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Medina Valley Health & Rehabilitation Center

Castroville, TX · Medicare and Medicaid-certified nursing home (CCN 675974) · 116 certified beds

CMS overall rating: 3★ (state average 2.65★ — above state average)
Health inspection: 4 · Quality measures: 4 · Staffing: 1
Federal fines: none on current record
Phone: (830) 931-2900 · Verify on Medicare Care Compare ↗

Medina Valley Health & Rehabilitation Center has a CMS overall star rating of 3 out of 5, which is above the Texas state average of 2.65 stars. Its health inspection rating is 4 stars and its staffing rating is 1 star.

Medina Valley Health & Rehabilitation Center reports total nurse staffing of about 2.95 hours per resident per day, with only 0.28 RN hours per resident per day, and a nursing staff turnover rate of 37.5%. CMS gives this facility a 1-star staffing rating, the lowest possible.

Medina Valley Health & Rehabilitation Center has no federal fines on record, totaling $0.00, and no payment denials on record according to CMS data. CMS data provided does not indicate an abuse icon or a Special Focus Facility designation for this location.

Overall rating vs. benchmarks
Medina Valley Health … Medina Valley Health …: 3★ 3★ TX average TX average: 2.65★ 2.65★

About this facility

Medina Valley Health & Rehabilitation Center is a for-profit partnership-owned nursing home in Castroville, Medina County, Texas, certified for both Medicare and Medicaid since June 20, 2003. The facility has 116 certified beds and an average daily census of 89.1 residents.

According to CMS Care Compare data, the facility holds an overall star rating of 3 out of 5, which is above the Texas state average of 2.65. The health inspection rating is 4 stars, the quality measure (QM) rating is 4 stars, and the staffing rating is 1 star. Total nurse staffing is reported at 2.95 hours per resident per day, with registered nurse (RN) hours at 0.28 per resident per day. Nursing staff turnover is reported at 37.5%.

Regarding penalties, CMS records show no federal fines on record for this facility (0 fines totaling $0.00) and no payment denials on record.

CMS Care Compare does not indicate an abuse icon or a Special Focus Facility designation for this location in the data provided. There is no indication in this data of a chain affiliation, and ownership has not changed within the past 12 months according to CMS records.

Families evaluating this facility for a parent should note the relatively low staffing star rating and elevated turnover percentage alongside the otherwise above-average overall, health inspection, and quality measure ratings. This profile is based on CMS Care Compare data as reported; families are encouraged to verify current details directly with Medicare Care Compare before making a decision.

Questions families ask

What is this nursing home's CMS overall star rating and how does it compare to the state average?

It has an overall rating of 3 out of 5 stars, which is above the Texas state average of 2.65 stars.

Does this facility accept Medicare, Medicaid, or both?

It accepts both Medicare and Medicaid.

How well is this facility staffed — nurse hours per resident and turnover?

Total nurse staffing is about 2.95 hours per resident per day, with 0.28 RN hours per resident per day, and turnover of 37.5%; CMS rates staffing at 1 star.

Does this facility have federal fines or penalties on record?

No, CMS records show 0 fines totaling $0.00 and no payment denials.

Has CMS flagged this facility for abuse or placed it in the Special Focus program?

The data provided does not indicate an abuse icon or a Special Focus Facility designation for this facility.

How large is this facility and how many residents live there?

It is certified for 116 beds with an average daily census of 89.1 residents.

Who owns this facility — and is it part of a chain?

It is owned as a for-profit partnership; the data provided does not indicate a chain affiliation.

How long has this facility been Medicare/Medicaid certified?

It has been certified since June 20, 2003.

What do the four different CMS star ratings mean?

CMS publishes an overall rating plus separate ratings for health inspections (4 stars), quality measures (4 stars), and staffing (1 star), which combine into the overall 3-star rating.

Does this facility offer short-term rehabilitation as well as long-term care?

This is not specified in the data provided; contact the facility at 8309312900 and verify on Medicare Care Compare.

What should I look for when touring this facility?

This is not addressed in the CMS data provided; contact the facility at 8309312900 to arrange a tour and verify details on Medicare Care Compare.

How do I verify this facility's current record on Medicare Care Compare?

You can review the current record at https://www.medicare.gov/care-compare/details/nursing-home/675974?state=TX.

Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.