Medina Valley Health & Rehabilitation Center
913 Hwy 90 W, Castroville, TX, 78009
Yes. Federal inspectors cited 7 deficiencies against Medina Valley Health & Rehabilitation Center in Castroville, Texas at its most recent standard inspection on 2026-02-27. Medicare rates it 3 out of 5 overall.
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · F0641 · 2026-02-27 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2026-02-27 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · F0686 · 2026-02-27 · standard survey · No actual harm, potential for more than minimal harm
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 · F0727 · 2026-02-27 · standard survey · No actual harm, potential for more than minimal harm
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 · F0842 · 2026-02-27 · standard survey · No actual harm, potential for more than minimal harm
Keep all essential equipment working safely.
Environmental Deficiencies · F0908 · 2026-02-27 · standard survey · No actual harm, potential for more than minimal harm
Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning Deficiencies · F0638 · 2026-02-27 · standard survey · No actual harm, potential for minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2024-11-15 · standard survey · No actual harm, potential for more than minimal harm
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 · F0580 · 2024-11-15 · standard survey · No actual harm, potential for more than minimal harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · F0641 · 2024-11-15 · standard survey · No actual harm, potential for more than minimal harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · F0644 · 2024-11-15 · standard survey · No actual harm, potential for more than minimal harm
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · F0645 · 2024-11-15 · standard survey · No actual harm, potential for more than minimal harm
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 · F0657 · 2024-11-15 · standard survey · No actual harm, potential for more than minimal harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · F0677 · 2024-11-15 · standard survey · No actual harm, potential for more than minimal harm
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 · F0690 · 2024-11-15 · standard survey · No actual harm, potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · F0755 · 2024-11-15 · standard survey · No actual harm, potential for more than minimal harm
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 · F0761 · 2024-11-15 · standard survey · No actual harm, potential for more than minimal harm
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 · F0842 · 2024-11-15 · standard survey · No actual harm, potential for more than minimal harm
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 · F0849 · 2024-11-15 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2024-11-15 · standard survey · No actual harm, potential for more than minimal harm
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
Who owns Medina Valley Health & Rehabilitation Center
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| MEDINA COUNTY HOSPITAL DISTRICT | Organization | 100% | since 08/01/2014 |
| BELL, BILLIE | Individual | NOT APPLICABLE | since 06/03/2023 |
| CASCADE HEALTH SERVICES, LLC | Organization | NOT APPLICABLE | since 08/01/2014 |
| CASCADE MEDINA HEALTH SERVICES, LTD | Organization | NOT APPLICABLE | since 08/01/2014 |
| HANEY, RONALD | Individual | NOT APPLICABLE | since 08/01/2014 |
| DORROW, MARJORIE | Individual | NOT APPLICABLE | since 05/08/2025 |
| CASTROVILLE CARE CENTER, LTD | Organization | NOT APPLICABLE | since 08/01/2014 |
| GREGORY, PATRICE | Individual | NOT APPLICABLE | since 11/30/2020 |
| HANEY, MAX | Individual | NOT APPLICABLE | since 08/01/2014 |
| HANEY, RONALD | Individual | NOT APPLICABLE | since 08/01/2014 |
| JAAFAR, SALEH | Individual | NOT APPLICABLE | since 08/01/2024 |
| KUBIK, DARLENE | Individual | NOT APPLICABLE | since 08/01/2014 |
Ask Medina Valley Health & Rehabilitation Center a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 675974.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction