MID VALLEY NURSING & REHABILITATION

601 N MILE 2 WEST, MERCEDES, TX 78570 · CCN 676414 · 123 certified beds · Data as of 2026-07-01

CMS overall2 of 5CMS inspections2 of 5CMS staffing1 of 5CMS quality5 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.

State inspectors recorded 4 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

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Serious inspection findings

2024-12-23 — IMMEDIATE JEOPARDY (tag F0690, severity J)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

2024-12-23 — IMMEDIATE JEOPARDY (tag F0600, severity J)

Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2024-12-23 — IMMEDIATE JEOPARDY (tag F0689, severity J)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2024-12-23 — IMMEDIATE JEOPARDY (tag F0607, severity J)

Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Staffing, from payroll records

Nursing hours / resident / day

2.58

state median 2.67

Weekend staffing gap

−7%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.01

registered nurses only

Contract (agency) staff

share of all nursing hours

Days with zero RN hours reported

with residents present

Nursing staff turnover

45%

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

2 enforcement action(s), totaling $16,611 in fines.

Date	Type	Amount
2024-12-23	Fine	$8,281
2024-12-23	Fine	$8,330

Ownership

Ownership type: Government - Hospital district. Part of the TOUCHSTONE COMMUNITIES chain.

Other facilities under the same ownership, with their CMS overall ratings:

Rosewood Heights (Killeen, TX) — CMS overall3 of 5
La Frontera Nursing & Rehabilitation (Laredo, TX) — CMS overall3 of 5
West Oaks Nursing & Rehab Center (Houston, TX) — CMS overall4 of 5
HILL COUNTRY HEIGHTS (COPPERAS COVE, TX) — CMS overall4 of 5
DEL RIO NURSING AND REHABILITATION CENTER (DEL RIO, TX) — CMS overall5 of 5
THE HEIGHTS AT MEDICAL CENTER (SAN ANTONIO, TX) — CMS overall1 of 5
Harker Heights Nursing & Rehabilitation (Harker Heights, TX) — CMS overall1 of 5
Country Care Manor (La Vernia, TX) — CMS overall4 of 5

Full citation history

By severity: Potential for more than minimal harm: 23 · Immediate jeopardy: 4

Survey date	Tag	Category	Severity	Corrected
2026-04-09	F0755	Pharmacy Service Deficiencies	D	not recorded
2026-04-09	F0759	Pharmacy Service Deficiencies	D	not recorded
2026-04-09	F0760	Pharmacy Service Deficiencies	E	not recorded
2026-04-09	F0813	Nutrition and Dietary Deficiencies	D	not recorded
2026-04-09	F0880	Infection Control Deficiencies	D	not recorded
2026-01-13	F0573	Resident Rights Deficiencies	D	not recorded
2026-01-13	F0657	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-12-31	F0578	Resident Rights Deficiencies	D	not recorded
2025-12-31	F0694	Quality of Life and Care Deficiencies	D	not recorded
2025-12-31	F0761	Pharmacy Service Deficiencies	D	not recorded
2025-04-11	F0690	Quality of Life and Care Deficiencies	D	not recorded
2025-03-07	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-03-07	F0842	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-02-05	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-02-05	F0695	Quality of Life and Care Deficiencies	D	not recorded
2025-02-05	F0812	Nutrition and Dietary Deficiencies	D	not recorded
2025-02-05	F0842	Resident Assessment and Care Planning Deficiencies	E	not recorded
2025-02-05	F0880	Infection Control Deficiencies	D	not recorded
2024-12-23	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	J	not recorded
2024-12-23	F0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	J	not recorded
2024-12-23	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2024-12-23	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-12-23	F0689	Quality of Life and Care Deficiencies	J	not recorded
2024-12-23	F0690	Quality of Life and Care Deficiencies	J	not recorded
2024-04-16	F0755	Pharmacy Service Deficiencies	D	not recorded
2023-11-16	F0578	Resident Rights Deficiencies	D	not recorded
2023-10-31	F0755	Pharmacy Service Deficiencies	E	not 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 “MID VALLEY NURSING & REHABILITATION, MERCEDES” at medicare.gov/care-compare.