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La Hacienda De Paz Rehabilitation and Care Center

All states › Texas › Eagle Pass › La Hacienda De Paz Rehabilitation and Care Center

3333 Bob Rogers Drive Eagle Pass, TX 78852 · Maverick County

(830) 213-8138

All 3 nursing homes in Eagle Pass, TX (3 take Medicaid)

Accepts Medicare Accepts Medicaid 104 certified beds Government

CMS certification number 676419 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is La Hacienda De Paz Rehabilitation and Care 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 La Hacienda De Paz Rehabilitation and Care Center as of October 2026.

CMS rates it 3 out of 5 stars overall, about the same as the Texas average of 2.8. Inspectors issued 24 citations in the last three years. CMS imposed 1 penalty, including $14,069 in fines, in that time. For short-term rehab patients CMS rates quality 3 out of 5; for long-term residents, 3 out of 5.

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.

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Compare with the 3 closest homes

Staffing

Nursing staff spend about 3.09 hours per resident per day at La Hacienda De Paz Rehabilitation and Care Center, below the Texas median of 3.30 (US median: 3.72). About 0.31 of those hours are from registered nurses. On weekends it falls to 2.59 hours, 16% below its all-week average. Ask how weekends are staffed. 45.6% of nursing staff left within a year (Texas median 50.2%).

Nursing care per resident per day 3.09 hours
Below the Texas median of 3.30 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.31 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.59 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 45.6% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 25% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds104
Residents per day 98 About 94% of beds filled, on average
OwnershipGovernment - Hospital district
Payment acceptedMedicare and Medicaid
Certified sinceApril 2017
Part of a chainCreative Solutions In Healthcare
Legal business nameWEST WHARTON COUNTY HOSPITAL DISTRICT
Located in a hospitalYes

Paying for care at La Hacienda De Paz Rehabilitation and Care Center: Medicare and Medicaid

La Hacienda De Paz Rehabilitation and Care 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.

This home is located in a hospital.

Health inspections

The most recent standard inspection was on December 10, 2025 and found 12 deficiencies. In total, inspectors issued 24 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 24 citations at La Hacienda De Paz Rehabilitation and Care Center across 4 inspection dates, 3 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on May 15, 2025 (complaint inspection). The most common areas cited were freedom from abuse, neglect, and exploitation (4) and pharmacy service (4). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level J, May 15, 2025). 4 citations were under CMS's abuse, neglect and exploitation rules.

December 10, 2025 · 12 citations

FEnsure that the resident and his/her doctor meet face-to-face at all required visits.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0712 · Deficient, Provider has date of correction (Dec 28, 2025)

EEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Dec 26, 2025)

DEnsure that residents are fully informed and understand their health status, care and treatments.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0552 · Deficient, Provider has date of correction (Dec 14, 2025)

DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0580 · Deficient, Provider has date of correction (Dec 16, 2025)

DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Deficient, Provider has date of correction (Dec 15, 2025)

DRespond appropriately to all alleged violations.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Deficient, Provider has date of correction (Dec 15, 2025)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Dec 26, 2025)

DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (Dec 18, 2025)

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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Dec 18, 2025)

DProvide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Potential for more than minimal harm · Administration Deficiencies · Tag F0773 · Deficient, Provider has date of correction (Dec 13, 2025)

DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Dec 16, 2025)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Dec 19, 2025)

May 15, 2025 · 3 citations, includes immediate jeopardy · includes complaint inspection

JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Immediate jeopardy · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Past Non-Compliance (Mar 29, 2025)

DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Complaint inspection · Deficient, Provider has date of correction (Jun 13, 2025)

DProtect each resident from the wrongful use of the resident's belongings or money.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 · Complaint inspection · Past Non-Compliance (Nov 22, 2024)

August 23, 2024 · 3 citations

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Aug 30, 2024)

DProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Sep 1, 2024)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Sep 1, 2024)

July 12, 2023 · 6 citations

FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Aug 1, 2023)

EProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Deficient, Provider has date of correction (Aug 5, 2023)

EEnsure medication error rates are not 5 percent or greater.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0759 · Deficient, Provider has date of correction (Aug 11, 2023)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Aug 11, 2023)

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Aug 5, 2023)

DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (Aug 11, 2023)

Questions to ask on a tour of La Hacienda De Paz Rehabilitation and Care Center

  1. Inspectors cited the home at the immediate-jeopardy level on May 15, 2025 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on December 10, 2025. How are staff trained, and how are concerns reported?
  3. CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  4. Weekend staffing is 16% below the all-week average. Who is on duty on Saturday nights?
  5. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  6. 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

1 penalty in the last three years, including $14,069 in fines.

DateTypeAmount or length
May 15, 2025 Fine $14,069

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 3/5 3/5 2/5 3/5
August 2026 2/5 3/5 1/5 3/5
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Location

Hospitals near La Hacienda De Paz Rehabilitation and Care Center

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 0.3 mi
    Fort Duncan Medical Center Eagle Pass
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 2h 57m for patients treated and sent home

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Maverick Nursing and Rehabilitation Center Eagle Pass · 0.3 mi away ★★★☆☆ Inspection 3/5 · Staffing 2/5 114 beds · Medicaid
Eagle Pass Nursing and Rehabilitation Eagle Pass · 1.2 mi away ★★★★☆ Inspection 4/5 · Staffing 2/5 114 beds · Medicaid
Whispering Springs Rehabilitation and Healthcare Center Carrizo Springs · 38.6 mi away ★★★★★ Inspection 5/5 · Staffing 2/5 100 beds · Medicaid
Del Rio Nursing and Rehabilitation Center Del Rio · 51.9 mi away ★★★☆☆ Inspection 2/5 · Staffing 2/5 60 beds · Medicaid
Val Verde Nursing and Rehabilitation Center Del Rio · 52.1 mi away ★★☆☆☆ Inspection 2/5 · Staffing 3/5 76 beds · Medicaid

More nursing homes near La Hacienda De Paz Rehabilitation and Care Center ›   All nursing homes in Eagle Pass ›

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Other Creative Solutions In Healthcare nursing homes in Texas

Affiliation comes from CMS's affiliated-entity data, October 2026. All 150 Creative Solutions In Healthcare nursing homes ›

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.

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https://www.nursinghomesineachstate.com/texas/eagle-pass/la-hacienda-de-paz-rehabilitation-and-care-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.