Medina Valley Health & Rehabilitation Center

913 Hwy 90 W, Castroville, TX 78009 · CCN 675974 · 116 certified beds · Data as of 2026-07-01

CMS overall3 of 5CMS inspections4 of 5CMS staffing1 of 5CMS quality4 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

No immediate-jeopardy or actual-harm citations, and no CMS enforcement fines, appear in this facility's current record.

Serious inspection findings

No citations at CMS's actual-harm or immediate-jeopardy levels appear in this facility's current record.

Staffing, from payroll records

Nursing hours / resident / day

2.36

state median 2.67

Weekend staffing gap

−16%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.19

registered nurses only

Contract (agency) staff

0%

share of all nursing hours

Days with zero RN hours reported

2

with residents present

Nursing staff turnover

38%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

CMS records no penalties for this facility.

Ownership

Ownership type: For profit - Partnership.

Full citation history

By severity: No harm, potential for minimal harm: 2 · Potential for more than minimal harm: 34

Survey dateTagCategorySeverityCorrected
2026-02-27F0638Resident Assessment and Care Planning DeficienciesBnot recorded
2026-02-27F0641Resident Assessment and Care Planning DeficienciesEnot recorded
2026-02-27F0686Quality of Life and Care DeficienciesDnot recorded
2026-02-27F0727Nursing and Physician Services DeficienciesDnot recorded
2026-02-27F0842Resident Assessment and Care Planning DeficienciesDnot recorded
2026-02-27F0880Infection Control DeficienciesEnot recorded
2026-02-27F0908Environmental DeficienciesDnot recorded
2024-11-15F0580Resident Rights DeficienciesDnot recorded
2024-11-15F0641Resident Assessment and Care Planning DeficienciesDnot recorded
2024-11-15F0644Resident Assessment and Care Planning DeficienciesDnot recorded
2024-11-15F0645Resident Assessment and Care Planning DeficienciesDnot recorded
2024-11-15F0657Resident Assessment and Care Planning DeficienciesDnot recorded
2024-11-15F0677Quality of Life and Care DeficienciesDnot recorded
2024-11-15F0690Quality of Life and Care DeficienciesDnot recorded
2024-11-15F0755Pharmacy Service DeficienciesDnot recorded
2024-11-15F0761Pharmacy Service DeficienciesDnot recorded
2024-11-15F0812Nutrition and Dietary DeficienciesEnot recorded
2024-11-15F0814Nutrition and Dietary DeficienciesBnot recorded
2024-11-15F0842Resident Assessment and Care Planning DeficienciesDnot recorded
2024-11-15F0849Administration DeficienciesDnot recorded
2024-11-15F0880Infection Control DeficienciesDnot recorded
2024-11-15F0908Environmental DeficienciesDnot recorded
2024-10-30F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2024-10-30F0689Quality of Life and Care DeficienciesDnot recorded
2024-10-30F0690Quality of Life and Care DeficienciesDnot recorded
2024-09-21F0761Pharmacy Service DeficienciesDnot recorded
2024-07-26F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2023-11-15F0842Resident Assessment and Care Planning DeficienciesDnot recorded
2023-09-22F0604Freedom from Abuse, Neglect, and Exploitation DeficienciesEnot recorded
2023-09-22F0690Quality of Life and Care DeficienciesDnot recorded
2023-09-22F0726Nursing and Physician Services DeficienciesDnot recorded
2023-09-22F0759Pharmacy Service DeficienciesDnot recorded
2023-09-22F0760Pharmacy Service DeficienciesDnot recorded
2023-09-22F0812Nutrition and Dietary DeficienciesEnot recorded
2023-09-22F0814Nutrition and Dietary DeficienciesDnot recorded
2023-09-22F0880Infection Control DeficienciesEnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Medina Valley Health & Rehabilitation Center, Castroville” at medicare.gov/care-compare.