Federal inspection record · CMS data as of October 1, 2026
Rio Grande City Nursing And Rehabilitation Center
2530 Central Palm Dr, Rio Grande City, TX · (956) 487-3996
- Certified beds
- 110
- Residents per day
- 86
- Ownership
- Government
- Chain
- Wellsential Health
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 19, 2006
1
How this home got 4 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.
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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
★★★★★no change
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
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Rio Grande City Nursing And Rehabilitation Center carries 43 inspection points. That is fewer than 74% 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
18 health citations on record since 2023. 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 (1)
-
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 Rights5D
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
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.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Reasonably accommodate the needs and preferences of each resident.
Resident Assessment and Care Planning3D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 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.
Pharmacy Service3E
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 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.
- 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.
Nursing and Physician Services2D
- D
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- C
Post nurse staffing information every day.
Quality of Life and Care2D
- D
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Freedom from Abuse, Neglect, and Exploitation1D
- 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.
Inspection history
2025-09-10
11 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Rights (4 deficiencies)
2024-08-08
4 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2023-05-18
3 health deficiencies · 0 fire-safety deficiencies
Top issue: Nursing and Physician Services (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 21 min of nursing staff time a day, 27 min of it from a registered nurse.
This home
3 h 21 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 30% of nursing staff and 33% 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
$13,514 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-11-04 | Fine | $13,514 |
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 vaccine3.3 pts better | 99.7% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better | 100.0% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.1 pts better | 3.1% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2 pts better | 0.3% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.4 pts worse | 3.3% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.9 pts worse | 19.7% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication11.9 pts worse | 21.7% | 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 worsened6.4 pts better | 6.5% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased8.1 pts better | 7.7% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladderAbout the same | 0.3% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts better | 0.0% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.7 pts better | 7.8% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.1 pts better | 0.6% | 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 visit17 pts worse | 29.2% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts better | 1.1% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine14.6 pts better | 100.0% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission18.9 pts worse | 44.4% | 25.5% | 23.4% |
·
Who owns and runs it
37 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 |
|---|---|---|---|
| Starr County Hospital District | 5% Or Greater Direct Ownership Interest · Organization | 100% | 7 facilities |
| 2530 Central Palm Drive LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Baird, Daniel | Managing Control - Governing Body · Individual | 0% | 58 facilities |
| Clapp, Barbara | Managing Control - Governing Body · Individual | 0% | 69 facilities |
| Cortese, Daren | Managing Control - Governing Body · Individual | 0% | 58 facilities |
| Csv Rhea Management Holdco, LLC | Indirect Ownership Interest · Organization | 0% | 63 facilities |
| Dekowski, Donovan | Operational/Managerial Control · Individual | 0% | 69 facilities |
| Dekowski, Donovan | Adp Of The SNF · Individual | 0% | 69 facilities |
| Dwd Tx Holdings LLC | Indirect Ownership Interest · Organization | 0% | 63 facilities |
| Gibson, Patricia | Managing Control - Governing Body · Individual | 0% | 57 facilities |
| Gonzales, Ana | Adp Of The SNF · Individual | 0% | 1 facilities |
| Guerra, Adrian | Managing Control - Governing Body · Individual | 0% | 7 facilities |
| Jack And Nancy Dwyer Workforce Development Center Inc | Indirect Ownership Interest · Organization | 0% | 68 facilities |
| Mandelbaum, Elliot | Managing Control - Governing Body · Individual | 0% | 61 facilities |
| Martinez, Arturo | Adp Of The SNF · Individual | 0% | 2 facilities |
| Munoz, Thalia | Managing Control - Governing Body · Individual | 0% | 7 facilities |
| Munoz, Thalia | Corporate Officer · Individual | 0% | 7 facilities |
| Pena, Alegria | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Pena, Alegria | Adp Of The SNF · Individual | 0% | 1 facilities |
| Pena, Elisa | Managing Control - Governing Body · Individual | 0% | 7 facilities |
| Pena, Emanuel | Adp Of The SNF · Individual | 0% | 1 facilities |
| Reg Hg Opco 1, LLC | Indirect Ownership Interest · Organization | 0% | 19 facilities |
| Reg Hg Opco LLC | Indirect Ownership Interest · Organization | 0% | 39 facilities |
| Reg Operator Holdco LLC | Indirect Ownership Interest · Organization | 0% | 63 facilities |
| Regency Ihs Clinical Consulting, LLC | Adp Of The SNF · Organization | 0% | 70 facilities |
| Regency Ihs Master Tenant LLC | Adp Of The SNF · Organization | 0% | 17 facilities |
| Regency Ihs Of Rio Grande City, LLC | Direct Ownership Interest · Organization | 0% | 1 facilities |
| Regency Ihs Of Rio Grande City, LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Regency Ihs Of Rio Grande City, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Regency Ihs Rehab LLC | Adp Of The SNF · Organization | 0% | 68 facilities |
| Regency Integrated Health Services LLC | Indirect Ownership Interest · Organization | 0% | 70 facilities |
| Regency Integrated Health Services LLC | Operational/Managerial Control · Organization | 0% | 70 facilities |
| Regency Integrated Health Services LLC | Adp Of The SNF · Organization | 0% | 70 facilities |
| Regency Texas Holdings LLC | Indirect Ownership Interest · Organization | 0% | 63 facilities |
| Salinas, Arcadio | Managing Control - Governing Body · Individual | 0% | 7 facilities |
| Starr County Hospital District | Operational/Managerial Control · Organization | 0% | 7 facilities |
| Starr County Hospital District | Adp Of The SNF · Organization | 0% | 7 facilities |
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Other homes nearby
-
Starr County Nursing And Transitional Care
Rio Grande City, TX · Wellsential Health
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 2 h 52 min
- Fines
- $0
-
Las Alturas de Penitas
Penitas, TX · Touchstone Communities
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 15 min
- Fines
- $150,343
-
Mission Nursing and Rehabilitation Center
Mission, TX · Hmg Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 30 min
- Fines
- $0