reviews.

    How this home compares locally

    Other homes in Medina, Texas. Missing values are excluded; this home is excluded from peer averages.

    CMS overall rating / 5

    This home
    3.00
    County peers
    3.00
    n=2
    State peers
    2.75

    Nurse hours / resident / day

    This home
    3.00
    County peers
    3.35
    n=2
    State peers
    3.42
    n=1151

    Weekend nurse hours / resident / day

    This home
    2.40
    County peers
    3.08
    n=2
    State peers
    2.99
    n=1151

    Nursing staff turnover (%)

    This home
    42.70
    County peers
    31.00
    n=1
    State peers
    50.81
    n=1095

    Reported staffing is not adjusted for resident needs. These are descriptive averages, not a quality ranking or prediction of care. Sources and methodology

    Questions for your visit

    • Reported weekend staffing is 20.0% below the all-days average. How is weekend coverage maintained?
    • What has changed since your latest health inspection?
    • CMS reports 42.7% total nursing staff turnover. How do you retain staff and maintain continuity of care?
    • Which services are included, what costs extra, and can you provide a written care and payment plan?

    Published record coverage

    Hospital measures
    4
    Fire safety citations
    18
    Health citations
    36
    Resident measures
    17
    Ownership records
    18
    Penalties
    0
    SNF rehabilitation measures
    57
    Inspection summaries
    3
    Medicare performance records
    1

    Counts reflect the imported CMS publication, not a complete lifetime history. Zero records does not establish zero historical events.

    Full CMS profile

    Staffing & operations

    1 source records · CMS source date 2026-10-01CMS source

    Staffing hours are per resident per day; turnover figures are percentages. Blank values are not zero.

    Reported Total Nurse Staffing Hours per Resident per Day
    3.00205
    Reported RN Staffing Hours per Resident per Day
    0.46159
    Reported LPN Staffing Hours per Resident per Day
    0.75681
    Reported Nurse Aide Staffing Hours per Resident per Day
    1.78365
    Total number of nurse staff hours per resident per day on the weekend
    2.40087
    Registered Nurse hours per resident per day on the weekend
    0.41105
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.05730
    Total nursing staff turnover
    42.7
    Registered Nurse turnover
    55.6
    Number of administrators who have left the nursing home
    0
    Chain Name
    Not reported
    Number of Facilities in Chain
    Not reported
    Chain Average Overall 5-star Rating
    Not reported
    Special Focus Status
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    With a Resident and Family Council
    Resident
    Automatic Sprinkler Systems in All Required Areas
    Yes
    All provider source fields
    State
    TX
    Urban
    Y
    Chain ID
    Not reported
    Latitude
    29.3694
    Location
    913 Hwy 90 W,Castroville,TX,78009
    ZIP Code
    78009
    City/Town
    Castroville
    Longitude
    -98.791
    QM Rating
    4
    Abuse Icon
    N
    Chain Name
    Not reported
    County/Parish
    Medina
    Provider Name
    Medina Valley Health & Rehabilitation Center
    Provider Type
    Medicare and Medicaid
    Overall Rating
    3
    Ownership Type
    For profit - Partnership
    Number of Fines
    0
    Processing Date
    2026-10-01
    Staffing Rating
    1
    Provider Address
    913 Hwy 90 W
    Telephone Number
    8309312900
    Geocoding Footnote
    Not reported
    QM Rating Footnote
    Not reported
    Legal Business Name
    MEDINA COUNTY HOSPITAL DISTRICT
    Long-Stay QM Rating
    5
    High Performing Icon
    N
    Short-Stay QM Rating
    3
    Special Focus Status
    Not reported
    Nursing Case-Mix Index
    1.45147
    Chain Average QM Rating
    Not reported
    Overall Rating Footnote
    Not reported
    Health Inspection Rating
    4
    Number of Certified Beds
    116
    Provider SSA County Code
    792
    Staffing Rating Footnote
    Not reported
    Number of Payment Denials
    0
    Registered Nurse turnover
    55.6
    Total Number of Penalties
    0
    Reported Staffing Footnote
    Not reported
    Long-Stay QM Rating Footnote
    Not reported
    Nursing Case-Mix Index Ratio
    1.02923
    Provider Resides in Hospital
    N
    Total nursing staff turnover
    42.7
    Chain Average Staffing Rating
    Not reported
    Number of Facilities in Chain
    Not reported
    Short-Stay QM Rating Footnote
    Not reported
    CMS Certification Number (CCN)
    675974
    Administrator turnover footnote
    Not reported
    Total Amount of Fines in Dollars
    0.00
    Health Inspection Rating Footnote
    Not reported
    Rating Cycle 1 Total Health Score
    32
    Registered Nurse turnover footnote
    Not reported
    Total Weighted Health Survey Score
    45.000
    With a Resident and Family Council
    Resident
    Average Number of Residents per Day
    84.8
    Chain Average Overall 5-star Rating
    Not reported
    Rating Cycle 1 Health Revisit Score
    0
    Rating Cycle 2/3 Total Health Score
    84
    Continuing Care Retirement Community
    N
    Physical Therapist Staffing Footnote
    Not reported
    Rating Cycle 2/3 Health Revisit Score
    0
    Total nursing staff turnover footnote
    Not reported
    Chain Average Health Inspection Rating
    Not reported
    Rating Cycle 1 Health Deficiency Score
    32
    Rating Cycle 1 Standard Survey Footnote
    Not reported
    Rating Cycle 2 Standard Survey Footnote
    Not reported
    Rating Cycle 1 Number of Health Revisits
    1
    Rating Cycle 2/3 Health Deficiency Score
    84
    Rating Cycle 1 Standard Survey Health Date
    2026-02-27
    Rating Cycle 2 Standard Health Survey Date
    2024-11-15
    Rating Cycle 2/3 Number of Health Revisits
    1
    Average Number of Residents per Day Footnote
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    Adjusted RN Staffing Hours per Resident per Day
    0.44497
    Case-Mix RN Staffing Hours per Resident per Day
    0.71185
    Reported RN Staffing Hours per Resident per Day
    0.46159
    Adjusted LPN Staffing Hours per Resident per Day
    0.72955
    Case-Mix LPN Staffing Hours per Resident per Day
    0.88705
    Reported LPN Staffing Hours per Resident per Day
    0.75681
    Automatic Sprinkler Systems in All Required Areas
    Yes
    Rating Cycle 1 Total Number of Health Deficiencies
    7
    Most Recent Health Inspection More Than 2 Years Ago
    N
    Rating Cycle 2/3 Total Number of Health Deficiencies
    21
    Rating Cycle 1 Number of Standard Health Deficiencies
    7
    Rating Cycle 2 Number of Standard Health Deficiencies
    15
    Reported Licensed Staffing Hours per Resident per Day
    1.21840
    Number of Citations from Infection Control Inspections
    Not reported
    Rating Cycle 1 Number of Complaint Health Deficiencies
    0
    Adjusted Nurse Aide Staffing Hours per Resident per Day
    1.71940
    Case-Mix Nurse Aide Staffing Hours per Resident per Day
    2.41596
    Number of administrators who have left the nursing home
    0
    Reported Nurse Aide Staffing Hours per Resident per Day
    1.78365
    Adjusted Total Nurse Staffing Hours per Resident per Day
    2.89391
    Case-Mix Total Nurse Staffing Hours per Resident per Day
    4.01487
    Rating Cycle 2/3 Number of Complaint Health Deficiencies
    6
    Reported Total Nurse Staffing Hours per Resident per Day
    3.00205
    Registered Nurse hours per resident per day on the weekend
    0.41105
    Date First Approved to Provide Medicare and Medicaid Services
    2003-06-20
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.05730
    Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
    2.31438
    Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
    3.53337
    Total number of nurse staff hours per resident per day on the weekend
    2.40087

    COMMUNITY EXPERIENCE

    Reviews of Medina Valley Health & Rehabilitation Center

    Consumer experiences, separate from CMS ratings. Accounts are verified; care experiences are not independently verified.

    No published community reviews yet.

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    Source: Centers for Medicare & Medicaid Services · Data processed October 1, 2026