Mercedes, TX

Mid Valley Nursing & Rehabilitation

2-star overall rating with 2-star inspections with $16,611 in total fines with 13 recent health deficiencies

601 N Mile 2 West, Mercedes, TX

(956) 294-1689

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

123

Certified beds

Average residents

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

Touchstone Communities

Operator or chain grouping

Approved since

2017-01-10

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

28 facilities

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

Changed ownership

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

0.23

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

0.99

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

2.03

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

3.25

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.22

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

2.89

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.14

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.20

CMS adjusted RN staffing hours

Adjusted total hours

2.74

CMS adjusted total nurse staffing hours

Case-mix index

1.63

Higher values indicate more complex resident acuity

RN turnover

Annual RN turnover

Total nurse turnover

45%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

10,172

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

Performance score

21.25

Composite VBP score used to determine payment impact.

Payment multiplier

0.9826

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0.63

Baseline 19.16% · Performance 21.14% · Measure score 0.63 · Achievement 0.63 · Improvement 0

Healthcare-associated infections

4.84

Baseline 8.04% · Performance 6.42% · Measure score 4.84 · Achievement 4.75 · Improvement 4.84

Total nurse turnover

3.02

Performance 51.32% · Measure score 3.02 · Achievement 3.02 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

Baseline 2.70 hours · Performance 2.62 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.88%	10.72% 2.2 pts worse	No Different than the National Rate · Eligible stays 82 · Observed rate 21.95% · Lower 95% interval 9.44%
Discharge to community	60.97%	50.57% 10.4 pts better	No Different than the National Rate · Eligible stays 61 · Observed rate 49.18% · Lower 95% interval 46.73%
Medicare spending per beneficiary	1.2	1.02 0.2 pts worse
Drug regimen review with follow-up	80.56%	95.27% 14.7 pts worse	Numerator 58 · Denominator 72
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 72
Discharge self-care score	47.62%	53.69% 6.1 pts worse	Numerator 20 · Denominator 42
Discharge mobility score	38.1%	50.94% 12.8 pts worse	Numerator 16 · Denominator 42
Pressure ulcers or injuries, new or worsened	2.78%	2.29% 0.5 pts worse	Numerator 2 · Denominator 72 · Adjusted rate 1.84%
Healthcare-associated infections requiring hospitalization	6.42%	7.12% 0.7 pts better	No Different than the National Rate · Eligible stays 50 · Observed rate 6% · Lower 95% interval 3.59%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 111
Staff flu vaccination coverage	1.13%	42% 40.9 pts worse	Numerator 7 · Denominator 620
Discharge function score	40.48%	56.45% 16 pts worse	Numerator 17 · Denominator 42
Transfer of health information to provider	90.48%	95.95% 5.5 pts worse	Numerator 19 · Denominator 21
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 33 · Denominator 33
Resident COVID-19 vaccinations up to date	7.69%	25.2% 17.5 pts worse	Numerator 3 · Denominator 39

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	97.1% 2.9 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	88.6%	97.9% 9.3 pts worse	95.5% 6.9 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 88.6%
Percentage of long-stay residents experiencing one or more falls with major injury	0.4%	3.3% 2.9 pts better	3.3% 2.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.4%	2.7% 2.3 pts better	11.4% 11 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.6% · 4Q avg 0.4%
Percentage of long-stay residents who lose too much weight	0.4%	3.3% 2.9 pts better	5.4% 5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.8% · 4Q avg 0.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	11.7%	18.9% 7.2 pts better	19.6% 7.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.1% · Q2 8.3% · Q3 14.3% · Q4 14.3% · 4Q avg 11.7%
Percentage of long-stay residents who received an antipsychotic medication	5.0%	10.8% 5.8 pts better	16.7% 11.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 4.1% · Q3 5.7% · Q4 6.7% · 4Q avg 5.0% · 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	3.1%	15.4% 12.3 pts better	16.3% 13.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 0.0% · Q4 7.9% · 4Q avg 3.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	5.4%	16.1% 10.7 pts better	14.9% 9.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 6.2% · Q3 4.5% · Q4 5.1% · 4Q avg 5.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.5% 0.5 pts better	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% · 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	6.1%	15.0% 8.9 pts better	19.8% 13.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 3.1% · Q3 6.1% · Q4 10.9% · 4Q avg 6.1%
Percentage of long-stay residents with pressure ulcers	1.3%	4.2% 2.9 pts better	5.1% 3.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 1.1% · Q3 1.1% · Q4 2.1% · 4Q avg 1.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	98.4%	89.7% 8.7 pts better	81.7% 16.7 pts better	Short Stay · 2024Q4-2025Q3 · Q1 97.4% · Q2 100.0% · Q3 98.5% · Q4 97.4% · 4Q avg 98.4%
Percentage of short-stay residents who had an outpatient emergency department visit	11.4%	12.0% 0.6 pts better	12.0% 0.6 pts better	Short Stay · 20240701-20250630 · Adjusted 11.4% · Observed 15.0% · Expected 14.6% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.5% 1.5 pts better	1.6% 1.6 pts better	Short 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 short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	29.1%	88.0% 58.9 pts worse	79.7% 50.6 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 29.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	30.5%	25.9% 4.6 pts worse	23.9% 6.6 pts worse	Short Stay · 20240701-20250630 · Adjusted 30.5% · Observed 38.3% · Expected 29.9% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-05 · Fire 2025-02-05

14 health deficiencies

Top issue: Resident Assessment and Care Planning (6 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2023-11-16 · Fire 2023-11-16

8 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 3 Health 2022-08-18 · Fire 2022-08-18

6 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

1 fire-safety deficiencies

Top issue: Services (1 deficiency)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2023-11-16

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-11-16

D · Potential for more than minimal harm 2022-08-18

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2022-09-16

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-01-13

F573 · Resident Rights Deficiencies

Health

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

Corrected 2026-02-09

D · Potential for more than minimal harm 2026-01-13

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 2026-02-09

D · Potential for more than minimal harm 2026-01-13

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 2026-02-09

D · Potential for more than minimal harm 2025-12-31

F578 · Resident Rights Deficiencies

Health

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.

Corrected 2026-01-16

D · Potential for more than minimal harm 2025-12-31

F694 · Quality of Life and Care Deficiencies

Health

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2026-01-16

D · Potential for more than minimal harm 2025-12-31

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 2026-01-16

D · Potential for more than minimal harm 2025-04-11

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2025-05-01

D · Potential for more than minimal harm 2025-03-07

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 2025-04-03

D · Potential for more than minimal harm 2025-03-07

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 2025-04-03

E · Potential for more than minimal harm 2025-02-05

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 2025-02-28

D · Potential for more than minimal harm 2025-02-05

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 2025-02-28

D · Potential for more than minimal harm 2025-02-05

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-02-28

D · Potential for more than minimal harm 2025-02-05

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-02-28

D · Potential for more than minimal harm 2025-02-05

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-02-28

J · Immediate jeopardy 2024-12-23

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 2024-12-24

J · Immediate jeopardy 2024-12-23

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2024-12-24

J · Immediate jeopardy 2024-12-23

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 2024-03-21

J · Immediate jeopardy 2024-12-23

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-12-24

D · Potential for more than minimal harm 2024-12-23

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 2024-12-24

D · Potential for more than minimal harm 2024-12-23

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 2024-12-24

D · Potential for more than minimal harm 2024-04-16

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 2024-05-09

D · Potential for more than minimal harm 2023-11-16

F578 · Resident Rights Deficiencies

Health

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.

Corrected 2023-11-17

E · Potential for more than minimal harm 2023-10-31

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 2023-11-02

D · Potential for more than minimal harm 2022-08-18

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2022-09-20

D · Potential for more than minimal harm 2022-08-18

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2022-09-20

D · Potential for more than minimal harm 2022-08-18

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 2022-09-20

D · Potential for more than minimal harm 2022-08-18

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-09-20

D · Potential for more than minimal harm 2022-08-18

F758 · Pharmacy Service Deficiencies

Health

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.

Corrected 2022-09-20

Penalties and ownership

What sits behind the stars

$8,281 2024-12-23

Fine

Fine · fine $8,281

Fine

$8,330 2024-12-23

Fine

Fine · fine $8,330

Fine

Ownership

Uvalde County Hospital Authority

5% Or Greater Direct Ownership Interest · Organization

100% 36 facilities 2019-04-01

Apolinar, Adam

Corporate Officer · Individual

0% 37 facilities 2015-08-01

Campbell, Leslie