nursing home in Mercedes, TX
Mid Valley Nursing & Rehabilitation
601 N Mile 2 West, Mercedes, TX 78570 · (956) 294-1689
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★1
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Mid Valley Nursing & Rehabilitation at a glance
Mid Valley Nursing & Rehabilitation is a 123-bed government nursing home in Mercedes, Texas (Hidalgo County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.
Residents receive about 3.3 hours of nursing care per day (0.2 of them from registered nurses), close to the state average of 3.4 hours.
Its most recent standard health inspection (April 9, 2026) found 15 health citations. The Texas average is 9.4.
Federal regulators fined it 2 times in the past three years, totaling $16,611.
Nursing staff turnover is 45% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- Government - Hospital District
- Beds
- 123
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Touchstone Communities
- Medicare-certified since
- January 10, 2017
- Resident/family council
- Resident
- County
- Hidalgo County
- CMS Certification Number
- 676414
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 1 / 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) | 4 / 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) | 3.32 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.23 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.06 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 3.00 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 45% | 55.3% | 45.8% | Average |
| Registered nurse turnover (yearly) (lower is better) | 33.3% | 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) | 15 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 10 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 126.3 | 102 | 80.6 | Worse |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $16,611 | $44,141 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 2 | 2 | 1 | Worse |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 123 | 113 | 107 | |
| Average residents per day | 79 | 76 | 86 | |
| Occupancy | 64.1% | 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) | 0% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 1% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 4.2% | 9.6% | 15.4% | Better |
| 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% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 10.5% | 15.8% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 5.4% | 14% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 0.4% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0.8% | 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) | 15.2% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 7% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 88.6% | 98% | 95.5% | Worse |
| 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% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 29.1% | 88% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 88.8% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 32 health deficiencies and 5 fire safety deficiencies in the inspection records CMS currently publishes. 4 citations involved actual harm, including 4 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 29, 2026 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected August 20, 2026 |
| July 29, 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 August 20, 2026 |
| July 29, 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 August 20, 2026 |
| July 29, 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 August 20, 2026 |
| June 10, 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 June 26, 2026 |
| April 9, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected May 11, 2026 |
| April 9, 2026 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 May 11, 2026 |
| April 9, 2026 Fire safety | Construct fire resistant interior walls. Smoke Deficiencies · Tag K0331 | D Potential harm, isolated | Corrected May 11, 2026 |
| April 9, 2026 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | D Potential harm, isolated | Corrected May 11, 2026 |
| April 9, 2026 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | E Potential harm, pattern | Corrected May 1, 2026 |
| April 9, 2026 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected May 1, 2026 |
| April 9, 2026 Standard | Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · Tag F0813 | D Potential harm, isolated | Corrected May 1, 2026 |
| April 9, 2026 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 May 1, 2026 |
| April 9, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected May 1, 2026 |
| January 13, 2026 Complaint | 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 February 9, 2026 |
| January 13, 2026 Complaint | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Resident Rights Deficiencies · Tag F0573 | D Potential harm, isolated | Corrected February 9, 2026 |
| December 31, 2025 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 | D Potential harm, isolated | Corrected January 16, 2026 |
| December 31, 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 January 16, 2026 |
| December 31, 2025 Complaint | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Tag F0694 | D Potential harm, isolated | Corrected January 16, 2026 |
| April 11, 2025 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 May 1, 2025 |
| March 7, 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 April 3, 2025 |
| March 7, 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 April 3, 2025 |
| February 5, 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 | E Potential harm, pattern | Corrected February 28, 2025 |
| February 5, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected February 28, 2025 |
| February 5, 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 | D Potential harm, isolated | Corrected February 28, 2025 |
| February 5, 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 February 28, 2025 |
| February 5, 2025 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 | D Potential harm, isolated | Corrected February 28, 2025 |
| December 23, 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 | J Immediate jeopardy, isolated | Corrected December 24, 2024 |
| December 23, 2024 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | J Immediate jeopardy, isolated | Corrected December 24, 2024 |
| December 23, 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 March 21, 2024 |
| December 23, 2024 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 | J Immediate jeopardy, isolated | Corrected December 24, 2024 |
| December 23, 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 December 24, 2024 |
| December 23, 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 December 24, 2024 |
| April 16, 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 | D Potential harm, isolated | Corrected May 9, 2024 |
| November 16, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected November 16, 2023 |
| November 16, 2023 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 November 17, 2023 |
| October 31, 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 | E Potential harm, pattern | Corrected November 2, 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 2 federal penalties in the past three years, including $16,611 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| December 23, 2024 | Fine | $8,330 |
| December 23, 2024 | Fine | $8,281 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| CAPITAL FUNDING GROUP, INC. Organization | 5% or greater mortgage interest | NOT APPLICABLE | 04/01/2019 |
| INTERNATIONAL BANK OF COMMERCE Organization | 5% or greater security interest | NOT APPLICABLE | 04/28/2021 |
| AEGIS THERAPIES, INC. Organization | adp of the snf | NOT APPLICABLE | 04/01/2019 |
| ALAMO ADVISORS LP Organization | adp of the snf | NOT APPLICABLE | 04/01/2019 |
| CAMPBELL, LESLIE Individual | adp of the snf | NOT APPLICABLE | 04/01/2020 |
| CARAZOS, MARCOS Individual | adp of the snf | NOT APPLICABLE | 07/20/2020 |
| CARRASCO, LETICIA Individual | adp of the snf | NOT APPLICABLE | 10/19/2020 |
| CARVAJAL PHARMACY LTC Organization | adp of the snf | NOT APPLICABLE | 04/01/2019 |
| CASTILLO, LYNNEA Individual | adp of the snf | NOT APPLICABLE | 04/01/2019 |
| FELLBAUM, ERNEST Individual | adp of the snf | NOT APPLICABLE | 04/01/2019 |
| GILCREASE, CYNTHIA Individual | adp of the snf | NOT APPLICABLE | 04/01/2019 |
| LEVINE, ANDREW Individual | adp of the snf | NOT APPLICABLE | 04/01/2019 |
| PLANTE & MORAN PLLC Organization | adp of the snf | NOT APPLICABLE | 04/01/2019 |
| SEHLKE, BRYON Individual | adp of the snf | NOT APPLICABLE | 04/01/2019 |
| STUDER, STANLEY Individual | adp of the snf | NOT APPLICABLE | 04/01/2019 |
| THE BRYON AND RENA SEHLKE LIVING TRUST Organization | adp of the snf | NOT APPLICABLE | 04/01/2019 |
| TOUCHSTONE COMMUNITIES INC Organization | adp of the snf | NOT APPLICABLE | 04/01/2019 |
| TOUCHSTONE REALTY - MERCEDES LLC Organization | adp of the snf | NOT APPLICABLE | 04/01/2019 |
| TOUCHSTONE STRATEGIES MERCEDES LLC Organization | adp of the snf | NOT APPLICABLE | 08/26/2025 |
| TRIDENT HEALTH SERVICES INC Organization | adp of the snf | NOT APPLICABLE | 04/01/2019 |
| ZUROVEC, DARRELL Individual | adp of the snf | NOT APPLICABLE | 04/01/2019 |
| APOLINAR, ADAM Individual | corporate officer | NOT APPLICABLE | 08/01/2015 |
| CAMPBELL, LESLIE Individual | operational/managerial control | NOT APPLICABLE | 04/01/2020 |
| CARAZOS, MARCOS Individual | operational/managerial control | NOT APPLICABLE | 07/20/2020 |
| CARRASCO, LETICIA Individual | operational/managerial control | NOT APPLICABLE | 10/19/2020 |
| CASTILLO, LYNNEA Individual | operational/managerial control | NOT APPLICABLE | 04/01/2019 |
| GILCREASE, CYNTHIA Individual | operational/managerial control | NOT APPLICABLE | 04/01/2019 |
| SEHLKE, BRYON Individual | operational/managerial control | NOT APPLICABLE | 04/01/2019 |
| TOUCHSTONE STRATEGIES MERCEDES LLC Organization | operational/managerial control | NOT APPLICABLE | 04/01/2019 |
| ZUROVEC, DARRELL Individual | operational/managerial control | NOT APPLICABLE | 04/01/2019 |
Other nursing homes near Mid Valley Nursing & Rehabilitation
Veranda Rehabilitation and Healthcare
4301 South Expressway 83, Harlingen, TX 78550 · 2 mi
For-profit · 100 beds · Part of The Ensign Group
★★★★★5Much above averageWindsor Nursing and Rehabilitation Center of Wesla
721 S Airport Dr, Weslaco, TX 78596 · 6.1 mi
Government · 120 beds · Part of Wellsential Health
★★★★★2Below average- ★★★★★1Much below average
Weslaco Nursing and Rehabilitation Center
422 E 18th St, Weslaco, TX 78596 · 7 mi
Non-profit · 120 beds · Part of Wellsential Health
★★★★★3AverageWindsor Atrium
1814 Atrium Place Dr, Harlingen, TX 78550 · 11.9 mi
For-profit · 120 beds · Part of Wellsential Health
★★★★★2Below averageHarlingen Nursing and Rehabilitation Center
3810 Hale Ave, Harlingen, TX 78550 · 12.3 mi
Government · 120 beds · Part of Wellsential Health
★★★★★3Average
Frequently asked questions
What is Mid Valley Nursing & Rehabilitation's rating?
Mid Valley Nursing & Rehabilitation has 2 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 Mid Valley Nursing & Rehabilitation receive?
Its most recent standard health inspection found 15 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Mid Valley Nursing & Rehabilitation 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 Mid Valley Nursing & Rehabilitation?
It is government - hospital district and part of Touchstone Communities. The ownership section on this page lists the owners and managers reported to CMS.
Where is Mid Valley Nursing & Rehabilitation and how do I contact it?
Mid Valley Nursing & Rehabilitation is at 601 N Mile 2 West, Mercedes, TX 78570. Phone: (956) 294-1689.
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.