Nursing HomeInspections

Medina Valley Health & Rehabilitation Center

Nursing home in Castroville, TX

Medicare & Medicaid certified3★ overall (CMS)

Call (830) 931-2900Send a messageMap ↗

Public-record details

Address
913 Hwy 90 W, Castroville, TX 78009
Phone
(830) 931-2900
Listed under
For-profit, No fines in 3 years
Medicare CCN
675974
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
4 of 5
Staffing rating
1 of 5
Quality measures rating
4 of 5
Certified beds
116
Average residents per day
89
Ownership
For-profit, partnership
Legal business name
Medina County Hospital District
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jun 20, 2003
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 675974. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Feb 27, 2026. CMS lists 36 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 22, 2023 to Feb 27, 2026): 6 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Feb 27, 2026Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning		B
Potential for minimal harm, pattern
Feb 27, 2026Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Feb 27, 2026Have 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		D
Potential for more than minimal harm, isolated
Feb 27, 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		D
Potential for more than minimal harm, isolated
Feb 27, 2026Keep all essential equipment working safely.
Environmental		D
Potential for more than minimal harm, isolated
Feb 27, 2026Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		E
Potential for more than minimal harm, pattern
Feb 27, 2026Provide and implement an infection prevention and control program.
Infection Control		E
Potential for more than minimal harm, pattern
Nov 15, 2024Dispose of garbage and refuse properly.
Nutrition and Dietary		B
Potential for minimal harm, pattern
Nov 15, 2024Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights		D
Potential for more than minimal harm, isolated
Nov 15, 2024Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Nov 15, 2024Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Nov 15, 2024PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 36. 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 no fines or payment denials for this facility in the last three years.

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
2.95 hours
Registered nurse (RN) time per resident per day
0.28 hours
Nurse aide time per resident per day
1.81 hours
Total nurse staffing on weekends
2.41 hours
Nursing staff turnover (yearly)
38%
RN turnover (yearly)
44%
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.