nursing home in McAllen, TX
Grand Terrace Rehabilitation and Healthcare
812 W. Houston Ave., McAllen, TX 78501 · (956) 682-6331
CMS overall star rating
- Health inspections★★★★★5
- Staffing★★★★★2
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Grand Terrace Rehabilitation and Healthcare at a glance
Grand Terrace Rehabilitation and Healthcare is a 93-bed for-profit nursing home in McAllen, Texas (Hidalgo County).
CMS gives it 5 out of 5 stars on its overall star rating, better than the Texas average of 2.7.
Residents receive about 3.6 hours of nursing care per day (0.4 of them from registered nurses), close to the state average of 3.4 hours.
Its most recent standard health inspection (February 19, 2026) found 9 health citations. The Texas average is 9.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 25.8% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 93
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- The Ensign Group
- Medicare-certified since
- August 21, 1985
- Resident/family council
- Both
- County
- Hidalgo County
- CMS Certification Number
- 455586
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 5 / 5 | 2.7 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 5 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3.7 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 4 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 3.2 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.55 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.38 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.29 hrs | 2.01 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 3.05 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 25.8% | 55.3% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 25% | 54.6% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 9 | 9 | 9 | Average |
| Citations from complaint investigations (latest cycle) (lower is better) | 6 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 26 | 102 | 80.6 | Better |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $44,141 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 2 | 1 | Better |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 93 | 113 | 107 | |
| Average residents per day | 82 | 76 | 86 | |
| Occupancy | 87.7% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.4% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 2.8% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 15.8% | 9.6% | 15.4% | Average |
| Long-stay residents with a urinary tract infection (lower is better) | 0.4% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 7.3% | 15.8% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 4.6% | 14% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 13.6% | 3% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 11.8% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 12.6% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 96.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.8% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 98.9% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 100% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 16 health deficiencies and 0 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 17, 2026 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected June 18, 2026 |
| June 17, 2026 Complaint | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | C No harm, widespread | Corrected June 18, 2026 |
| May 8, 2026 Complaint | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected May 10, 2026 |
| February 19, 2026 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected February 20, 2026 |
| February 19, 2026 Standard | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 | D Potential harm, isolated | Corrected February 20, 2026 |
| February 19, 2026 Standard | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Tag F0552 | D Potential harm, isolated | Corrected February 20, 2026 |
| December 8, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected December 9, 2025 |
| December 4, 2025 Complaint | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected December 5, 2025 |
| November 19, 2025 Complaint | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected November 20, 2025 |
| November 20, 2024 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected November 22, 2024 |
| November 8, 2024 Complaint | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | D Potential harm, isolated | Corrected November 10, 2024 |
| August 31, 2023 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected September 1, 2023 |
| August 31, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected September 1, 2023 |
| August 31, 2023 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected September 1, 2023 |
| August 31, 2023 Standard | 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. Quality of Life and Care Deficiencies · Tag F0693 | D Potential harm, isolated | Corrected September 1, 2023 |
| August 31, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected September 1, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| FANNIN COUNTY HOSPITAL AUTHORITY Organization | 5% or greater direct ownership interest | 100% | 12/01/2023 |
| ALAM, KHURSHEED Individual | adp of the snf | NOT APPLICABLE | 05/15/2024 |
| CARETRUST GP LLC Organization | adp of the snf | NOT APPLICABLE | 12/01/2023 |
| CARETRUST REIT INC Organization | adp of the snf | NOT APPLICABLE | 12/01/2023 |
| CTR PARTNERSHIP LP Organization | adp of the snf | NOT APPLICABLE | 12/01/2023 |
| ENSIGN SERVICES INC Organization | adp of the snf | NOT APPLICABLE | 12/01/2009 |
| GUZMAN, NEFI Individual | adp of the snf | NOT APPLICABLE | 12/01/2023 |
| MCALLEN CARE ASSOCIATES, INC. Organization | adp of the snf | NOT APPLICABLE | 09/29/2025 |
| RIO GRANDE HEALTH HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 12/01/2023 |
| BURNAM, SOON Individual | corporate officer | NOT APPLICABLE | 12/01/2023 |
| KEETCH, CHAD Individual | corporate officer | NOT APPLICABLE | 03/01/2011 |
| SANDERSON, CLARK Individual | corporate officer | NOT APPLICABLE | 12/01/2023 |
| ALAM, KHURSHEED Individual | managing control - governing body | NOT APPLICABLE | 05/15/2024 |
| GUZMAN, NEFI Individual | managing control - governing body | NOT APPLICABLE | 12/01/2023 |
| ALAM, KHURSHEED Individual | operational/managerial control | NOT APPLICABLE | 05/15/2024 |
| GUZMAN, NEFI Individual | operational/managerial control | NOT APPLICABLE | 12/01/2023 |
| MCALLEN CARE ASSOCIATES, INC. Organization | operational/managerial control | NOT APPLICABLE | 12/01/2023 |
Other nursing homes near Grand Terrace Rehabilitation and Healthcare
Windsor Nursing and Rehabilitation Center of McAll
900 S 12th St, McAllen, TX 78501 · under 1 mi
Non-profit · 110 beds · Part of Wellsential Health
★★★★★3AverageMcAllen Nursing Center
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Government · 122 beds · Part of Advanced Healthcare Solutions
★★★★★3AverageAlfredo Gonzalez Texas State Veterans Home
301 E Yuma Ave, McAllen, TX 78503 · 1.3 mi
Government · 160 beds · Part of Texvet
- Abuse citation
★★★★★2Below averageMcAllen Transitional Care Center
2109 South K Street, McAllen, TX 78503 · 1.4 mi
Government · 100 beds · Part of The Ensign Group
★★★★★4Above averageWindsor Las Palmas Nursing and Rehabilitation Cent
1301 E Quebec Ave, McAllen, TX 78503 · 1.5 mi
Non-profit · 120 beds · Part of Wellsential Health
★★★★★5Much above averageVillage Healthcare and Rehabilitation
615 N Ware Rd, McAllen, TX 78501 · 2.3 mi
For-profit · 114 beds · Part of The Ensign Group
- Abuse citation
★★★★★3Average
Frequently asked questions
What is Grand Terrace Rehabilitation and Healthcare's rating?
Grand Terrace Rehabilitation and Healthcare has 5 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Grand Terrace Rehabilitation and Healthcare receive?
Its most recent standard health inspection found 9 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Grand Terrace Rehabilitation and Healthcare accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Grand Terrace Rehabilitation and Healthcare?
It is for profit - corporation and part of The Ensign Group. The ownership section on this page lists the owners and managers reported to CMS.
Where is Grand Terrace Rehabilitation and Healthcare and how do I contact it?
Grand Terrace Rehabilitation and Healthcare is at 812 W. Houston Ave., McAllen, TX 78501. Phone: (956) 682-6331.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.