Nursing HomeInspections

Valley Grande Manor

Nursing home in Weslaco, TX

Medicare & Medicaid certified1★ overall (CMS)CMS abuse icon

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Public-record details

Address
1212 S Bridge, Weslaco, TX 78596
Phone
(956) 968-2121
Listed under
For-profit
Medicare CCN
455621
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measures rating
2 of 5
Certified beds
147
Average residents per day
105
Ownership
For-profit, individual
Legal business name
Booker Hospital District
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Feb 28, 1986
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 455621. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jul 25, 2025. CMS lists 56 health citations for this facility across its last three standard inspection cycles and complaint inspections (Mar 3, 2023 to Jul 2, 2026): 40 from complaint inspections, 6 at the “actual harm” level or higher, including 4 at “immediate jeopardy”. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years.

InspectionCitationSeverity
Jul 2, 2026Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Jul 2, 2026Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Jul 2, 2026Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Jul 2, 2026Provide and implement an infection prevention and control program.
Infection Control · complaint inspection		D
Potential for more than minimal harm, isolated
Jul 2, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection		E
Potential for more than minimal harm, pattern
Jul 2, 2026Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary · complaint inspection		E
Potential for more than minimal harm, pattern
Jun 11, 2026Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 23, 2026Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 23, 2026Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 23, 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
Mar 23, 2026Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Nursing and Physician Services · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 23, 2026Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 56. 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 Aug 1, 2026.

Fines and payment denials

CMS records 4 fines totalling $88,679 in the last three years.

Jul 25, 2025Fine: $14,744
Jun 5, 2025Fine: $10,513
Apr 30, 2024Fine: $8,021
Dec 21, 2023Fine: $55,401

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

Staffing

Total nurse staffing per resident per day
2.94 hours
Registered nurse (RN) time per resident per day
0.10 hours
Nurse aide time per resident per day
1.82 hours
Total nurse staffing on weekends
2.65 hours
Nursing staff turnover (yearly)
69%
Administrators who left in the past year
1

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.

Other nursing homes in Weslaco

Weslaco Nursing and Rehabilitation Center422 E 18th St · Weslaco, TX 78596 · (956) 973-8451 · Nonprofit26 health citations in 3 inspection cycles · last standard inspection May 14, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified4★ overall (CMS)Windsor Nursing and Rehabilitation Center of Wesla721 S Airport Dr · Weslaco, TX 78596 · (956) 968-8502 · Government-owned26 health citations in 3 inspection cycles · last standard inspection May 20, 2025 · $31,541 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)

All 3 in Weslaco →