Mcallen, TX

Alfredo Gonzalez Texas State Veterans Home

5-star overall rating with 5-star inspections with $12,675 in total fines with 3 recent health deficiencies

301 E Yuma Ave, Mcallen, TX

(956) 682-4224

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

160

Certified beds

Average residents

154

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

Texvet

Operator or chain grouping

Approved since

2005-07-14

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

9 facilities

Chain averages 4 overall / 3 health / 3 staffing / 5 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.36

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

0.96

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

2.22

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

3.54

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.32

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

3.08

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.22

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.37

CMS adjusted RN staffing hours

Adjusted total hours

3.72

CMS adjusted total nurse staffing hours

Case-mix index

1.30

Higher values indicate more complex resident acuity

RN turnover

33%

Annual RN turnover · state 52% · national 45%

Total nurse turnover

33%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

2,300

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

50.39

Composite VBP score used to determine payment impact.

Payment multiplier

1.0045

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

7.42

Performance 33.33% · Measure score 7.42 · Achievement 7.42 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

2.65

Baseline 4.13 hours · Performance 3.83 hours · Measure score 2.65 · Achievement 2.65 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 17 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 7 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	Not Available	1.02	Too few residents or stays to report publicly.
Drug regimen review with follow-up	91.43%	95.27% 3.8 pts worse	Numerator 32 · Denominator 35
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 35
Discharge self-care score	51.85%	53.69% 1.8 pts worse	Numerator 14 · Denominator 27
Discharge mobility score	37.04%	50.94% 13.9 pts worse	Numerator 10 · Denominator 27
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 35 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 8 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	1.08%	8.2% 7.1 pts worse	Numerator 2 · Denominator 186
Staff flu vaccination coverage	18.61%	42% 23.4 pts worse	Numerator 177 · Denominator 951
Discharge function score	55.56%	56.45% 0.9 pts worse	Numerator 15 · Denominator 27
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.7	2.1 0.4 pts better	1.9 0.2 pts better	Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.2 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.0	2.1 0.1 pts better	1.8 0.2 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.6 · Expected 1.3 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.3%	97.1% 2.2 pts better	93.4% 5.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 99.3% · Q3 100.0% · Q4 97.9% · 4Q avg 99.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	97.9% 2.1 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	4.2%	3.3% 0.9 pts worse	3.3% 0.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 5.2% · Q3 4.9% · Q4 3.5% · 4Q avg 4.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.5%	2.7% 2.2 pts better	11.4% 10.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.9% · Q3 0.0% · Q4 1.0% · 4Q avg 0.5%
Percentage of long-stay residents who lose too much weight	2.4%	3.3% 0.9 pts better	5.4% 3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 3.0% · Q3 3.1% · Q4 1.5% · 4Q avg 2.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	4.8%	18.9% 14.1 pts better	19.6% 14.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 5.2% · Q3 5.3% · Q4 3.7% · 4Q avg 4.8%
Percentage of long-stay residents who received an antipsychotic medication	4.9%	10.8% 5.9 pts better	16.7% 11.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 4.3% · Q3 5.1% · Q4 9.2% · 4Q avg 4.9% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	15.4%	15.4% About the same	16.3% 0.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.7% · Q2 14.8% · Q3 23.1% · Q4 12.5% · 4Q avg 15.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	12.4%	16.1% 3.7 pts better	14.9% 2.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 12.5% · Q3 15.7% · Q4 8.9% · 4Q avg 12.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.9%	0.5% 0.4 pts worse	1.0% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 1.4% · Q3 1.3% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	0.8% 0.8 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	15.6%	15.0% 0.6 pts worse	19.8% 4.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.9% · Q2 13.0% · Q3 18.5% · Q4 17.4% · 4Q avg 15.6%
Percentage of long-stay residents with pressure ulcers	2.1%	4.2% 2.1 pts better	5.1% 3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 3.3% · Q3 1.9% · Q4 1.2% · 4Q avg 2.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	91.9%	89.7% 2.2 pts better	81.7% 10.2 pts better	Short Stay · 2024Q4-2025Q3 · Q1 87.8% · Q2 100.0% · Q3 100.0% · Q4 82.4% · 4Q avg 91.9%
Percentage of short-stay residents who had an outpatient emergency department visit	15.8%	12.0% 3.8 pts worse	12.0% 3.8 pts worse	Short Stay · 20240701-20250630 · Adjusted 15.8% · Observed 17.4% · Expected 12.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	5.0%	1.5% 3.5 pts worse	1.6% 3.4 pts worse	Short Stay · 2024Q4-2025Q3 · Q4 0.0% · 4Q avg 5.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	94.6%	88.0% 6.6 pts better	79.7% 14.9 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 94.6%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	38.4%	25.9% 12.5 pts worse	23.9% 14.5 pts worse	Short Stay · 20240701-20250630 · Adjusted 38.4% · Observed 39.1% · Expected 24.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-10-04 · Fire 2024-10-04

3 health deficiencies

Top issue: Infection Control (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2023-07-17 · Fire 2023-07-17

13 health deficiencies

Top issue: Infection Control (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2022-04-01 · Fire 2022-04-01

0 health deficiencies

No concentrated health issue counts in this cycle.

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-05-16

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-05-19

E · Potential for more than minimal harm 2025-02-21

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-02-22

D · Potential for more than minimal harm 2025-02-21

F921 · Environmental Deficiencies

Health

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

Corrected 2025-02-22

B · Minimal harm 2025-02-21

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-02-22

E · Potential for more than minimal harm 2024-10-30

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-11-19

D · Potential for more than minimal harm 2024-10-30

F635 · Resident Assessment and Care Planning Deficiencies

Health

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

Corrected 2024-11-19

D · Potential for more than minimal harm 2024-10-30

F813 · Nutrition and Dietary Deficiencies

Health

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Corrected 2024-11-19

D · Potential for more than minimal harm 2024-10-04

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-10-27

C · Minimal harm 2024-10-04

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2024-10-27

K · Immediate jeopardy 2023-07-17

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-02-13