nursing home in Weslaco, TX

Valley Grande Manor

1212 S Bridge, Weslaco, TX 78596 · (956) 968-2121

★★★★★1
Much below average
CMS overall star rating
  • Health inspections★★★★★1
  • Staffing★★★★★1
  • Quality measures★★★★★2
  • Abuse citation

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Valley Grande Manor at a glance

Valley Grande Manor is a 147-bed for-profit nursing home in Weslaco, Texas (Hidalgo County).

CMS gives it 1 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.

Residents receive about 2.9 hours of nursing care per day (0.1 of them from registered nurses), worse than the state average of 3.4 hours.

Its most recent standard health inspection (July 25, 2025) found 30 health citations. The Texas average is 9.4.

Federal regulators fined it 4 times in the past three years, totaling $88,679.

Nursing staff turnover is 68.8% per year (state average 55.3%).

Facility details

Type
Nursing home
Ownership
For Profit - Individual
Beds
147
Certified for
Medicare and Medicaid
Medicare-certified since
February 28, 1986
Resident/family council
Resident
County
Hidalgo County
CMS Certification Number
455621

Ratings

MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)1 / 52.7 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)1 / 52.8 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)1 / 51.9 / 52.9 / 5Worse
Quality measures rating ⓘ (higher is better)2 / 53.7 / 53.6 / 5Worse
Long-stay quality rating (higher is better)3 / 54 / 53.8 / 5Worse
Short-stay (rehab) quality rating (higher is better)1 / 53.2 / 53.3 / 5Worse

Staffing

This facility2.94 hrsTexas average3.39 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)2.94 hrs3.39 hrs3.86 hrsWorse
Registered nurse hours per resident per day (higher is better)0.10 hrs0.43 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)1.82 hrs2.01 hrs2.32 hrsWorse
Weekend nurse staff hours per resident per day (higher is better)2.65 hrs2.98 hrs3.42 hrsWorse
Nursing staff turnover (yearly) (lower is better)68.8%55.3%45.8%Worse
Administrators who left in the past year (lower is better)111Worse

Inspections

This facility30Texas average9U.S. average9
Health citations in the most recent inspection: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)3099Worse
Citations from complaint investigations (latest cycle) (lower is better)2143Worse
Weighted health inspection score ⓘ (lower is better)210.310280.6Worse

Penalties

This facility4Texas average1U.S. average1
Fines in the past 3 years: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)411Worse
Total fines in the past 3 years (lower is better)$88,679$44,141$30,972Worse
All federal penalties in the past 3 years (lower is better)421Worse

Size

MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Certified beds147113107
Average residents per day1057686
Occupancy71.6%67.6%80.9%

Long-stay residents

This facility2.1%Texas average3.3%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)2.1%3.3%3.2%Better
Long-stay residents with pressure ulcers (lower is better)1.9%3.8%4.6%Better
Long-stay residents given antipsychotic medication (lower is better)16.5%9.6%15.4%Worse
Long-stay residents with a urinary tract infection (lower is better)0%0.8%1.6%Better
Long-stay residents with a catheter left in the bladder (lower is better)0.5%0.3%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)25.6%15.8%13.9%Worse
Long-stay residents whose walking worsened (lower is better)17.2%14%14.1%Worse
Long-stay residents who lose too much weight (lower is better)4.9%3%5.2%Better
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)21.3%18%19.5%Worse
Long-stay residents with new or worse incontinence (lower is better)16%13.4%19%Better
Long-stay residents given a flu vaccine (higher is better)97.2%98%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)77.7%96.6%93.6%Worse

Short-stay residents

This facility6.8%Texas average1.5%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)6.8%1.5%1.6%Worse
Short-stay residents given a flu vaccine (higher is better)66.7%88%79.8%Worse
Short-stay residents given a pneumonia vaccine (higher is better)44.3%88.9%82%Worse

Inspection citations

State inspectors cited this home for 57 health deficiencies and 13 fire safety deficiencies in the inspection records CMS currently publishes. 6 citations involved actual harm, including 4 rated "immediate jeopardy".

DateCitationSeverityStatus
July 9, 2026
Complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · Tag F0561
D
Potential harm, isolated
Corrected August 5, 2026
July 2, 2026
Complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
E
Potential harm, pattern
Corrected August 3, 2026
July 2, 2026
Complaint
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary Deficiencies · Tag F0813
E
Potential harm, pattern
Corrected August 3, 2026
July 2, 2026
Complaint
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected August 3, 2026
July 2, 2026
Complaint
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
D
Potential harm, isolated
Corrected August 3, 2026
July 2, 2026
Complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Tag F0552
D
Potential harm, isolated
Corrected August 3, 2026
July 2, 2026
Complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Tag F0655
D
Potential harm, isolated
Corrected August 3, 2026
June 11, 2026
Complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · Tag F0584
D
Potential harm, isolated
Corrected June 12, 2026
March 23, 2026
Complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Tag F0552
D
Potential harm, isolated
Corrected March 24, 2026
March 23, 2026
Complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected March 24, 2026
March 23, 2026
Complaint
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Nursing and Physician Services Deficiencies · Tag F0711
D
Potential harm, isolated
Corrected March 24, 2026
March 23, 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 March 24, 2026
March 23, 2026
Complaint
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0603
D
Potential harm, isolated
Corrected March 24, 2026
January 30, 2026
Complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602
D
Potential harm, isolated
Corrected February 7, 2026
January 30, 2026
Complaint
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 7, 2026
January 30, 2026
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 February 7, 2026
November 21, 2025
Complaint
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
D
Potential harm, isolated
Corrected November 22, 2025
November 21, 2025
Complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected November 22, 2025
November 21, 2025
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, 2025
November 20, 2025
Complaint
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected November 26, 2025
July 25, 2025
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
F
Potential harm, widespread
Corrected July 25, 2025
July 25, 2025
Fire safety
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Smoke Deficiencies · Tag K0352
F
Potential harm, widespread
Corrected July 25, 2025
July 25, 2025
Fire safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies · Tag K0355
F
Potential harm, widespread
Corrected July 25, 2025
July 25, 2025
Fire safety
Have proper openings in smoke barrier doors.
Smoke Deficiencies · Tag K0379
E
Potential harm, pattern
Corrected July 25, 2025
July 25, 2025
Fire safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies · Tag K0222
E
Potential harm, pattern
Corrected July 25, 2025
July 25, 2025
Fire safety
Install corridor and hallway doors that block smoke.
Smoke Deficiencies · Tag K0363
E
Potential harm, pattern
Corrected July 25, 2025
July 25, 2025
Fire safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies · Tag K0741
E
Potential harm, pattern
Corrected July 25, 2025
July 25, 2025
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
D
Potential harm, isolated
Corrected July 25, 2025
July 25, 2025
Fire safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Smoke Deficiencies · Tag K0374
D
Potential harm, isolated
Corrected July 25, 2025
July 25, 2025
Fire safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies · Tag K0521
C
No harm, widespread
Corrected July 25, 2025
July 25, 2025
Complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600
K
Immediate jeopardy, pattern
Corrected June 28, 2025
July 25, 2025
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
E
Potential harm, pattern
Corrected August 1, 2025
July 25, 2025
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected August 1, 2025
July 25, 2025
Standard
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected August 1, 2025
July 25, 2025
Standard
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · Tag F0628
D
Potential harm, isolated
Corrected August 1, 2025
July 25, 2025
Standard
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Nursing and Physician Services Deficiencies · Tag F0711
D
Potential harm, isolated
Corrected August 1, 2025
July 25, 2025
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
D
Potential harm, isolated
Corrected August 1, 2025
July 25, 2025
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 August 1, 2025
July 25, 2025
Standard
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Tag F0558
D
Potential harm, isolated
Corrected August 1, 2025
July 25, 2025
Standard
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.
Resident Rights Deficiencies · Tag F0578
D
Potential harm, isolated
Corrected August 1, 2025
June 5, 2025
Complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600
G
Actual harm, isolated
Corrected June 13, 2025
June 5, 2025
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
G
Actual harm, isolated
Corrected June 13, 2025
June 5, 2025
Complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607
D
Potential harm, isolated
Corrected June 13, 2025
June 5, 2025
Complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected June 13, 2025
May 22, 2025
Complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
D
Potential harm, isolated
Corrected May 26, 2025
May 22, 2025
Complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
D
Potential harm, isolated
Corrected May 26, 2025
February 21, 2025
Complaint
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
E
Potential harm, pattern
Corrected February 24, 2025
February 21, 2025
Complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected February 24, 2025
February 21, 2025
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 February 24, 2025
May 17, 2024
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
E
Potential harm, pattern
Corrected June 4, 2024
May 17, 2024
Fire safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies · Tag K0521
C
No harm, widespread
Corrected June 4, 2024
May 17, 2024
Complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
E
Potential harm, pattern
Corrected May 18, 2024
May 17, 2024
Complaint
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.
Resident Rights Deficiencies · Tag F0578
E
Potential harm, pattern
Corrected June 5, 2024
May 17, 2024
Standard
Have enough backup water supply for essential areas of the nursing home.
Environmental Deficiencies · Tag F0922
E
Potential harm, pattern
Corrected May 20, 2024
May 17, 2024
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected June 14, 2024
May 17, 2024
Standard
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · Tag F0623
D
Potential harm, isolated
Corrected June 11, 2024
May 17, 2024
Standard
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Rights Deficiencies · Tag F0625
D
Potential harm, isolated
Corrected June 11, 2024
May 17, 2024
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
D
Potential harm, isolated
Corrected June 7, 2024
May 17, 2024
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 June 11, 2024
April 30, 2024
Complaint
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
J
Immediate jeopardy, isolated
Corrected May 1, 2023
April 30, 2024
Complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected May 16, 2024
April 30, 2024
Complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607
D
Potential harm, isolated
Corrected May 16, 2024
April 30, 2024
Complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Tag F0552
D
Potential harm, isolated
Corrected May 16, 2024
April 30, 2024
Complaint
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610
D
Potential harm, isolated
Corrected May 16, 2024
December 21, 2023
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
K
Immediate jeopardy, pattern
Corrected December 22, 2023
December 21, 2023
Complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Tag F0580
K
Immediate jeopardy, pattern
Corrected December 22, 2023
December 21, 2023
Complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected December 22, 2023
December 21, 2023
Complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
D
Potential harm, isolated
Corrected December 22, 2023
March 3, 2023
Fire safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies · Tag K0521
C
No harm, widespread
Corrected March 31, 2023
March 3, 2023
Standard
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
E
Potential harm, pattern
Corrected March 31, 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 4 federal penalties in the past three years, including $88,679 in fines.

DatePenaltyAmount / length
July 25, 2025Fine$14,744
June 5, 2025Fine$10,513
April 30, 2024Fine$8,021
December 21, 2023Fine$55,401

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
BOOKER HOSPITAL DISTRICT
Organization
5% or greater direct ownership interest100%11/01/2021
ASUAJE, JUAN
Individual
adp of the snfNOT APPLICABLE01/01/2025
BILLY SCHINDELE 2020 IRRV TR
Organization
adp of the snfNOT APPLICABLE11/01/2025
SHERRY SCHINDELE IRRV TR
Organization
adp of the snfNOT APPLICABLE11/01/2021
TREVINO, JERRY
Individual
adp of the snfNOT APPLICABLE11/01/2021
TRIDENT LTC, INC.
Organization
adp of the snfNOT APPLICABLE11/01/2021
TRIDENT ONE LEASING LLC
Organization
adp of the snfNOT APPLICABLE11/01/2021
VGL VALLEY GRANDE LEASING INC
Organization
adp of the snfNOT APPLICABLE11/01/2021
HOOVER, SHAWN
Individual
corporate directorNOT APPLICABLE11/01/2021
ASUAJE, JUAN
Individual
operational/managerial controlNOT APPLICABLE01/01/2025
SCHINDELE, WILLIAM
Individual
operational/managerial controlNOT APPLICABLE11/01/2021
VGM VALLEY GRANDE MANOR WESLACO OPS INC.
Organization
operational/managerial controlNOT APPLICABLE11/01/2021

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Frequently asked questions

What is Valley Grande Manor's rating?

Valley Grande Manor has 1 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 Valley Grande Manor receive?

Its most recent standard health inspection found 30 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.

Does Valley Grande Manor 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 Valley Grande Manor?

It is for profit - individual. The ownership section on this page lists the owners and managers reported to CMS.

Where is Valley Grande Manor and how do I contact it?

Valley Grande Manor is at 1212 S Bridge, Weslaco, TX 78596. Phone: (956) 968-2121.

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.