Weslaco, TX

Weslaco Nursing And Rehabilitation Center

3-star overall rating with 4-star inspections with 10 recent health deficiencies

422 E 18th St, Weslaco, TX

(956) 973-8451

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

111

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Wellsential Health

Operator or chain grouping

Approved since

2004-10-05

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

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

0.17

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

1.02

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

2.10

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

3.28

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.19

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

2.87

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.12

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

0.16

CMS adjusted RN staffing hours

Adjusted total hours

3.08

CMS adjusted total nurse staffing hours

Case-mix index

1.46

Higher values indicate more complex resident acuity

RN turnover

Annual RN turnover

Total nurse turnover

28%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

7,758

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

Performance score

28.87

Composite VBP score used to determine payment impact.

Payment multiplier

0.9852

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 20.05% · Performance 22.17% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

1.55

Baseline 7.02% · Performance 7.37% · Measure score 1.55 · Achievement 1.55 · Improvement 0

Total nurse turnover

Baseline 30.44% · Performance 23.46% · Measure score 10 · Achievement 10 · Improvement 9

Adjusted total nurse staffing

Baseline 2.96 hours · Performance 3.07 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.57%	10.72% 0.8 pts worse	No Different than the National Rate · Eligible stays 108 · Observed rate 15.74% · Lower 95% interval 8.5%
Discharge to community	63.43%	50.57% 12.9 pts better	Better than the National Rate · Eligible stays 85 · Observed rate 54.12% · Lower 95% interval 51.12%
Medicare spending per beneficiary	0.93	1.02 0.1 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 69 · Denominator 69
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 69
Discharge self-care score	40.38%	53.69% 13.3 pts worse	Numerator 21 · Denominator 52
Discharge mobility score	30.77%	50.94% 20.2 pts worse	Numerator 16 · Denominator 52
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 69 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	7.37%	7.12% 0.2 pts worse	No Different than the National Rate · Eligible stays 48 · Observed rate 10.42% · Lower 95% interval 3.39%
Staff COVID-19 vaccination coverage	63.28%	8.2% 55.1 pts better	Numerator 81 · Denominator 128
Staff flu vaccination coverage	81.25%	42% 39.2 pts better	Numerator 130 · Denominator 160
Discharge function score	42.31%	56.45% 14.1 pts worse	Numerator 22 · Denominator 52
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Transfer of health information to patient	97.06%	96.28% 0.8 pts better	Numerator 33 · Denominator 34
Resident COVID-19 vaccinations up to date	4.88%	25.2% 20.3 pts worse	Numerator 2 · Denominator 41

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	100.0%	97.9% 2.1 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	3.1%	3.3% 0.2 pts better	3.3% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 3.7% · Q3 3.7% · Q4 2.6% · 4Q avg 3.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	2.7% 2.7 pts better	11.4% 11.4 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 who lose too much weight	4.5%	3.3% 1.2 pts worse	5.4% 0.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 5.4% · Q3 4.5% · Q4 5.7% · 4Q avg 4.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	17.8%	18.9% 1.1 pts better	19.6% 1.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.9% · Q2 17.6% · Q3 18.6% · Q4 18.3% · 4Q avg 17.8%
Percentage of long-stay residents who received an antipsychotic medication	10.7%	10.8% 0.1 pts better	16.7% 6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.9% · Q2 13.1% · Q3 9.8% · Q4 8.6% · 4Q avg 10.7% · 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	13.8%	15.4% 1.6 pts better	16.3% 2.5 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 13.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	12.0%	16.1% 4.1 pts better	14.9% 2.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 10.9% · Q3 16.1% · Q4 13.1% · 4Q avg 12.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.4%	0.5% 0.9 pts worse	1.0% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 3.2% · Q3 0.0% · Q4 0.0% · 4Q avg 1.4% · 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	14.3%	15.0% 0.7 pts better	19.8% 5.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.2% · Q2 15.4% · Q3 14.5% · Q4 11.9% · 4Q avg 14.3%
Percentage of long-stay residents with pressure ulcers	4.0%	4.2% 0.2 pts better	5.1% 1.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 7.0% · Q3 1.6% · Q4 4.3% · 4Q avg 4.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	87.9%	89.7% 1.8 pts worse	81.7% 6.2 pts better	Short Stay · 2024Q4-2025Q3 · Q1 75.0% · Q2 93.9% · Q3 90.7% · Q4 90.9% · 4Q avg 87.9%
Percentage of short-stay residents who had an outpatient emergency department visit	12.0%	12.0% About the same	12.0% About the same	Short Stay · 20240701-20250630 · Adjusted 12.0% · Observed 12.2% · Expected 11.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.7%	1.5% 0.2 pts worse	1.6% 0.1 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.0% · Q3 3.4% · Q4 1.2% · 4Q avg 1.7% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	96.3%	88.0% 8.3 pts better	79.7% 16.6 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 96.3%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	28.1%	25.9% 2.2 pts worse	23.9% 4.2 pts worse	Short Stay · 20240701-20250630 · Adjusted 28.1% · Observed 26.8% · Expected 22.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-14 · Fire 2025-05-14

10 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-03-14 · Fire 2024-03-14

10 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-01-06 · Fire 2023-01-06

4 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-11-19

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-11-20

D · Potential for more than minimal harm 2025-11-19

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-11-20

D · Potential for more than minimal harm 2025-05-14

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 2025-05-15

D · Potential for more than minimal harm 2025-05-14

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-05-15

D · Potential for more than minimal harm 2025-05-14

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 2025-05-15

D · Potential for more than minimal harm 2025-05-14

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2025-05-15

D · Potential for more than minimal harm 2025-05-14

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 2025-05-15

D · Potential for more than minimal harm 2025-05-14

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2025-05-15

D · Potential for more than minimal harm 2025-03-31

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 2025-04-04

D · Potential for more than minimal harm 2025-03-31

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-04-04

E · Potential for more than minimal harm 2024-03-14

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2024-03-15

E · Potential for more than minimal harm 2024-03-14

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 2024-03-15

E · Potential for more than minimal harm 2024-03-14

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 2024-03-15