Mid Valley Nursing & Rehabilitation

Nursing Home · Mercedes, TX

CMS overall rating 2/5 Government - Hospital district

CMS certification number676414

Contact & location

601 N Mile 2 West
Mercedes, TX 78570
Hidalgo County
Phone
(956) 294-1689
ZIP code
78570 – all care providers

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Facility details

Certified beds
123
Residents per day
78.8 (64% occupied)
Ownership
Government - Hospital district
Legal name
Uvalde County Hospital Authority
Chain
Touchstone Communities (25 facilities, avg 2.9★)
Medicare certified since
January 10, 2017
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 2/5
State avg 2.6
Health inspections★★★★★ 2/5
State avg 2.8
Staffing★★★★★ 1/5
State avg 1.9
Quality measures★★★★★ 5/5
State avg 3.7
Long-stay quality★★★★★ 5/5
Short-stay quality★★★★★ 4/5

Staffing

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

Total nurse staffing
3.32 (state 3.39 · U.S. 3.86)
Registered nurses (RN)
0.23 (state 0.43 · U.S. 0.69)
Licensed practical nurses
1.03 (state 0.95 · U.S. 0.86)
Nurse aides
2.06 (state 2.00 · U.S. 2.32)
Weekend total
3.00 (state 2.98 · U.S. 3.42)
Nursing staff turnover
45.0 (state 55.3 · U.S. 45.8)%
RN turnover
33.3 (state 54.6 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
April 9, 2026
Health deficiencies (last cycle)
11.0 (state 9.3 · U.S. 9.3)
From complaints
6
Citations on record (3 years)
28 health · 5 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-06-10 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2026-06-26
2026-04-09 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-05-01
2026-04-09 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 2026-05-01
2026-04-09 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 2026-05-01
2026-04-09 Have a policy regarding use and storage of foods brought to residents by family and other visitors.
F0813 · Nutrition and Dietary Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-05-01
2026-04-09 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-05-01
2026-01-13 Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
F0573 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-02-09
2026-01-13 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 · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-02-09
2025-12-31 Honor 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.
F0578 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-16
2025-12-31 Provide for the safe, appropriate administration of IV fluids for a resident when needed.
F0694 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-16
2025-12-31 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 2026-01-16
2025-04-11 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 2025-05-01
2025-03-07 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-03
2025-03-07 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 2025-04-03
2025-02-05 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
E
No actual harm, potential for more than minimal harm
Corrected 2025-02-28
2025-02-05 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-02-28
2025-02-05 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-02-28
2025-02-05 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
D
No actual harm, potential for more than minimal harm
Corrected 2025-02-28
2025-02-05 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-02-28
2024-12-23 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2024-12-24
2024-12-23 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2024-12-24
2024-12-23 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
J
Immediate jeopardy to resident health or safety
Corrected 2024-03-21
2024-12-23 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
J
Immediate jeopardy to resident health or safety
Corrected 2024-12-24
2024-12-23 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 2024-12-24
2024-12-23 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-24
2024-04-16 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-09
2023-11-16 Honor 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.
F0578 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-11-17
2023-10-31 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2023-11-02

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

2 penalties in the last three years, including $16,611 in fines.

DateTypeAmount
2024-12-23Fine$8,330
2024-12-23Fine$8,281

Ownership & management

NameRoleSince
Capital Funding Group, INC. (organization)5%+ Mortgage Interest · NOT APPLICABLE
International Bank of Commerce (organization)5%+ Security Interest · NOT APPLICABLE
Aegis Therapies, INC. (organization)Administrator · NOT APPLICABLE
Alamo Advisors LP (organization)Administrator · NOT APPLICABLE
Campbell, Leslie (individual)Administrator · NOT APPLICABLE
Carazos, Marcos (individual)Administrator · NOT APPLICABLE
Carrasco, Leticia (individual)Administrator · NOT APPLICABLE
Carvajal Pharmacy LTC (organization)Administrator · NOT APPLICABLE
Castillo, Lynnea (individual)Administrator · NOT APPLICABLE
Fellbaum, Ernest (individual)Administrator · NOT APPLICABLE
Gilcrease, Cynthia (individual)Administrator · NOT APPLICABLE
Levine, Andrew (individual)Administrator · NOT APPLICABLE
Plante & Moran Pllc (organization)Administrator · NOT APPLICABLE
Sehlke, Bryon (individual)Administrator · NOT APPLICABLE
Studer, Stanley (individual)Administrator · NOT APPLICABLE
The Bryon and Rena Sehlke Living Trust (organization)Administrator · NOT APPLICABLE
Touchstone Communities INC (organization)Administrator · NOT APPLICABLE
Touchstone Realty - Mercedes LLC (organization)Administrator · NOT APPLICABLE
Touchstone Strategies Mercedes LLC (organization)Administrator · NOT APPLICABLE
Trident Health Services INC (organization)Administrator · NOT APPLICABLE
Zurovec, Darrell (individual)Administrator · NOT APPLICABLE
Apolinar, Adam (individual)Corporate Officer · NOT APPLICABLE
Campbell, Leslie (individual)Operational/managerial Control · NOT APPLICABLE
Carazos, Marcos (individual)Operational/managerial Control · NOT APPLICABLE
Carrasco, Leticia (individual)Operational/managerial Control · NOT APPLICABLE
Castillo, Lynnea (individual)Operational/managerial Control · NOT APPLICABLE
Gilcrease, Cynthia (individual)Operational/managerial Control · NOT APPLICABLE
Sehlke, Bryon (individual)Operational/managerial Control · NOT APPLICABLE
Touchstone Strategies Mercedes LLC (organization)Operational/managerial Control · NOT APPLICABLE
Zurovec, Darrell (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Mid Valley Nursing & Rehabilitation?

Mid Valley Nursing & Rehabilitation has a 2-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 Mid Valley Nursing & Rehabilitation have?

It has 123 certified beds and cares for about 79 residents per day.

Has Mid Valley Nursing & Rehabilitation been fined?

Yes. CMS lists 2 penalties totaling $16,611 in the last three years.

Who owns Mid Valley Nursing & Rehabilitation?

It is part of Touchstone Communities and is classified as government - hospital district. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Mid Valley Nursing & Rehabilitation?

(956) 294-1689. The facility is located at 601 N Mile 2 West, Mercedes, TX 78570.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.