Federal inspection record · CMS data as of October 1, 2026
Village Healthcare and Rehabilitation
615 N Ware Rd, McAllen, TX · (956) 664-8900
- Certified beds
- 114
- Residents per day
- 101
- Ownership
- For-Profit
- Chain
- The Ensign Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 1, 2011
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.
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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
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Village Healthcare and Rehabilitation carries 56 inspection points. That is fewer than 62% 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
21 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 (3)
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J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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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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J
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
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
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Ensure each resident receives an accurate assessment.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care4E
- D
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.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Resident Rights3E
- D
Keep residents' personal and medical records private and confidential.
- E
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- E
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Pharmacy Service3D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
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
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.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Inspection history
2026-06-04
8 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
2025-04-10
8 health deficiencies · 2 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2024-01-26
5 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 24 min of nursing staff time a day, 29 min of it from a registered nurse.
This home
3 h 24 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 27% of nursing staff and 0% 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
$28,970 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-06-05 | Fine | $14,901 |
| 2025-04-10 | Fine | $14,069 |
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. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts better | 1.8 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.3 pts better | 0.7 | 2.0 | 1.7 |
| 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 vaccine3 pts better | 100.0% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.2 pts better | 3.0% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.6 pts worse | 6.9% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weightAbout the same | 2.9% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication8.7 pts better | 9.1% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.3 pts worse | 13.1% | 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 worsened5.9 pts better | 7.0% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.8 pts better | 10.0% | 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 infection0.5 pts better | 0.3% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.4 pts better | 6.1% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.5 pts worse | 4.2% | 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 visit3.2 pts better | 9.0% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.5 pts worse | 1.9% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine13.9 pts better | 99.3% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission11.8 pts better | 13.7% | 25.5% | 23.4% |
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Who owns and runs it
16 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 |
|---|---|---|---|
| Fannin County Hospital Authority | 5% Or Greater Direct Ownership Interest · Organization | 100% | 54 facilities |
| Ann Arbor Health Holdings LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Burnam, Soon | Corporate Officer · Individual | 0% | 353 facilities |
| Ensign Services Inc | Adp Of The SNF · Organization | 0% | 299 facilities |
| Keetch, Chad | Corporate Officer · Individual | 0% | 301 facilities |
| Mcallen Community Healthcare, Inc. | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Mcallen Community Healthcare, Inc. | Adp Of The SNF · Organization | 0% | 1 facilities |
| Olivares Herrera, Olga | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Olivares Herrera, Olga | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Olivares Herrera, Olga | Adp Of The SNF · Individual | 0% | 1 facilities |
| Sanderson, Clark | Corporate Officer · Individual | 0% | 58 facilities |
| Standard Bearer Healthcare Op, LP | Adp Of The SNF · Organization | 0% | 78 facilities |
| The Ensign Group Inc | Adp Of The SNF · Organization | 0% | 135 facilities |
| Yzaguirre, Alexandra | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Yzaguirre, Alexandra | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Yzaguirre, Alexandra | Adp Of The SNF · Individual | 0% | 1 facilities |
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Fire safety
6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Services3E
- 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.
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Emergency Preparedness2F
- F
Conduct testing and exercise requirements.
- F
Conduct risk assessment and an All-Hazards approach.
Smoke1F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
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Other homes nearby
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Briarcliff Nursing and Rehabilitation Center
McAllen, TX · Wellsential Health · Abuse icon
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 10 min
- Fines
- $63,129
-
Windsor Nursing and Rehabilitation Center of Mcall
Mcallen, TX · Wellsential Health
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 2 h 48 min
- Fines
- $24,083
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Grand Terrace Rehabilitation and Healthcare
McAllen, TX · The Ensign Group
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h 41 min
- Fines
- $0