nursing home in Castroville, TX
Medina Valley Health & Rehabilitation Center
913 Hwy 90 W, Castroville, TX 78009 · (830) 931-2900
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★1
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Medina Valley Health & Rehabilitation Center at a glance
Medina Valley Health & Rehabilitation Center is a 116-bed for-profit nursing home in Castroville, Texas (Medina County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Texas average of 2.7.
Residents receive about 3 hours of nursing care per day (0.3 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (February 27, 2026) found 7 health citations. The Texas average is 9.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 37.5% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Partnership
- Beds
- 116
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- June 20, 2003
- Resident/family council
- Resident
- County
- Medina County
- CMS Certification Number
- 675974
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 2.7 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.7 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 5 / 5 | 4 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3.2 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 2.95 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.28 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.81 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.41 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 37.5% | 55.3% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 44.4% | 54.6% | 42.9% | Average |
| 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) | 7 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 45 | 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 | 116 | 113 | 107 | |
| Average residents per day | 89 | 76 | 86 | |
| Occupancy | 76.8% | 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) | 3.2% | 3.3% | 3.2% | Average |
| Long-stay residents with pressure ulcers (lower is better) | 2% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 4.3% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 1.3% | 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) | 8.9% | 15.8% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 14.2% | 14% | 14.1% | Average |
| Long-stay residents who lose too much weight (lower is better) | 2.7% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0.3% | 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) | 13.2% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 16.2% | 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) | 1.4% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 83.9% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 94.8% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 36 health deficiencies and 18 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| February 27, 2026 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 March 20, 2026 |
| February 27, 2026 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | E Potential harm, pattern | Corrected March 27, 2026 |
| February 27, 2026 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | E Potential harm, pattern | Corrected March 27, 2026 |
| February 27, 2026 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected March 27, 2026 |
| February 27, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected March 27, 2026 |
| February 27, 2026 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | E Potential harm, pattern | Corrected March 27, 2026 |
| February 27, 2026 Standard | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Tag F0727 | D Potential harm, isolated | Corrected March 27, 2026 |
| February 27, 2026 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected March 27, 2026 |
| February 27, 2026 Standard | 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 27, 2026 |
| February 27, 2026 Standard | Keep all essential equipment working safely. Environmental Deficiencies · Tag F0908 | D Potential harm, isolated | Corrected March 27, 2026 |
| February 27, 2026 Standard | Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · Tag F0638 | B No harm, pattern | Corrected March 27, 2026 |
| November 15, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected December 18, 2024 |
| November 15, 2024 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | E Potential harm, pattern | Corrected December 18, 2024 |
| November 15, 2024 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | E Potential harm, pattern | Corrected December 18, 2024 |
| November 15, 2024 Fire safety | Install proper backup exit lighting. Egress Deficiencies · Tag K0281 | E Potential harm, pattern | Corrected December 18, 2024 |
| November 15, 2024 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected December 18, 2024 |
| November 15, 2024 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | E Potential harm, pattern | Corrected December 18, 2024 |
| November 15, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | E Potential harm, pattern | Corrected December 18, 2024 |
| November 15, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | D Potential harm, isolated | Corrected December 18, 2024 |
| November 15, 2024 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 | D Potential harm, isolated | Corrected December 18, 2024 |
| November 15, 2024 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | D Potential harm, isolated | Corrected December 18, 2024 |
| November 15, 2024 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected December 18, 2024 |
| November 15, 2024 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | C No harm, widespread | Corrected December 18, 2024 |
| November 15, 2024 Standard | 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 | E Potential harm, pattern | Corrected December 18, 2024 |
| November 15, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected December 18, 2024 |
| November 15, 2024 Standard | 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 18, 2024 |
| November 15, 2024 Standard | Keep all essential equipment working safely. Environmental Deficiencies · Tag F0908 | D Potential harm, isolated | Corrected December 17, 2024 |
| November 15, 2024 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected December 18, 2024 |
| November 15, 2024 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected December 18, 2024 |
| November 15, 2024 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 | D Potential harm, isolated | Corrected December 18, 2024 |
| November 15, 2024 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected December 18, 2024 |
| November 15, 2024 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 | D Potential harm, isolated | Corrected December 18, 2024 |
| November 15, 2024 Standard | 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 18, 2024 |
| November 15, 2024 Standard | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Administration Deficiencies · Tag F0849 | D Potential harm, isolated | Corrected December 18, 2024 |
| November 15, 2024 Standard | 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 | D Potential harm, isolated | Corrected December 18, 2024 |
| November 15, 2024 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected December 18, 2024 |
| November 15, 2024 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected December 18, 2024 |
| November 15, 2024 Standard | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Tag F0814 | B No harm, pattern | Corrected December 18, 2024 |
| October 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 November 14, 2024 |
| October 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 | D Potential harm, isolated | Corrected December 11, 2023 |
| October 30, 2024 Complaint | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected November 14, 2024 |
| September 21, 2024 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 October 1, 2024 |
| July 26, 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 September 2, 2024 |
| November 15, 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 11, 2023 |
| September 22, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected October 25, 2023 |
| September 22, 2023 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | D Potential harm, isolated | Corrected October 25, 2023 |
| September 22, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected October 25, 2023 |
| September 22, 2023 Standard | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604 | E Potential harm, pattern | Corrected October 25, 2023 |
| September 22, 2023 Standard | 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 | E Potential harm, pattern | Corrected October 25, 2023 |
| September 22, 2023 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected October 25, 2023 |
| September 22, 2023 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected October 25, 2023 |
| September 22, 2023 Standard | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Tag F0814 | D Potential harm, isolated | Corrected October 25, 2023 |
| September 22, 2023 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected October 25, 2023 |
| September 22, 2023 Standard | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Tag F0726 | D Potential harm, isolated | Corrected October 25, 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 |
|---|---|---|---|
| MEDINA COUNTY HOSPITAL DISTRICT Organization | 5% or greater direct ownership interest | 100% | 08/01/2014 |
| BAUDER FAMILY INVESTMENTS, LLC Organization | adp of the snf | NOT APPLICABLE | 03/01/2026 |
| BAUDER, KELLY Individual | adp of the snf | NOT APPLICABLE | 03/01/2026 |
| BAUDER, MADISON Individual | adp of the snf | NOT APPLICABLE | 03/01/2026 |
| BAUDER, PARKER Individual | adp of the snf | NOT APPLICABLE | 03/01/2026 |
| BAUDER, WILLIAM Individual | adp of the snf | NOT APPLICABLE | 03/01/2026 |
| BOULWARE, STEVEN Individual | adp of the snf | NOT APPLICABLE | 03/01/2026 |
| BOULWARE ST JAMES LLC Organization | adp of the snf | NOT APPLICABLE | 03/01/2026 |
| BOULWARE, THOMAS Individual | adp of the snf | NOT APPLICABLE | 03/01/2026 |
| GREGORY, PATRICE Individual | adp of the snf | NOT APPLICABLE | 11/30/2020 |
| JAAFAR, SALEH Individual | adp of the snf | NOT APPLICABLE | 08/01/2024 |
| PMG REALCO - CASTROVILLE LLC Organization | adp of the snf | NOT APPLICABLE | 03/01/2026 |
| STEVEN BOULWARE FAMILY INVESTMENTS LLC Organization | adp of the snf | NOT APPLICABLE | 03/01/2026 |
| WALKER, KATIE Individual | adp of the snf | NOT APPLICABLE | 03/01/2026 |
| BELL, BILLIE Individual | corporate officer | NOT APPLICABLE | 06/03/2023 |
| BOULWARE, DOUGLAS Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 05/12/2026 |
| BAUDER, WILLIAM Individual | operational/managerial control | NOT APPLICABLE | 03/01/2026 |
| PMG OPCO - CASTROVILLE LLC Organization | operational/managerial control | NOT APPLICABLE | 03/01/2026 |
Other nursing homes near Medina Valley Health & Rehabilitation Center
Westover Hills Rehabilitation and Healthcare
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★★★★★4Above averageLegend Oaks Healthcare and Rehabilitation - West S
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★★★★★3AverageThe Mission at Blue Skies of Texas East
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- CMS high performer
★★★★★5Much above averageLakeside Nursing and Rehabilitation Center
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★★★★★5Much above averageLas Colinas of Westover
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For-profit · 140 beds · Part of Caring Healthcare Group
★★★★★2Below averageWindemere at Westover Hills
11106 Christus Hills, San Antonio, TX 78251 · 9.6 mi
For-profit · 112 beds · Part of Cantex Continuing Care
★★★★★2Below average
Frequently asked questions
What is Medina Valley Health & Rehabilitation Center's rating?
Medina Valley Health & Rehabilitation Center has 3 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 Medina Valley Health & Rehabilitation Center receive?
Its most recent standard health inspection found 7 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Medina Valley Health & Rehabilitation Center 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 Medina Valley Health & Rehabilitation Center?
It is for profit - partnership. The ownership section on this page lists the owners and managers reported to CMS.
Where is Medina Valley Health & Rehabilitation Center and how do I contact it?
Medina Valley Health & Rehabilitation Center is at 913 Hwy 90 W, Castroville, TX 78009. Phone: (830) 931-2900.
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.