Medina Valley Health & Rehabilitation Center
Nursing home · 913 HWY 90 W, Castroville, TX 78009 · Medina County
Prices
Texas HHSC publishes no prices or facility websites, so we show none. Ask the facility directly.
Facility
- Type
- Nursing home · Nursing · MEDICARE/MEDICAID · certified
- Capacity
- 116
- State license
- 005311
- Medicare CCN
- 675974
- Licensed entity
- MEDINA COUNTY HOSPITAL DISTRICT
- Ownership
- For profit - Partnership
- Phone
- (830) 931-2900
- Nurse staffing
- 2.95 hours per resident per day; 37.5% nursing staff turnover
- Medicare ratings
- Inspections 4★ · Staffing 1★ · Quality 4★
- Official record
- Texas HHSC provider search (TULIP)
- Official record
- Medicare Care Compare
Inspection findings
-
Feb 27, 2026 Health · 11 findings
-
Not serious
Scope/severity B
F0638 Resident Assessment and Care Planning Deficiencies
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected Mar 27, 2026 · CMS health inspection
-
Not serious
Scope/severity E
F0641 Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Corrected Mar 27, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0686 Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected Mar 27, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0727 Nursing and Physician Services Deficiencies
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.
Corrected Mar 27, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0842 Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected Mar 27, 2026 · CMS health inspection
-
Not serious
Scope/severity E
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Mar 27, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0908 Environmental Deficiencies
Keep all essential equipment working safely.
Corrected Mar 27, 2026 · CMS health inspection
-
Not serious
Scope/severity E
K0222 Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected Mar 20, 2026 · CMS fire safety
-
Not serious
Scope/severity E
K0351 Smoke Deficiencies
Install an approved automatic sprinkler system.
Corrected Mar 27, 2026 · CMS fire safety
-
Not serious
Scope/severity E
K0355 Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected Mar 27, 2026 · CMS fire safety
-
Not serious
Scope/severity D
K0920 Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Corrected Mar 27, 2026 · CMS fire safety
-
Not serious
Scope/severity B
-
Nov 15, 2024 Health · 27 findings
-
Not serious
Scope/severity D
F0580 Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected Dec 18, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0641 Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Corrected Dec 18, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0644 Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected Dec 18, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0645 Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected Dec 18, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0657 Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected Dec 18, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0677 Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected Dec 18, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0690 Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected Dec 18, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0755 Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Dec 18, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0761 Pharmacy Service Deficiencies
Ensure 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 locked compartments, separately locked, compartments for controlled drugs.
Corrected Dec 18, 2024 · CMS health inspection
-
Not serious
Scope/severity E
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Dec 18, 2024 · CMS health inspection
-
Not serious
Scope/severity B
F0814 Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Corrected Dec 18, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0842 Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected Dec 18, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0849 Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected Dec 18, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Dec 18, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0908 Environmental Deficiencies
Keep all essential equipment working safely.
Corrected Dec 17, 2024 · CMS health inspection
-
Not serious
Scope/severity E
K0211 Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected Dec 18, 2024 · CMS fire safety
-
Not serious
Scope/severity D
K0222 Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected Dec 18, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0281 Egress Deficiencies
Install proper backup exit lighting.
Corrected Dec 18, 2024 · CMS fire safety
-
Not serious
Scope/severity D
K0293 Egress Deficiencies
Have properly located and lighted "Exit" signs.
Corrected Dec 18, 2024 · CMS fire safety
-
Not serious
Scope/severity D
K0345 Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected Dec 18, 2024 · CMS fire safety
-
Not serious
Scope/severity C
K0351 Smoke Deficiencies
Install an approved automatic sprinkler system.
Corrected Dec 18, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Dec 18, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0355 Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected Dec 18, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0372 Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected Dec 18, 2024 · CMS fire safety
-
Not serious
Scope/severity D
K0511 Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Corrected Dec 18, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0712 Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Corrected Dec 18, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0923 Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Corrected Dec 18, 2024 · CMS fire safety
-
Not serious
Scope/severity D
-
Oct 30, 2024 Health · 3 findings
-
Not serious
Scope/severity D
Complaint
F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Nov 14, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Dec 11, 2023 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0690 Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected Nov 14, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Sep 21, 2024 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0761 Pharmacy Service Deficiencies
Ensure 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 locked compartments, separately locked, compartments for controlled drugs.
Corrected Oct 1, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Jul 26, 2024 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Sep 2, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Nov 15, 2023 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0842 Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected Dec 11, 2023 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Sep 22, 2023 Health · 10 findings
-
Not serious
Scope/severity E
F0604 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected Oct 25, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0690 Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected Oct 25, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0726 Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected Oct 25, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0759 Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Corrected Oct 25, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0760 Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Corrected Oct 25, 2023 · CMS health inspection
-
Not serious
Scope/severity E
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Oct 25, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0814 Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Corrected Oct 25, 2023 · CMS health inspection
-
Not serious
Scope/severity E
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Oct 25, 2023 · CMS health inspection
-
Not serious
Scope/severity D
K0351 Smoke Deficiencies
Install an approved automatic sprinkler system.
Corrected Oct 25, 2023 · CMS fire safety
-
Not serious
Scope/severity D
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Oct 25, 2023 · CMS fire safety
-
Not serious
Scope/severity E
Owners and managers (as published by CMS)
- BELL, BILLIE — corporate officer, NOT APPLICABLE, since 06/03/2023
- DORROW, MARJORIE — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 05/08/2025
- GREGORY, PATRICE — adp of the snf, NOT APPLICABLE, since 11/30/2020
- HANEY, MAX — adp of the snf, NOT APPLICABLE, since 08/01/2014
- HANEY, RONALD — operational/managerial control, NOT APPLICABLE, since 08/01/2014
- HANEY, RONALD — adp of the snf, NOT APPLICABLE, since 08/01/2014
- JAAFAR, SALEH — adp of the snf, NOT APPLICABLE, since 08/01/2024
- KUBIK, DARLENE — adp of the snf, NOT APPLICABLE, since 08/01/2014
- CASCADE HEALTH SERVICES, LLC — operational/managerial control, NOT APPLICABLE, since 08/01/2014
- CASCADE MEDINA HEALTH SERVICES, LTD — operational/managerial control, NOT APPLICABLE, since 08/01/2014
- CASTROVILLE CARE CENTER, LTD — adp of the snf, NOT APPLICABLE, since 08/01/2014
- MEDINA COUNTY HOSPITAL DISTRICT — 5% or greater direct ownership interest, 100%, since 08/01/2014
Sources: Texas Health and Human Services Commission, Long-term Care Regulation (directory and closures) and CMS Care Compare (nursing homes). “Harm or jeopardy level” is CMS scope/severity G–L. About this data.