Medina Valley Health & Rehabilitation Center
913 Hwy 90 W, Castroville, TX 78009 · Medina County
For-profit · 116 certified beds · 77% occupancy · (830) 931-2900
The U.S. government (CMS) rates Medina Valley Health & Rehabilitation Center 3 out of 5 stars overall — average. Its nurse staffing is 10% below the Texas median.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality — and the number pay-to-play referral sites rarely show you.
2.95 nurse hours per resident per day. 10% below the Texas median of 3.27.
Nursing staff turnover: 37.5% · RN turnover: 44.4%
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited — the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Potential for harmTag F0641 · Feb 27, 2026Corrected Mar 27, 2026
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0880 · Feb 27, 2026Corrected Mar 27, 2026
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0686 · Feb 27, 2026Corrected Mar 27, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
- Potential for harmTag F0727 · Feb 27, 2026Corrected Mar 27, 2026
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.
Nursing and Physician Services Deficiencies
- Potential for harmTag F0842 · Feb 27, 2026Corrected Mar 27, 2026
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0908 · Feb 27, 2026Corrected Mar 27, 2026
Keep all essential equipment working safely.
Environmental Deficiencies
- Minimal harmTag F0638 · Feb 27, 2026Corrected Mar 27, 2026
Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0812 · Nov 15, 2024Corrected Dec 18, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0580 · Nov 15, 2024Corrected Dec 18, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies
- Potential for harmTag F0641 · Nov 15, 2024Corrected Dec 18, 2024
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Showing the 10 most recent and serious of 36 findings. See the full inspection history on Medicare.gov.