Medina Valley Health & Rehabilitation Center
913 Hwy 90 W, Castroville, TX 78009 · Medina County
For-profit · 116 certified beds · 77% occupancy · (830) 931-2900
Medina Valley Health & Rehabilitation Center reviews: what the government record shows
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.
Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.
At a glance
- CMS overall rating
- 3 of 5 stars
- Nurse staffing
- 2.95 hrs/resident/day (-10% vs TX median)
- Antipsychotic drug use
- 4.3% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 3.2% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- None on record
- Inspection findings
- 36 cited
- Federal abuse-warning flag
- No
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.
What this means for your family
A mixed record. The strengths and concerns below are worth weighing against a visit.
Strengths
- ✓No federal fines on record in roughly the last three years.
Concerns
- !Nurse staffing of 2.95 hrs/resident/day is below the Texas median of 3.27.
Questions to ask on your visit
- ·How many residents does each nurse and aide care for on the day, evening, and overnight shifts?
Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.
A plain-English read of this home's public record. Not advice — always visit in person.
Common questions about Medina Valley Health & Rehabilitation Center
Is Medina Valley Health & Rehabilitation Center a good nursing home?
Medina Valley Health & Rehabilitation Center in Castroville, Texas holds a 3 of 5 star CMS overall rating. A mixed record. The strengths and concerns below are worth weighing against a visit.
How is Medina Valley Health & Rehabilitation Center staffed?
Medina Valley Health & Rehabilitation Center reports 2.95 nurse hours per resident per day, below the Texas median of 3.27 hours per resident per day.
Has Medina Valley Health & Rehabilitation Center been fined or flagged for abuse?
Medina Valley Health & Rehabilitation Center has no federal fines on record in roughly the last three years, and does not currently carry a federal abuse-warning flag.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. 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.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is at or below the Texas median, which is a reassuring sign for how the home manages dementia care.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study
Preventable harm
Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.
The serious-fall rate here is above the national median. It is worth asking how the home prevents falls and whether recent injuries prompted any changes.
Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
No federal fines are on record for this home in roughly the last three years, a good sign.
Ownership
This home is for-profit (for profit - partnership). It is independently operated, not part of a multi-facility chain.