All states › Texas › Castroville › Medina Valley Health & Rehabilitation Center
913 Hwy 90 W Castroville, TX 78009 · Medina County
CMS certification number 675974 · See this home on Medicare Care Compare
Is Medina Valley Health & Rehabilitation Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Medina Valley Health & Rehabilitation Center as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.00 hours per resident per day at Medina Valley Health & Rehabilitation Center, below the Texas median of 3.30 (US median: 3.72). About 0.46 of those hours are from registered nurses. On weekends it falls to 2.40 hours, 20% below its all-week average. Ask how weekends are staffed. 42.7% of nursing staff left within a year (Texas median 50.2%).
About this nursing home
Paying for care at Medina Valley Health & Rehabilitation Center: Medicare and Medicaid
Medina Valley Health & Rehabilitation Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on February 27, 2026 and found 7 deficiencies. In total, inspectors issued 36 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 36 citations at Medina Valley Health & Rehabilitation Center across 7 inspection dates, 6 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 34 were "potential for more than minimal harm" (D–F) and 2 were minimal (A–C). The most common areas cited were resident assessment and care planning (9) and quality of life and care (6). The most serious was cited under the CMS rule to "ensure each resident receives an accurate assessment" (tag F0641, level E, February 27, 2026). 3 citations were under CMS's abuse, neglect and exploitation rules.
February 27, 2026 · 7 citations
EEnsure each resident receives an accurate assessment.
EProvide and implement an infection prevention and control program.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DHave 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.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DKeep all essential equipment working safely.
BAssure that each resident’s assessment is updated at least once every 3 months.
November 15, 2024 · 15 citations
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DEnsure each resident receives an accurate assessment.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DPASARR screening for Mental disorders or Intellectual Disabilities
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure 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.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
DProvide and implement an infection prevention and control program.
DKeep all essential equipment working safely.
BDispose of garbage and refuse properly.
October 30, 2024 · 3 citations · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
September 21, 2024 · 1 citation · includes complaint inspection
DEnsure 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.
July 26, 2024 · 1 citation · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
November 15, 2023 · 1 citation · includes complaint inspection
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
September 22, 2023 · 8 citations
EEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide and implement an infection prevention and control program.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
DEnsure medication error rates are not 5 percent or greater.
DEnsure that residents are free from significant medication errors.
DDispose of garbage and refuse properly.
Questions to ask on a tour of Medina Valley Health & Rehabilitation Center
- CMS cited the home under its abuse and neglect rules on October 30, 2024. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Weekend staffing is 20% below the all-week average. Who is on duty on Saturday nights?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 4/5 | 1/5 | 4/5 |
| August 2026 | 3/5 | 4/5 | 1/5 | 4/5 |
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Location
Hospitals near Medina Valley Health & Rehabilitation Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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8.0 mi
Westover Hills Baptist Hospital San AntonioEmergency roomMedian ER visit 3h 11m for patients treated and sent home
- 14.0 mi
- 15.1 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Medina Valley Health & Rehabilitation Center › All nursing homes in Castroville ›
Compare Medina Valley Health & Rehabilitation Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- The Mission at Blue Skies of Texas East · San Antonio · 5 stars · 8.8 mi
- Lakeside Nursing and Rehabilitation Center · San Antonio · 5 stars · 9.2 mi
- Westover Hills Rehabilitation and Healthcare · San Antonio · 4 stars · 8.6 mi
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.