Laredo, TX

Laredo West Nursing and Rehabilitation Center

1-star overall rating with 1-star inspections with $49,719 in total fines with 13 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle

1200 Lane, Laredo, TX

(956) 722-0031

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

188

Certified beds

Average residents

115

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

Wellsential Health

Operator or chain grouping

Approved since

1985-07-03

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

67 facilities

Chain averages 3 overall / 3 health / 2 staffing / 4 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

Hospital-based

Yes

CMS reports the provider resides in a hospital

Staffing

Hours and turnover

RN hours / resident day

0.62

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

0.77

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

1.56

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

2.94

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.38

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

2.55

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.41

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.00

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.65

CMS adjusted RN staffing hours

Adjusted total hours

3.13

CMS adjusted total nurse staffing hours

Case-mix index

1.28

Higher values indicate more complex resident acuity

RN turnover

58%

Annual RN turnover · state 52% · national 45%

Total nurse turnover

52%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

9,254

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

Performance score

24.27

Composite VBP score used to determine payment impact.

Payment multiplier

0.9834

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

4.85

Performance 43.84% · Measure score 4.85 · Achievement 4.85 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

0

Baseline 2.94 hours · Performance 2.92 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 11.03%
10.72%
0.3 pts worse
No Different than the National Rate · Eligible stays 38 · Observed rate 15.79% · Lower 95% interval 7.44%
Discharge to community Not Available
50.57%
Not Available · Eligible stays 14 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary 1.51
1.02
0.5 pts worse
Drug regimen review with follow-up 93.33%
95.27%
1.9 pts worse
Numerator 28 · Denominator 30
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 30
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened 3.33%
2.29%
1 pts worse
Numerator 1 · Denominator 30 · Adjusted rate 2.14%
Healthcare-associated infections requiring hospitalization Not Available
7.12%
Not Available · Eligible stays 15 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 92
Staff flu vaccination coverage 87.39%
42%
45.4 pts better
Numerator 97 · Denominator 111
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 16 · 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 1.6
2.1
0.5 pts better
1.9
0.3 pts better
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.3 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 2.1
2.1
About the same
1.8
0.3 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 1.9 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 85.1%
97.1%
12 pts worse
93.4%
8.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 84.3% · Q2 87.9% · Q3 81.5% · Q4 86.6% · 4Q avg 85.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.0%
97.9%
2.9 pts worse
95.5%
0.5 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.0%
Percentage of long-stay residents experiencing one or more falls with major injury 4.4%
3.3%
1.1 pts worse
3.3%
1.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 4.3% · Q3 5.6% · Q4 3.6% · 4Q avg 4.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 1.0%
2.7%
1.7 pts better
11.4%
10.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 1.0% · Q3 2.0% · Q4 0.0% · 4Q avg 1.0%
Percentage of long-stay residents who lose too much weight 8.1%
3.3%
4.8 pts worse
5.4%
2.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 8.7% · Q2 8.2% · Q3 9.5% · Q4 6.1% · 4Q avg 8.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 7.3%
18.9%
11.6 pts better
19.6%
12.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 7.8% · Q2 8.1% · Q3 7.4% · Q4 6.1% · 4Q avg 7.3%
Percentage of long-stay residents who received an antipsychotic medication 13.5%
10.8%
2.7 pts worse
16.7%
3.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 17.5% · Q2 15.2% · Q3 12.9% · Q4 8.1% · 4Q avg 13.5% · 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 4.7%
15.4%
10.7 pts better
16.3%
11.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 6.2% · Q3 0.0% · Q4 6.5% · 4Q avg 4.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 16.4%
16.1%
0.3 pts worse
14.9%
1.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 10.7% · Q2 14.0% · Q3 18.5% · Q4 22.6% · 4Q avg 16.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.2%
0.5%
0.3 pts better
1.0%
0.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.6% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.9%
0.8%
0.1 pts worse
1.7%
0.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 1.7% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 9.4%
15.0%
5.6 pts better
19.8%
10.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 15.7% · Q2 10.0% · Q3 5.4% · Q4 6.1% · 4Q avg 9.4%
Percentage of long-stay residents with pressure ulcers 7.5%
4.2%
3.3 pts worse
5.1%
2.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 10.2% · Q3 5.7% · Q4 6.9% · 4Q avg 7.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 64.5%
89.7%
25.2 pts worse
81.7%
17.2 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 64.7% · Q2 66.7% · Q3 68.8% · Q4 59.5% · 4Q avg 64.5%
Percentage of short-stay residents who had an outpatient emergency department visit 4.0%
12.0%
8 pts better
12.0%
8 pts better
Short Stay · 20240701-20250630 · Adjusted 4.0% · Observed 4.3% · Expected 12.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 7.8%
1.5%
6.3 pts worse
1.6%
6.2 pts worse
Short Stay · 2024Q4-2025Q3 · Q4 5.0% · 4Q avg 7.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 72.7%
88.0%
15.3 pts worse
79.7%
7 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 72.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 23.5%
25.9%
2.4 pts better
23.9%
0.4 pts better
Short Stay · 20240701-20250630 · Adjusted 23.5% · Observed 26.1% · Expected 26.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-03 · Fire 2025-04-03

13 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)

11 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Cycle 2 Health 2024-02-10 · Fire 2024-02-10

10 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

3 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 3 Health 2022-12-08 · Fire 2022-12-08

8 health deficiencies

Top issue: Infection Control (3 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-04-03

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-05-01

F · Potential for more than minimal harm 2025-04-03

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-05-01

F · Potential for more than minimal harm 2025-04-03

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2025-05-01

F · Potential for more than minimal harm 2025-04-03

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-05-01

E · Potential for more than minimal harm 2025-04-03

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-05-01

E · Potential for more than minimal harm 2025-04-03

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-05-01

E · Potential for more than minimal harm 2025-04-03

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2025-05-01

E · Potential for more than minimal harm 2025-04-03

K929 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

Corrected 2025-05-01

D · Potential for more than minimal harm 2025-04-03

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2025-05-01

D · Potential for more than minimal harm 2025-04-03

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2025-05-01

C · Minimal harm 2025-04-03

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2025-05-01

E · Potential for more than minimal harm 2024-02-10

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-02-08

E · Potential for more than minimal harm 2024-02-10

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-02-08

C · Minimal harm 2024-02-10

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-02-08

E · Potential for more than minimal harm 2022-12-08

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2023-03-03

C · Minimal harm 2022-12-08

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-03-03

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-01-10

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 2026-01-11

D · Potential for more than minimal harm 2026-01-10

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2026-01-11

D · Potential for more than minimal harm 2025-12-05

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-12-06

J · Immediate jeopardy 2025-08-14

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-08-15

E · Potential for more than minimal harm 2025-08-14

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-08-15

D · Potential for more than minimal harm 2025-08-14

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-08-15

E · Potential for more than minimal harm 2025-04-03

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2025-05-01

D · Potential for more than minimal harm 2025-04-03

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-05-01

D · Potential for more than minimal harm 2025-04-03

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2025-05-01

D · Potential for more than minimal harm 2025-04-03

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2025-05-01

D · Potential for more than minimal harm 2025-04-03

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-05-01

E · Potential for more than minimal harm 2025-03-17

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 2025-03-21

D · Potential for more than minimal harm 2025-03-17

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-03-21

D · Potential for more than minimal harm 2024-05-19

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 2024-05-21

K · Immediate jeopardy 2024-02-10

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-02-11

K · Immediate jeopardy 2024-02-10

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-02-11

E · Potential for more than minimal harm 2024-02-10

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-02-11

E · Potential for more than minimal harm 2024-02-10

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-02-11

E · Potential for more than minimal harm 2024-02-10

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 2024-02-11

E · Potential for more than minimal harm 2024-02-10

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-02-11

E · Potential for more than minimal harm 2024-02-10

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-02-11

D · Potential for more than minimal harm 2024-02-10

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-02-11

D · Potential for more than minimal harm 2024-02-10

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-02-11

D · Potential for more than minimal harm 2023-12-09

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2023-12-27

D · Potential for more than minimal harm 2023-12-09

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-12-27

D · Potential for more than minimal harm 2023-06-23

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-06-24

D · Potential for more than minimal harm 2023-06-23

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-06-24

D · Potential for more than minimal harm 2023-03-23

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-04-20

E · Potential for more than minimal harm 2023-03-17

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-03-31

E · Potential for more than minimal harm 2022-12-08

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-01-07

D · Potential for more than minimal harm 2022-12-08

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2023-01-07

Penalties and ownership

What sits behind the stars

$8,281 2025-08-14

Fine

Fine · fine $8,281

Fine

$41,438 2024-02-10

Fine

Fine · fine $41,438

Fine

Ownership

Uvalde County Hospital Authority

5% Or Greater Direct Ownership Interest · Organization

100% 36 facilities 2022-10-01
Apolinar, Adam

Corporate Officer · Individual

0% 37 facilities 2015-07-23
Contreras, Terri

Corporate Officer · Individual

0% 20 facilities 2019-04-29
Dekowski, Donovan

Operational/Managerial Control · Individual

0% 59 facilities 2022-10-01
Elliott, Benjamin

Corporate Officer · Individual

0% 9 facilities 2016-01-13
Faglie, Kelly

Corporate Officer · Individual

0% 9 facilities 2017-03-31
Gaitonde, Gajanan

Corporate Officer · Individual

0% 8 facilities 2006-02-28
Gonzales, Hector

Corporate Officer · Individual

0% 9 facilities 2001-03-27
Gutierrez, Monica

Corporate Officer · Individual

0% 8 facilities 2016-01-13
Kessler, William

Corporate Officer · Individual

0% 8 facilities 1973-02-27
Martinez-Purata, Dario

Operational/Managerial Control · Individual

0% 1 facilities 2025-03-10
Regency Ihs Of West Laredo LLC

Operational/Managerial Control · Organization

0% 1 facilities 2022-10-01
Regency Integrated Health Services LLC

Operational/Managerial Control · Organization

0% 55 facilities 2022-10-01
Uvalde County Hospital Authority

Operational/Managerial Control · Organization

0% 36 facilities 2022-10-01
Zamora, Raul

Corporate Officer · Individual

0% 8 facilities 1980-12-30

Nearby options

Other facilities in reach

#1

Laredo South Nursing And Rehabilitation Center

Laredo, TX

4-star overall rating with 4-star inspections with $8,021 in total fines with 6 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

Overall
4 / 5
Health
4 / 5
Staffing
2 / 5
Fines
$8,021
#2

Laredo Medical Center

Laredo, TX

5-star overall rating with 5-star inspections with 1 recent health deficiencies

Overall
5 / 5
Health
5 / 5
Staffing
4 / 5
Fines
$0

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