Medina Valley Health & Rehabilitation Center

CMS star ratings

Overall★★★★★ 3/5

State avg 2.6

Health inspections★★★★★ 4/5

State avg 2.8

Staffing★★★★★ 1/5

State avg 1.9

Quality measures★★★★★ 4/5

State avg 3.7

Long-stay quality★★★★★ 5/5

Short-stay quality★★★★★ 3/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing: 2.95 (state 3.39 · U.S. 3.86)
Registered nurses (RN): 0.28 (state 0.43 · U.S. 0.69)
Licensed practical nurses: 0.86 (state 0.95 · U.S. 0.86)
Nurse aides: 1.81 (state 2.00 · U.S. 2.32)
Weekend total: 2.41 (state 2.98 · U.S. 3.42)
Nursing staff turnover: 37.5 (state 55.3 · U.S. 45.8)%
RN turnover: 44.4 (state 54.6 · U.S. 42.9)%
Administrators who left: 0 in the last year

Inspections

Last standard inspection: February 27, 2026
Health deficiencies (last cycle): 7.0 (state 9.3 · U.S. 9.3)
From complaints: 0
Citations on record (3 years): 36 health · 18 fire safety

Date	Citation	Severity	Status
2026-02-27	Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2026-03-27
2026-02-27	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2026-03-27
2026-02-27	Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-03-27
2026-02-27	Have 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. F0727 · Nursing and Physician Services Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-03-27
2026-02-27	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-03-27
2026-02-27	Keep all essential equipment working safely. F0908 · Environmental Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-03-27
2026-02-27	Assure that each resident’s assessment is updated at least once every 3 months. F0638 · Resident Assessment and Care Planning Deficiencies	B No actual harm, potential for minimal harm	Corrected 2026-03-27
2024-11-15	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2024-12-18
2024-11-15	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-12-18
2024-11-15	Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-12-18
2024-11-15	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-12-18
2024-11-15	PASARR screening for Mental disorders or Intellectual Disabilities F0645 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-12-18
2024-11-15	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-12-18
2024-11-15	Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-12-18
2024-11-15	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-12-18
2024-11-15	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-12-18
2024-11-15	Ensure 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. F0761 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-12-18
2024-11-15	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-12-18
2024-11-15	Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. F0849 · Administration Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-12-18
2024-11-15	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-12-18
2024-11-15	Keep all essential equipment working safely. F0908 · Environmental Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-12-17
2024-11-15	Dispose of garbage and refuse properly. F0814 · Nutrition and Dietary Deficiencies	B No actual harm, potential for minimal harm	Corrected 2024-12-18
2024-10-30	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-11-14
2024-10-30	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2023-12-11
2024-10-30	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-11-14
2024-09-21	Ensure 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. F0761 · Pharmacy Service Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-10-01
2024-07-26	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-09-02
2023-11-15	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2023-12-11
2023-09-22	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2023-10-25
2023-09-22	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2023-10-25
2023-09-22	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2023-10-25
2023-09-22	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-10-25
2023-09-22	Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. F0726 · Nursing and Physician Services Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-10-25
2023-09-22	Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-10-25
2023-09-22	Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-10-25
2023-09-22	Dispose of garbage and refuse properly. F0814 · Nutrition and Dietary Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-10-25

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

Name	Role	Since
Medina County Hospital District (organization)	5%+ Direct Ownership Interest · 100%
Castroville Care Center, LTD (organization)	Administrator · NOT APPLICABLE
Gregory, Patrice (individual)	Administrator · NOT APPLICABLE
Haney, Max (individual)	Administrator · NOT APPLICABLE
Haney, Ronald (individual)	Administrator · NOT APPLICABLE
Jaafar, Saleh (individual)	Administrator · NOT APPLICABLE
Kubik, Darlene (individual)	Administrator · NOT APPLICABLE
Bell, Billie (individual)	Corporate Officer · NOT APPLICABLE
Dorrow, Marjorie (individual)	Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Cascade Health Services, LLC (organization)	Operational/managerial Control · NOT APPLICABLE
Cascade Medina Health Services, LTD (organization)	Operational/managerial Control · NOT APPLICABLE
Haney, Ronald (individual)	Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Medina Valley Health & Rehabilitation Center?

Medina Valley Health & Rehabilitation Center has a 3-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.

How many beds does Medina Valley Health & Rehabilitation Center have?

It has 116 certified beds and cares for about 89 residents per day.

Has Medina Valley Health & Rehabilitation Center been fined?

CMS lists no federal fines or payment denials in the last three years.

What is the phone number of Medina Valley Health & Rehabilitation Center?

(830) 931-2900. The facility is located at 913 Hwy 90 W, Castroville, TX 78009.

Contact & location

Facility details