Nursing HomeInspections

Grand Terrace Rehabilitation and Healthcare

Nursing home in McAllen, TX

Medicare & Medicaid certified5★ overall (CMS)

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Public-record details

Address
812 W. Houston Ave., McAllen, TX 78501
Phone
(956) 682-6331
Listed under
For-profit, 4–5 star overall rating, No fines or payment denials in 3 years
Medicare CCN
455586
Overall star rating
5 of 5 ★★★★★
Health inspection rating
5 of 5
Staffing rating
2 of 5
Quality measures rating
5 of 5
Certified beds
93
Average residents per day
83
Ownership
For-profit, corporation
Legal business name
Fannin County Hospital Authority
Chain
The Ensign Group (347 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Aug 21, 1985
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident and family councils
Sprinklers in all required areas
Yes

CMS certification number 455586. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Feb 19, 2026. CMS lists 16 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 31, 2023 to Jun 17, 2026): 8 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Jun 17, 2026Post nurse staffing information every day.
Nursing and Physician Services · complaint inspection
C
Potential for minimal harm, widespread
Jun 17, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
May 8, 2026Reasonably accommodate the needs and preferences of each resident.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Feb 19, 2026Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights
D
Potential for more than minimal harm, isolated
Feb 19, 2026Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation
D
Potential for more than minimal harm, isolated
Feb 19, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Dec 8, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Dec 4, 2025Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in…
Pharmacy Service · complaint inspection
D
Potential for more than minimal harm, isolated
Nov 19, 2025Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in…
Pharmacy Service · complaint inspection
D
Potential for more than minimal harm, isolated
Nov 20, 2024Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
Nov 8, 2024Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental · complaint inspection
D
Potential for more than minimal harm, isolated
Aug 31, 2023Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 16. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.69 hours
Registered nurse (RN) time per resident per day
0.42 hours
Nurse aide time per resident per day
2.45 hours
Total nurse staffing on weekends
3.13 hours
Nursing staff turnover (yearly)
31%
RN turnover (yearly)
27%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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