Nursing Home
Medina Valley Health & Rehabilitation Center
913 Hwy 90 W, Castroville, TX 78009
4
4
CMS Overall Rating — Above average
Informational only. This information comes from CMS Care Compare data and may be out of date or contain errors. It is not a substitute for visiting the nursing home. Always confirm details directly with the provider and with Medicare.gov Care Compare before making a decision.
CMS five-star sub-ratings
Health inspection
4
Staffing
2
Quality measures
4
Long-stay QM
5
Short-stay QM
4
The overall rating starts from the health-inspection rating and is adjusted by staffing and quality-measure performance. How this works.
Facility details
- Type
- Nursing Home
- Ownership
- For-profit
- Certified beds
- 116
- Phone
- (830) 931-2900
- CMS Certification Number
- 675974
- Address
- 913 Hwy 90 W, Castroville, TX 78009
Staffing
- Total nurse staffing (hrs/resident/day)
- 2.98 hrs
- RN staffing (hrs/resident/day)
- 0.3 hrs
- Total nursing staff turnover
- 34.3 %
Inspection
- Total weighted health survey score
- 45
Other measures
- Average residents per day
- 87
Inspection history
36citations on record
0serious (scope/severity G+)
6from complaints
February 27, 2026most recent survey
Recent citations
| Date | Tag | Issue | Severity |
|---|---|---|---|
| Feb 2026 | 0641 | Resident Assessment and Care Planning Deficiencies | |
| Feb 2026 | 0880 | Infection Control Deficiencies | |
| Feb 2026 | 0686 | Quality of Life and Care Deficiencies | |
| Feb 2026 | 0727 | Nursing and Physician Services Deficiencies | |
| Feb 2026 | 0842 | Resident Assessment and Care Planning Deficiencies | |
| Feb 2026 | 0908 | Environmental Deficiencies | |
| Feb 2026 | 0638 | Resident Assessment and Care Planning Deficiencies | |
| Nov 2024 | 0812 | Nutrition and Dietary Deficiencies | |
| Nov 2024 | 0580 | Resident Rights Deficiencies | |
| Nov 2024 | 0641 | Resident Assessment and Care Planning Deficiencies | |
| Nov 2024 | 0644 | Resident Assessment and Care Planning Deficiencies | |
| Nov 2024 | 0645 | Resident Assessment and Care Planning Deficiencies | |
| Nov 2024 | 0657 | Resident Assessment and Care Planning Deficiencies | |
| Nov 2024 | 0677 | Quality of Life and Care Deficiencies | |
| Nov 2024 | 0690 | Quality of Life and Care Deficiencies |
Scope/severity runs A (least) to L (most serious); G and above indicate actual harm or immediate jeopardy. Source: CMS health inspection surveys.
Penalties
No federal fines or payment denials are recorded for this nursing home in the latest CMS data.
Ownership
| Owner | Type | Role | Stake |
|---|---|---|---|
| Medina County Hospital District | Organization | 5% Or Greater Direct Ownership Interest | 100% |
| Bell, Billie | Individual | Corporate Officer | — |
| Cascade Health Services, LLC | Organization | Operational/Managerial Control | — |
| Cascade Medina Health Services, Ltd | Organization | Operational/Managerial Control | — |
| Haney, Ronald | Individual | Operational/Managerial Control | — |
| Dorrow, Marjorie | Individual | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF | — |
| Castroville Care Center, Ltd | Organization | Adp Of The SNF | — |
| Gregory, Patrice | Individual | Adp Of The SNF | — |
| Haney, Max | Individual | Adp Of The SNF | — |
| Haney, Ronald | Individual | Adp Of The SNF | — |
| Jaafar, Saleh | Individual | Adp Of The SNF | — |
| Kubik, Darlene | Individual | Adp Of The SNF | — |
Owners, managing employees and organizations on file with CMS. Ownership can affect accountability and care patterns. Source: CMS Ownership data.
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