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Grand Terrace Rehabilitation and Healthcare

All states › Texas › McAllen › Grand Terrace Rehabilitation and Healthcare

812 W. Houston Ave. McAllen, TX 78501 · Hidalgo County

(956) 682-6331

All 8 nursing homes in McAllen, TX (8 take Medicaid)

Accepts Medicare Accepts Medicaid 93 certified beds For profit

CMS certification number 455586 · 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 Grand Terrace Rehabilitation and Healthcare 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 Grand Terrace Rehabilitation and Healthcare as of October 2026.

CMS rates it 5 out of 5 stars overall, above the Texas average of 2.8. Inspectors issued 16 citations in the last three years. CMS reports no fines or payment denials in that time. For short-term rehab patients CMS rates quality 5 out of 5; for long-term residents, 5 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.

Staffing

Nursing staff spend about 3.69 hours per resident per day at Grand Terrace Rehabilitation and Healthcare, above the Texas median of 3.30 (US median: 3.72). About 0.42 of those hours are from registered nurses. On weekends it falls to 3.13 hours, 15% below its all-week average. Ask how weekends are staffed. 30.7% of nursing staff left within a year (Texas median 50.2%). That is lower than most homes in Texas, a sign of a steadier team.

Nursing care per resident per day 3.69 hours
Above the Texas median of 3.30 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.42 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 30.7% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 27.3% 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 beds93
Residents per day 83 About 89% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceAugust 1985
Part of a chainThe Ensign Group
Legal business nameFANNIN COUNTY HOSPITAL AUTHORITY

Paying for care at Grand Terrace Rehabilitation and Healthcare: Medicare and Medicaid

Grand Terrace Rehabilitation and Healthcare 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 19, 2026 and found 3 deficiencies, plus 6 from complaint inspections in the same period. In total, inspectors issued 16 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 16 citations at Grand Terrace Rehabilitation and Healthcare across 9 inspection dates, 8 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 15 were "potential for more than minimal harm" (D–F) and 1 was minimal (A–C). The most common areas cited were quality of life and care (4) and resident assessment and care planning (4). The most serious was cited under the CMS rule to "provide care and assistance to perform activities of daily living for any resident who is unable" (tag F0677, level E, August 31, 2023). 1 citation was under CMS's abuse, neglect and exploitation rules.

June 17, 2026 · 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 · Complaint inspection · Deficient, Provider has date of correction (Jun 18, 2026)

CPost nurse staffing information every day.

Potential for minimal harm · Nursing and Physician Services Deficiencies · Tag F0732 · Complaint inspection · Deficient, Provider has date of correction (Jun 18, 2026)

May 8, 2026 · 1 citation · includes complaint inspection

DReasonably accommodate the needs and preferences of each resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0558 · Complaint inspection · Deficient, Provider has date of correction (May 10, 2026)

February 19, 2026 · 3 citations

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 (Feb 20, 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 · Deficient, Provider has date of correction (Feb 20, 2026)

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 20, 2026)

December 8, 2025 · 1 citation · includes complaint inspection

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 · Complaint inspection · Deficient, Provider has date of correction (Dec 9, 2025)

December 4, 2025 · 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Complaint inspection · Deficient, Provider has date of correction (Dec 5, 2025)

November 19, 2025 · 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Complaint inspection · Deficient, Provider has date of correction (Nov 20, 2025)

November 20, 2024 · 1 citation · 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 · Complaint inspection · Deficient, Provider has date of correction (Nov 22, 2024)

November 8, 2024 · 1 citation · includes complaint inspection

DMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0921 · Complaint inspection · Deficient, Provider has date of correction (Nov 10, 2024)

August 31, 2023 · 5 citations

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 (Sep 1, 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 · Deficient, Provider has date of correction (Sep 1, 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 (Sep 1, 2023)

DEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0693 · Deficient, Provider has date of correction (Sep 1, 2023)

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, 2023)

Questions to ask on a tour of Grand Terrace Rehabilitation and Healthcare

  1. CMS cited the home under its abuse and neglect rules on February 19, 2026. How are staff trained, and how are concerns reported?
  2. CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  3. Weekend staffing is 15% below the all-week average. Who is on duty on Saturday nights?
  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

CMS reports no fines or payment denials for this home in the last three years.

Rating history

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

Hospitals near Grand Terrace Rehabilitation and Healthcare

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

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

Nearby nursing homes

Windsor Nursing and Rehabilitation Center of Mcall McAllen · 0.3 mi away ★★★☆☆ Inspection 4/5 · Staffing 1/5 110 beds · Medicaid
McAllen Nursing Center McAllen · 1.2 mi away ★★★☆☆ Inspection 3/5 · Staffing 3/5 122 beds · Medicaid
Alfredo Gonzalez Texas State Veterans Home McAllen · 1.3 mi away ★★☆☆☆ Inspection 2/5 · Staffing 4/5 160 beds · Medicaid
McAllen Transitional Care Center McAllen · 1.4 mi away ★★★★☆ Inspection 3/5 · Staffing 3/5 100 beds · Medicaid
Windsor Las Palmas Nursing and Rehabilitation Center McAllen · 1.5 mi away ★★★★★ Inspection 5/5 · Staffing 2/5 120 beds · Medicaid

More nursing homes near Grand Terrace Rehabilitation and Healthcare ›   All nursing homes in McAllen ›

Compare Grand Terrace Rehabilitation and Healthcare with the 3 closest homes side by side ›

Other The Ensign Group nursing homes in Texas

Affiliation comes from CMS's affiliated-entity data, October 2026. All 347 The Ensign Group 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/mcallen/grand-terrace-rehabilitation-and-healthcare/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.