Medina Valley Health & Rehabilitation Center
913 Hwy 90 W, Castroville, TX 78009 · (830) 931-2900
For profit - Partnership · 116 certified beds
Medina Valley Health & Rehabilitation Center has a 3-star overall rating from Medicare, out of 5. Its last standard inspection, in February 2026, found 7 citations (the Texas average is 9.4). It hasn't been fined in the last three years.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 3 out of 5 stars · Average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 4 out of 5 stars · Above average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 4 out of 5 stars · Above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 1 out of 5 stars · Much below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on February 27, 2026 found 7 citations. What an inspection citation means
- Ensure each resident receives an accurate assessment.February 27, 2026 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.February 27, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.February 27, 2026 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.February 27, 2026 · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.February 27, 2026 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Keep all essential equipment working safely.February 27, 2026 · F0908 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Assure that each resident’s assessment is updated at least once every 3 months.February 27, 2026 · F0638 · Level of harm: Potential for minimal harm · Residents affected: Some
Complaint inspections, last three years
Inspections after complaints found 6 citations.
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.October 30, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.October 30, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.October 30, 2024 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.September 21, 2024 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.July 26, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.November 15, 2023 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
No fines or payment denials in the last three years.
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Texas average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 2.95 | 3.39 | 3.86 |
| Registered nurses (RN) | 0.28 | 0.43 | 0.69 |
| Licensed practical nurses (LPN) | 0.86 | 0.95 | 0.86 |
| Nurse aides | 1.81 | 2.01 | 2.32 |
| Total nursing staff turnover | 37.5% | 55.3% | 45.8% |
About this home
| Ownership | For profit - Partnership |
| Certified beds | 116 |
| Average residents per day | 89.1 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Devine Health & Rehabilitation Devine · ★★★★★ 5 out of 5 stars
- Community Care Center of Hondo Hondo · ★★★★★ 1 out of 5 stars
- Cedar Creek Nursing and Rehabilitation Center Bandera · ★★★★★ 2 out of 5 stars
- Avir at Bandera Bandera · ★★★★★ 1 out of 5 stars
- Kendall House Wellness & Rehabilitation Boerne · ★★★★★ 4 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Medina Valley Health & Rehabilitation Center on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.