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Hidalgo Nursing and Rehabilitation Center

All states › Texas › Edinburg › Hidalgo Nursing and Rehabilitation Center

4503 S Sugar Rd Edinburg, TX 78539 · Hidalgo County

(956) 386-1112

All 4 nursing homes in Edinburg, TX (4 take Medicaid)

Cited for abuse Accepts Medicare Accepts Medicaid 126 certified beds Government

CMS certification number 676346 · See this home on Medicare Care Compare

CMS abuse icon CMS marks this nursing home with its abuse icon. CMS shows the icon for homes with abuse citations in recent inspections: an abuse citation where residents were harmed (scope and severity G or higher) within the past year, or abuse citations at D or higher (potential for harm) in each of the last two years. Shown as of October 2026. Details on 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 Hidalgo Nursing and 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 Hidalgo Nursing and Rehabilitation Center as of October 2026.

CMS rates it 1 out of 5 stars overall, below the Texas average of 2.8. Inspectors issued 25 citations in the last three years. CMS imposed 1 penalty, including $7,582 in fines, in that time. For short-term rehab patients CMS rates quality 4 out of 5; for long-term residents, 5 out of 5. CMS currently shows its abuse icon for this home (see above).

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 3.50 hours per resident per day at Hidalgo Nursing and Rehabilitation Center, above the Texas median of 3.30 (US median: 3.72). About 0.47 of those hours are from registered nurses. On weekends it falls to 3.13 hours, 11% below its all-week average. 42.9% of nursing staff left within a year (Texas median 50.2%).

Nursing care per resident per day 3.50 hours
Above the Texas median of 3.30 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.47 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.13 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 42.9% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 46.2% 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 beds126
Residents per day 99 About 78% of beds filled, on average
OwnershipGovernment - Hospital district
Payment acceptedMedicare and Medicaid
Certified sinceNovember 2013
Part of a chainWellsential Health
Legal business nameUVALDE COUNTY HOSPITAL AUTHORITY

Paying for care at Hidalgo Nursing and Rehabilitation Center: Medicare and Medicaid

Hidalgo Nursing and 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 April 14, 2026 and found 6 deficiencies, plus 4 from complaint inspections in the same period. In total, inspectors issued 25 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 25 citations at Hidalgo Nursing and Rehabilitation Center across 8 inspection dates, 17 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on November 3, 2023 (complaint inspection). The most common areas cited were quality of life and care (6) and freedom from abuse, neglect, and exploitation (4). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level J, November 3, 2023). 4 citations were under CMS's abuse, neglect and exploitation rules.

April 29, 2026 · 2 citations · includes complaint inspection

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 · Complaint inspection · Deficient, Provider has date of correction (May 1, 2026)

DPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 · Complaint inspection · Deficient, Provider has date of correction (May 1, 2026)

April 14, 2026 · 6 citations

EProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0628 · Deficient, Provider has date of correction (Apr 15, 2026)

EProcure 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 (Apr 15, 2026)

DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0690 · Deficient, Provider has date of correction (Apr 15, 2026)

DProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Apr 15, 2026)

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 (Apr 15, 2026)

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 (Apr 15, 2026)

January 29, 2026 · 1 citation · includes complaint inspection

EProtect 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 · Deficient, Provider has date of correction (Feb 2, 2026)

November 19, 2025 · 1 citation · includes complaint inspection

DProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Complaint inspection · Deficient, Provider has date of correction (Nov 21, 2025)

February 12, 2025 · 2 citations · includes complaint inspection

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 (Feb 14, 2025)

DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Complaint inspection · Deficient, Provider has date of correction (Feb 14, 2025)

January 16, 2025 · 1 citation · includes complaint inspection

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

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Deficient, Provider has date of correction (Jan 20, 2025)

November 17, 2023 · 9 citations · includes complaint inspection

EAllow resident to participate in the development and implementation of his or her person-centered plan of care.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0553 · Deficient, Provider has date of correction (Dec 15, 2023)

EHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0578 · Complaint inspection · Deficient, Provider has date of correction (Dec 15, 2023)

EEnsure the activities program is directed by a qualified professional.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0680 · Complaint inspection · Deficient, Provider has date of correction (Dec 15, 2023)

EArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Potential for more than minimal harm · Administration Deficiencies · Tag F0849 · Complaint inspection · Deficient, Provider has date of correction (Dec 15, 2023)

EConduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Potential for more than minimal harm · Administration Deficiencies · Tag F0944 · Complaint inspection · Deficient, Provider has date of correction (Dec 15, 2023)

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 · Complaint inspection · Deficient, Provider has date of correction (Dec 15, 2023)

DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Complaint inspection · Deficient, Provider has date of correction (Dec 15, 2023)

DProvide activities to meet all resident's needs.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0679 · Complaint inspection · Deficient, Provider has date of correction (Dec 15, 2023)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (Dec 15, 2023)

November 3, 2023 · 3 citations, includes immediate jeopardy · includes complaint inspection

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

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Past Non-Compliance (Nov 3, 2023)

ETimely 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 · Complaint inspection · Deficient, Provider has date of correction (Nov 10, 2023)

EProvide 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 · Complaint inspection · Deficient, Provider has date of correction (Nov 10, 2023)

Questions to ask on a tour of Hidalgo Nursing and Rehabilitation Center

  1. Inspectors cited the home at the immediate-jeopardy level on November 3, 2023 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on April 29, 2026. How are staff trained, and how are concerns reported?
  3. CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  4. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  5. 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 $7,582 in fines.

DateTypeAmount or length
Nov 3, 2023 Fine $7,582

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 1/5 2/5 1/5 4/5
August 2026 1/5 2/5 1/5 4/5
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Location

Hospitals near Hidalgo Nursing and 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.

  • 0.2 mi
    South Texas Health System Edinburg
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 1h 46m for patients treated and sent home
  • 0.8 mi
    Cornerstone Regional Hospital Edinburg
    Emergency room
    Median ER visit 1h 54m for patients treated and sent home
  • 1.3 mi
    Doctors Hospital at Renaissance Edinburg
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 3h 39m 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

Edinburg Nursing and Rehabilitation Center Edinburg · 0.6 mi away ★★☆☆☆ Inspection 2/5 · Staffing 1/5 120 beds · Medicaid
Colonial Manor Advanced Rehab & Healthcare Pharr · 1.5 mi away ★★☆☆☆ Inspection 2/5 · Staffing 2/5 123 beds · Medicaid
Windsor Nursing and Rehabilitation Center of Edinb Edinburg · 2.1 mi away ★★★★☆ Inspection 4/5 · Staffing 1/5 96 beds · Medicaid
Windsor Arbor View Edinburg · 2.8 mi away ★★★★☆ Inspection 3/5 · Staffing 2/5 120 beds · Medicaid
McAllen Nursing Center McAllen · 4.3 mi away ★★★☆☆ Inspection 3/5 · Staffing 3/5 122 beds · Medicaid

More nursing homes near Hidalgo Nursing and Rehabilitation Center ›   All nursing homes in Edinburg ›

Compare Hidalgo Nursing and Rehabilitation Center with the 3 closest homes side by side ›

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Other Wellsential Health nursing homes in Texas

Affiliation comes from CMS's affiliated-entity data, October 2026. All 67 Wellsential Health 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/edinburg/hidalgo-nursing-and-rehabilitation-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.