Nursing HomeInspections

Mid Valley Nursing & Rehabilitation

Nursing home in Mercedes, TX

Medicare & Medicaid certified1★ overall (CMS)

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Public-record details

Address
601 N Mile 2 West, Mercedes, TX 78570
Phone
(956) 294-1689
Listed under
Government-owned
Medicare CCN
676414
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
2 of 5
Staffing rating
1 of 5
Quality measures rating
4 of 5
Certified beds
123
Average residents per day
85
Ownership
Government, hospital district
Legal business name
Uvalde County Hospital Authority
Chain
Touchstone Communities (25 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jan 10, 2017
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 676414. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Apr 9, 2026. CMS lists 32 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 31, 2023 to Jul 29, 2026): 22 from complaint inspections, 4 at the “actual harm” level or higher, including 4 at “immediate jeopardy”.

InspectionCitationSeverity
Jul 29, 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
Jul 29, 2026Ensure 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
Jul 29, 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
Jul 29, 2026Provide and implement an infection prevention and control program.
Infection Control · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 10, 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
Apr 9, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Apr 9, 2026Ensure medication error rates are not 5 percent or greater.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Apr 9, 2026Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Apr 9, 2026Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Apr 9, 2026Ensure that residents are free from significant medication errors.
Pharmacy Service		E
Potential for more than minimal harm, pattern
Jan 13, 2026Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Jan 13, 2026Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 32. 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 2 fines totalling $16,611 in the last three years.

Dec 23, 2024Fine: $8,281
Dec 23, 2024Fine: $8,330

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
3.07 hours
Registered nurse (RN) time per resident per day
0.24 hours
Nurse aide time per resident per day
1.88 hours
Total nurse staffing on weekends
2.66 hours
Nursing staff turnover (yearly)
43%
RN turnover (yearly)
40%
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.

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error