Medina Valley Health & Rehabilitation Center
Public license record913 Hwy 90 W, Castroville, TX, 78009
Nursing Facility · 116 licensed beds
Key facts
- Trust status
- Public license record
- License type
- Nursing Facility
- Licensed capacity
- 116 beds
Care offered
- Skilled Nursing
Costs
This facility has not published pricing. As a market baseline, Texas assisted living typically runs $3,500–$5,500/mo and skilled nursing is usually higher — ask for current rates when you contact them. Baseline is a state-level estimate, not this facility’s price.
CMS star ratings
CMS five-star rating from the Medicare.gov Provider Information dataset · data as of June 1, 2026. Not a NectaLink rating.
Inspection history
36 citations across 7 inspections on record · 36 with a documented correction date.
February 27, 2026 — Health inspection
- Minimal harm potentialAssure that each resident’s assessment is updated at least once every 3 months. Corrected March 27, 2026.
- Potential for harmEnsure each resident receives an accurate assessment. Corrected March 27, 2026.
- Potential for harmProvide appropriate pressure ulcer care and prevent new ulcers from developing. Corrected March 27, 2026.
- Potential for harmHave 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. Corrected March 27, 2026.
- Potential for harmSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Corrected March 27, 2026.
- Potential for harmProvide and implement an infection prevention and control program. Corrected March 27, 2026.
- Potential for harmKeep all essential equipment working safely. Corrected March 27, 2026.
November 15, 2024 — Health inspection
- Potential for harmImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Corrected December 18, 2024.
- Potential for harmEnsure each resident receives an accurate assessment. Corrected December 18, 2024.
- Potential for harmCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Corrected December 18, 2024.
- Potential for harmPASARR screening for Mental disorders or Intellectual Disabilities Corrected December 18, 2024.
- Potential for harmDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Corrected December 18, 2024.
- Potential for harmProvide care and assistance to perform activities of daily living for any resident who is unable. Corrected December 18, 2024.
- Potential for harmProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Corrected December 18, 2024.
- Potential for harmProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Corrected December 18, 2024.
- Potential for harmEnsure 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. Corrected December 18, 2024.
- Potential for harmProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Corrected December 18, 2024.
- Minimal harm potentialDispose of garbage and refuse properly. Corrected December 18, 2024.
- Potential for harmSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Corrected December 18, 2024.
- Potential for harmArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Corrected December 18, 2024.
- Potential for harmProvide and implement an infection prevention and control program. Corrected December 18, 2024.
- Potential for harmKeep all essential equipment working safely. Corrected December 17, 2024.
October 30, 2024 — Health inspection · complaint-related
- Potential for harmTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Corrected November 14, 2024.
- Potential for harmEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Corrected December 11, 2023.
- Potential for harmProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Corrected November 14, 2024.
+ 11 earlier citations on record.
Source: CMS Health Deficiencies dataset / Medicare Care Compare · data as of June 1, 2026. Descriptions are reproduced verbatim from federal survey records; correction dates are as reported to CMS.
What to verify before a tour
- Current room availability and waitlist timing
- Whether the quoted rate includes care fees and medication support
- Night and weekend staffing coverage
- How family updates, incidents, and care-plan changes are communicated
Contact this facility
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