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Medina Valley Health & Rehabilitation Center

913 Hwy 90 W, Castroville, TX 780098309312900Ownership: For profit - PartnershipCertified beds: 116Avg. daily residents: 89County: Medina

The complete public record on Medina Valley Health & Rehabilitation Center, a Medicare & Medicaid–certified nursing home in Castroville, Texas, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
★★★☆☆
CMS’s composite of the three ratings below. Texas average: 2.6 stars.
Health inspection
★★★★☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★☆☆☆☆
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★★★★☆
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
Medina Valley Health & Rehabilitation Center holds a 3-star overall rating, CMS’s middle tier. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

2.95 total nurse staff hours per resident per day
below the state average (3.39)
0.28 RN hours per resident per day
below the state average (0.43)
2.41 weekend nurse staff hours per resident per day
37.5% total nursing staff turnover
below the state average (55.3)
44.4% RN turnover
0 administrators left in the reporting period

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

February 27, 2026 most recent standard health inspection
7 health deficiencies cited in the most recent inspection cycle
below the state average (9.3)
21 health deficiencies in the two prior cycles combined
$0 in federal fines across 0 penalties (last 3 years)
0 payment denials
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

36 citations on record across recent inspections. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
February 27, 20260641Ensure each resident receives an accurate assessment.E · Potential for more than minimal harm
February 27, 20260880Provide and implement an infection prevention and control program.E · Potential for more than minimal harm
February 27, 20260686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D · Potential for more than minimal harm
February 27, 20260727Have 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 · Potential for more than minimal harm
February 27, 20260842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted…D · Potential for more than minimal harm
February 27, 20260908Keep all essential equipment working safely.D · Potential for more than minimal harm
February 27, 20260638Assure that each resident’s assessment is updated at least once every 3 months.B · Minimal harm potential

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Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.