Federal inspection record · CMS data as of October 1, 2026
Del Rio Nursing and Rehabilitation Center
301 W. Martin Street, Del Rio, TX · (830) 775-2459
- Cited for abuse (CMS abuse icon)
- Certified beds
- 60
- Residents per day
- 50
- Ownership
- Government
- Chain
- Touchstone Communities
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 1, 1997
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Texas homes
Del Rio Nursing and Rehabilitation Center carries 90 inspection points. That is fewer than 41% of Texas's 1,166 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–51 pts
- 3★ 51–85 pts
- 2★ 85–145.75 pts
- 1★ over 145.75 pts
Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
29 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
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J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Resident Assessment and Care Planning6D
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Assure that each resident’s assessment is updated at least once every 3 months.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Rights5E
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Nutrition and Dietary5F
- E
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
- E
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pharmacy Service4E
- E
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Ensure that residents are free from significant medication errors.
- D
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.
Quality of Life and Care3E
- E
Ensure the activities program is directed by a qualified professional.
- D
Provide activities to meet all resident's needs.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Freedom from Abuse, Neglect, and Exploitation2E
- E
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Environmental1B
- B
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Inspection history
2026-06-17
16 health deficiencies · 3 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
2025-05-02
6 health deficiencies · 7 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2024-04-12
7 health deficiencies · 2 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 54 min of nursing staff time a day, 18 min of it from a registered nurse.
This home
2 h 54 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 36% of nursing staff and 40% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$22,403 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-08-06 | Fine | $14,385 |
| 2024-03-27 | Fine | $8,018 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.6 pts better | 100.0% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.9 pts better | 97.9% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.8 pts worse | 4.0% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.3 pts better | 0.0% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.9 pts better | 0.0% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication14.5 pts better | 3.3% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.8 pts better | 5.0% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened4.4 pts better | 8.5% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.8 pts worse | 21.6% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.2 pts better | 0.6% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.3 pts better | 7.2% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.8 pts better | 0.9% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.3 pts better | 100.0% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.5 pts better | 10.7% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine12.3 pts better | 97.7% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission20.5 pts better | 5.0% | 25.5% | 23.4% |
·
Who owns and runs it
21 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Val Verde County Hospital District | 5% Or Greater Direct Ownership Interest · Organization | 100% | 19 facilities |
| Campbell, Leslie | Operational/Managerial Control · Individual | 0% | 22 facilities |
| Campbell, Leslie | Adp Of The SNF · Individual | 0% | 22 facilities |
| Care Inn Properties Inc | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Care Inn Properties Inc | Adp Of The SNF · Organization | 0% | 1 facilities |
| Care Inn Realty, Inc. | Adp Of The SNF · Organization | 0% | 1 facilities |
| Castillo, Lynnea | Operational/Managerial Control · Individual | 0% | 23 facilities |
| Castillo, Lynnea | Adp Of The SNF · Individual | 0% | 23 facilities |
| Eggers, Jackeline | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Eggers, Jackeline | Adp Of The SNF · Individual | 0% | 1 facilities |
| Fellbaum, Ernest | Adp Of The SNF · Individual | 0% | 27 facilities |
| Gilcrease, Cynthia | Operational/Managerial Control · Individual | 0% | 7 facilities |
| Gilcrease, Cynthia | Adp Of The SNF · Individual | 0% | 7 facilities |
| Jurado, Jorge | Corporate Officer · Individual | 0% | 19 facilities |
| Lopez, Lisa | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Lopez, Lisa | Adp Of The SNF · Individual | 0% | 2 facilities |
| Lument Real Estate Capital LLC | 5% Or Greater Mortgage Interest · Organization | 0% | 44 facilities |
| Studer, Stanley | Adp Of The SNF · Individual | 0% | 26 facilities |
| Touchstone Communities Inc | Adp Of The SNF · Organization | 0% | 23 facilities |
| Zurovec, Darrell | Operational/Managerial Control · Individual | 0% | 23 facilities |
| Zurovec, Darrell | Adp Of The SNF · Individual | 0% | 23 facilities |
·
Fire safety
12 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Inspect, test, and maintain automatic sprinkler systems.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
Services4E
- C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E
Have properly installed electrical wiring and gas equipment.
- C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Egress2E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Emergency Preparedness1F
- F
Develop and maintain an Emergency Preparedness Program (EP).
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Other homes nearby
-
Val Verde Nursing And Rehabilitation Center
Del Rio, TX · Wellsential Health
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 17 min
- Fines
- $0
-
La Vida Serena Nursing And Rehabilitation
Del Rio, TX · Creative Solutions In Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 3 min
- Fines
- $8,404
-
Eagle Pass Nursing and Rehabilitation
Eagle Pass, TX · Creative Solutions In Healthcare
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 2 h 58 min
- Fines
- $17,419