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Del Rio Nursing and Rehabilitation Center

301 W. Martin Street, Del Rio, TX 78840 · Val Verde County · (830) 775-2459

60 certified beds, about 49 residents a day · Government - Hospital district · Medicare and Medicaid since 1997

Inside a hospital Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 675677 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on June 17, 2026, inspectors cited 13 health deficiencies (the Texas average is 9.4, the national average 9.2).

Of 28 health citations since March 2024, 1 was rated as actual harm or immediate jeopardy to residents.

CMS lists 2 fines totaling $22,403 in the last three years; the largest was $14,385, and the latest is dated August 6, 2026.

Nurses and nurse aides worked 2.95 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.39 of those hours.

36.7% of nursing staff left within the year CMS measured (Texas average 55.3%).

CMS links it to Touchstone Communities, an affiliated group of 25 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 28 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
15D
10E
1F
Potential for minimal harm
0A
1B
0C
July 21, 2026Complaint inspection · 2 citations
  1. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 14, 2026
    Inspectors wroteBased on observations, interviews and record reviews, the facility failed to ensure assessments accurately reflected thestatus of the residents for 1 of 5 residents (Resident #1) reviewed for MDS assessments. The facility failed to ensure Resident #1s falls were reflected on the quarterly MDS assessment dated [DATE]. This deficient practice could place residents at risk of inadequate care.
  2. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 14, 2026
    Inspectors wroteBased on observation, interviews, and record reviews, the facility failed to develop and implement a comprehensiveperson-centered care plan for each resident, consistent with the resident rights, which includes measurable objective andtimes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment for 2 (Resident #1 and #2) of 5 residents reviewed for care plans. 1. The facility failed to accurately reflect Resident #1's prevention intervention of a scoop mattress (specialized medical mattress designed with raised, contoured sides or edges that create a concave sleeping surface. The scoop shape gently cradles the user, forming a soft barrier that helps prevent them from rolling out of bed) in the care plan. 2. [...]
June 17, 2026Standard inspection · 13 citations
  1. E
    Honor the resident's right to organize and participate in resident/family groups in the facility.
    F565 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 17, 2026
    Inspectors wroteBased on interview and record review, the facility failed to consider the views of the resident or family group and act promptly upon the grievances and recommendations of such groups concerning issues of resident care and life in the facility and demonstrate their response and rationale for such response for 1 of 1 resident council reviewed. The facility failed to follow up on concerns and requests expressed in resident council meetings from February 2026 - May 2026. This failure placed residents at risk of not having their preferences honored.
  2. E
    Ensure the activities program is directed by a qualified professional.
    F680 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 17, 2026
    Inspectors wroteBased on interview and record review the facility failed to ensure the activities program was directed by a qualified professional who was a qualified therapeutic recreation specialist or an activities professional who was licensed or registered by the State for 1 of 1 facility reviewed for qualifications of activity professionals. The facility failed to have a qualified Activities Professional to direct their activities program. This deficient practice could place residents at risk of not receiving approaches that were individualized to match the skills, abilities, and interests/preferences of each resident for activities.
  3. E
    Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
    F807 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 17, 2026
    Inspectors wroteBased on observation, interview, and record review the facility failed to provide drinks, including water and other liquids consistent with resident needs and preferences and sufficient to maintain resident hydration, for 2 of 2 dining rooms (Dining Room A and Dining Room B) at meal services. The facility failed to ensure facility residents in both dining rooms received drinks while they waited for their late meals (lunch) on 06/14/2026. The facility failed to ensure facility residents in both dining rooms received drinks while they waited for their late meals (breakfast and lunch) on 06/15/2026 and 06/16/2026. This failure could place residents at risk of discomfort, dehydration, and/or a diminished quality of life.
  4. E
    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
    F809 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 17, 2026
    Inspectors wroteBased on observations, interviews and record reviews the facility failed to provide each resident with at least three meals daily, at regular times comparable to normal mealtimes in the community or in accordance with resident needs, preferences, requests, and plan of care for 2 of 2 (Dining Room A and Dining Room B)dining rooms reviewed for designated meal service times. The facility failed to provide breakfast and lunch according to the designated meal service schedules for dates 06/14/2026, 06/15/2026, 06/16/2026, 06/17/2026. This deficient practice could place residents at risk of low blood sugar levels, increased stress levels, slowed metabolism rates, weakened immune systems, malnutrition, and organ failure.
  5. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 17, 2026
    Inspectors wroteBased on observation, interview and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety for 1 of 1 kitchens reviewed for food safety requirements. The facility failed to store food in accordance with professional standards for food service safety by not labeling, dating, sealing, or thawing meat per recommended guidelines. This failure could place residents who eat meals from the kitchen at risk for the spread of food borne illness.
  6. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 17, 2026
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure residents have a right to a dignified existence and treat each resident with respect and dignity and care for each resident in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life for 1 (Resident #4) of 8 residents and 1 (Dining Room A) of 2 dining rooms reviewed for dignity. The facility failed to provide Resident #4 privacy during ostomy care on 06/14/2026 when RN G kept resident door open and privacy curtain was not drawn exposing resident to other residents, staff, and visitors walking by the room. The facility failed to ensure residents receiving meals in Dining Room A were treated with dignity on 06/16/2026 when CNA A provided residents with feeding assistance while on personal cell phone making a personal phone call. [...]
  7. D
    Assure that each resident’s assessment is updated at least once every 3 months.
    F638 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 17, 2026
    Inspectors wroteBased on interview and record review, the facility failed to assess a resident using the quarterly review instrument specified by the State and approved by CMS not less frequently than once every three months for 1 (Resident #37) of 2 residents reviewed for MDS assessments. The facility failed to complete Resident #35's Quarterly MDS Assessment within three months of their most recent comprehensive assessment. This failure could lead to residents not receiving necessary, complete, or correct care due to lack of current information for their care plans.
  8. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 17, 2026
    Inspectors wroteBased on interview and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident that includes measurable objectives and timeframes to meet the resident's medical, nursing, mental, and psychosocial needs for 1 of 8 residents (Resident #4) reviewed for comprehensive care planning. The facility failed to develop a comprehensive person-centered care plan for Resident #4 following admission on [DATE]. This failure could result in decreased quality of life.
  9. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 17, 2026
    Inspectors wroteBased on observation, interviews and record reviews, the facility failed to ensure that the comprehensive care plan was reviewed and revised by the interdisciplinary team after each assessment for one resident (Resident #8) reviewed for care plans. The facility failed to update or add interventions to Resident #8's care plan regarding the use of an indwelling urinary catheter. This failure could place residents at risk of not receiving the necessary services or having the appropriate interventions to meet their current needs.
  10. D
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 17, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure residents received an ongoing program to support residents in their choice of activities, both facility-sponsored group and individual activities and independent activities, designed to meet the interests of and support the physical, mental, and psychosocial well-being of each resident for 2 of 8 residents (Resident #4 and Resident #31) reviewed for activities. The facility failed to ensure Resident #4, and Resident #31 had the option of participating in daily, organized activities to meet the residents' psychosocial needs and preferences during June 2026. This failure could result in decreased psychosocial well-being or decreased quality of life.
  11. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 17, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident who is incontinent of bladder receives appropriate treatment and services to prevent urinary tract infections and to restore continence to the extent possible for 1 of 2 residents (Resident #8) reviewed for incontinent care and catheter care, in that: While providing catheter/incontinent care for Resident #8, CNA C cleaned resident buttocks and then turned resident back onto soiled draw sheet. These deficient practices could place residents at-risk for infection and skin break down due to improper care practices.
  12. D
    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
    F801 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 17, 2026
    Inspectors wroteBased on interview and record review the facility failed to employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, taking into consideration resident assessments, individual plans of care and the number, acuity and diagnoses of the facility's resident population in accordance with the facility assessment required for 1 of 1 kitchen reviewed. The facility failed to employ a qualified dietician who designates a person to serve as a full-time director of food and nutrition services for the facility. The person designated to serve as a director of food and nutrition services did not have the qualifications to serve as the director of food and nutrition. These failures could place residents at risk of not having their nutritional needs met.
  13. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 17, 2026
    Inspectors wroteBased on observation, interview and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable disease and infection for 1 of 1 halls (B hall) reviewed for infection control. The facility failed to ensure CNA B sanitized their hands between resident meal trays while passing out trays for 8 of 8 residents and 1 of 1 halls (B hall) reviewed for infection control. This failure could place residents at risk of cross-contamination and the spread of infection.
May 2, 2025Standard inspection · 6 citations
  1. E
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 16, 2025
    Inspectors wroteBased on observations, interviews, and record reviews the facility failed to ensure residents had the right to exercise their rights as a resident of the facility and as a citizen or resident of the United States for 2 of 40 residents (Residents #93 and #94) reviewed for freedom of their rights. 1. On 4/17/2025 Resident #93 was admitted to the facility in the custody of the United States Marshal Service under armed guard supervision and shackled at the wrists, abdomen, and ankles. 2. On 4/28/2025 Resident #94 was admitted to the facility in the custody of the United States Marshal Service under armed guard supervision and shackled at the wrists, abdomen, and ankles. These failures could place residents at risk for physical restraints not required to treat medical symptoms.
  2. E
    Ensure that residents are fully informed and understand their health status, care and treatments.
    F552 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 3, 2025
    Inspectors wroteBased on interviews and record reviews the facility failed to ensure residents had the right to be informed of, and participate in, their treatments, for 1 of 8 residents (Resident #24) reviewed for antipsychotic medication administration. 1. Resident #24 was administered ziprasidone, an antipsychotic medication, in April 2025 without the resident's informed consent and understanding the medications potential side effects. The deficient practices could place residents at risk for side effects for which they did not consent.
  3. E
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    F604 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 16, 2025
    Inspectors wroteBased on observations, interviews, and record review the facility failed to ensure that each resident was free from physical or chemical restraints imposed for purposes of discipline or convenience and that were not required to treat the resident's medical symptoms, for 2 0f 40 residents (Residents #93 and #94) reviewed for physical restraints. 1. On 4/17/2025 Resident #93 was admitted to the facility in the custody of the United States Marshal Service under armed guard supervision and shackled at the wrists, abdomen, and ankles. 2. On 4/28/2025 Resident #94 was admitted to the facility in the custody of the United States Marshal Service under armed guard supervision and shackled at the wrists, abdomen, and ankles. These failures could place residents at risk for physical restraints not required to treat medical symptoms.
  4. E
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 3, 2025
    Inspectors wroteBased on interviews and record reviews the facility failed to ensure residents did not receive antipsychotic medications ordered as needed for longer than 14 days for 1 of 8 residents (Resident #24) reviewed for antipsychotic medication administration. 1. Resident #24 was prescribed ziprasidone, an antipsychotic medication, as needed without an end date. The deficient practices could place residents at risk for indefinitely receiving an antipsychotic medication.
  5. D
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    F640 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 3, 2025
    Inspectors wroteBased on interviews and record review, the facility failed to electronically transmit encoded, accurate, and complete MDS data to the CMS System, within 14 days, upon a resident's transfer, reentry, discharge, and death, for 1 of 8 residents (Resident #37) reviewed for transmitted MDS data to the CMS System. The facility failed to transmit a discharge MDS assessment to the CMS system for Resident #37. This failure could place residents at risk of not having their assessments transmitted timely which could cause a delay in treatment.
  6. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 3, 2025
    Inspectors wroteBased on observations, interviews, and record review the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of each resident for 1 of 8 residents (Resident #93) reviewed for pharmacy services. The facility failed to ensure Resident #93's blood pressure results were documented in the electronic medical before administering a blood pressure medication per the physician's orders. This failure could place residents at risk of not receiving the intended effect of their prescribed medications and a decreased quality of life.
April 12, 2024Standard inspection · 6 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) April 13, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for kitchen sanitation in that: The facility failed to maintain the cleanliness of the facility ice maker. The failure could place residents at risk for cross-contamination and foodborne illnesses.
  2. E
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 13, 2024
    Inspectors wroteBased on observations, interviews, and record reviews the facility failed to ensure residents were free of any significant medication errors for 1 of 8 residents (Resident #10) reviewed for drug labeling. LVN A, LVN B, LVN C, and LVN D administered Resident #10 expired insulin lispro 11 times out of a potential 17 times from 04/03/2024 to 04/11/2024. This failure could place residents at risk for not receiving the therapeutic effects of their prescribed medications.
  3. D
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
    F585 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 13, 2024
    Inspectors wroteBased on interviews and record reviews the facility failed to ensure residents had the right to voice grievances to the facility or other agency or entity that hears grievances to include those with respect to care and treatment which has been furnished as well as that which has not been furnished, the behavior of staff and of other residents, and other concerns regarding their facility stay for 1 of 8 residents (Resident #17) reviewed for grievances. RN E received a grievance from Resident #17's representative and did not initiate a grievance report. This failure could place residents at risk for not having grievances heard, addressed, and resolved.
  4. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 13, 2024
    Inspectors wroteBased on interviews and record reviews the facility failed to ensure all alleged violations involving abuse, neglect, exploitation or mistreatment, are reported not later than 24 hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury, to the administrator of the facility and to other officials (including to the State Survey Agency) in accordance with State law through established procedures for 1 of 8 residents (Resident #17) reviewed for reporting allegations of neglect. RN E received an allegation of neglect from Resident #17's representative and did not report the allegation to the abuse, neglect, and exploitation prevention coordinator, the Administrator. This failure could place residents at risk for not having allegations reported.
  5. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 13, 2024
    Inspectors wroteBased on observations, interviews, and record reviews the facility failed to ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles, and include the appropriate accessory and cautionary instructions, and the expiration date when applicable, for 1 of 8 residents (Resident #10) reviewed for drug labeling. The facility failed to remove Resident #10's expired insulin lispro injection pen from the medication cart. This failure could place residents at risk for not receiving the therapeutic effects of their prescribed medications.
  6. B
    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
    F912 · Environmental · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) April 13, 2024
    Inspectors wroteBased on interview and record review, the facility failed to provide a minimum of 80 square feet per resident in 2 of 28 multiple resident rooms as required for (Rooms #14, #21) reviewed for the 80 square feet per Resident requirement . The facility failed to ensure all resident rooms met the minimum size requirements. This deficient practice could affect residents who may reside in these rooms and not allow sufficient room to carry out activities of daily living care, or have the room furnished as they would like and place them at risk for decreased quality of life.
March 27, 2024Complaint inspection · 1 citation
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on observations, interviews, and record review the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for 1 of 5 residents (Resident #1) reviewed for adequate supervision. On 01/30/24, Resident #1 was left unsupervised and suffered an injury, bilateral nasal bone fracture and ten sutures to the forehead, from an unwitnessed fall from a wheelchair to the floor. The facility did not provide adequate supervision. The noncompliance was identified as PNC. The noncompliance began on 01/30/24 and ended on 02/06/24. The facility had corrected the noncompliance before the survey began. This failure could result in residents experiencing accidents, injuries and/or a diminished quality of life.

Fire safety inspections

12 fire safety citations on file: 3 on June 17, 2026, 7 on May 2, 2025, 2 on April 12, 2024.

Every fire safety citation12 citations
  1. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · June 17, 2026 · Corrected (the home has a date of correction)
  2. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · June 17, 2026 · Corrected (the home has a date of correction)
  3. C
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · June 17, 2026 · no revisit needed
  4. F
    Develop and maintain an Emergency Preparedness Program (EP).
    E 4 · May 2, 2025 · Corrected (the home has a date of correction)
  5. F
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · May 2, 2025 · Corrected (the home has a date of correction)
  6. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · May 2, 2025 · Corrected (the home has a date of correction)
  7. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · May 2, 2025 · Corrected (the home has a date of correction)
  8. E
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · May 2, 2025 · Corrected (the home has a date of correction)
  9. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · May 2, 2025 · Corrected (the home has a date of correction)
  10. C
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · May 2, 2025 · Waiver
  11. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · April 12, 2024 · Corrected (the home has a date of correction)
  12. C
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · April 12, 2024 · Waiver

Fines and payment denials

DatePenaltyAmount or length
August 6, 2026Fine $14,385
March 27, 2024Fine $8,018

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeTexasUnited States
All nursing staff (RN, LPN and aides)2.953.393.86
Registered nurses0.390.430.69
All nursing staff on weekends2.382.983.42
Nurse aides1.80
Licensed practical nurses0.76
Nursing staff turnover (share who left in a year)36.7%55.3%45.8%
Registered nurse turnover40.0%54.6%42.9%
Administrators who left0

CMS expects 3.33 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.18 on weekdays and 2.38 on weekends, 25% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 3.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.68 in April to June 2025 to 2.95 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20262.950.393.182.38 3.4%0 of 9049
Oct to Dec 20252.770.342.972.24 1.6%0 of 9250
Jul to Sep 20252.820.463.032.29 2.3%0 of 9245
Apr to Jun 20252.680.542.912.10 2.7%0 of 9143
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Texas, Jan to Mar 20263.330.403.502.932.2%0.7% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Texas

JobMedianMiddle halfEmployed
Texas, all employers
CNAs (nursing assistants)$18.03$16.97 to $20.7188,680
LPNs and LVNs$29.92$27.46 to $32.8957,560
Registered nurses$46.14$38.06 to $50.53271,380
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

Work here? Share your pay anonymously

For Del Rio Nursing and Rehabilitation Center. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
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Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeTexasUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
24.115.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.30.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.20.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.03.33.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
10.014.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
0.53.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
3.69.615.4

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Del Rio Nursing and Rehabilitation Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (52.5% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

52.5% this home

No different from the national rate

US median of homes 51.5% · Texas: 116 better, 50 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 38 eligible stays.

Potentially preventable readmissions

10.9% this home

No different from the national rate

US median of homes 10.7% · Texas: 0 better, 9 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 36 eligible stays.

Infections that led to a hospital stay

7.2% this home

No different from the national rate

US median of homes 7.1% · Texas: 4 better, 11 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 27 eligible stays.

Self-care and mobility at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Texas57.3% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 9 residents counted.

Falls with major injury

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Texas0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 14 residents counted.

New or worsened pressure ulcers

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Texas1.3% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 14 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Texas98.5% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 6 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: VAL VERDE COUNTY HOSPITAL DISTRICT. CMS links this home to Touchstone Communities, a group of 25 nursing homes averaging 2.9 stars overall.

NameRoleTypeShareSince
Val Verde County Hospital District5% or greater direct ownership interestOrganization100%02/28/2015
Lument Real Estate Capital LLC5% or greater mortgage interestOrganization02/28/2015
Jurado, JorgeCorporate officerIndividual01/26/2024
Care Inn Properties IncOperational/managerial controlOrganization02/28/2015
Campbell, LeslieOperational/managerial controlIndividual04/01/2020
Castillo, LynneaOperational/managerial controlIndividual02/28/2015
Eggers, JackelineOperational/managerial controlIndividual10/02/2023
Gilcrease, CynthiaOperational/managerial controlIndividual12/01/2016
Venegas, RoxanaOperational/managerial controlIndividual11/18/2024
Zurovec, DarrellOperational/managerial controlIndividual08/01/2017
Care Inn Properties IncAdp of the SNFOrganization08/08/2025
Care Inn Realty, Inc.Adp of the SNFOrganization02/28/2015
Touchstone Communities IncAdp of the SNFOrganization02/28/2015
Campbell, LeslieAdp of the SNFIndividual04/01/2020
Castillo, LynneaAdp of the SNFIndividual02/28/2015
Eggers, JackelineAdp of the SNFIndividual10/02/2023
Fellbaum, ErnestAdp of the SNFIndividual05/22/2002
Gilcrease, CynthiaAdp of the SNFIndividual12/01/2016
Studer, StanleyAdp of the SNFIndividual05/22/2002
Venegas, RoxanaAdp of the SNFIndividual11/18/2024
Zurovec, DarrellAdp of the SNFIndividual08/01/2017

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. When is the care plan meeting, and can family attend it?Inspectors cited 6 problems in this area, most recently on July 21, 2026: "Ensure each resident receives an accurate assessment."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on June 17, 2026: "Honor the resident's right to organize and participate in resident/family groups in the facility."
  3. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 5 problems in this area, most recently on June 17, 2026: "Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration."
  4. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on June 17, 2026: "Ensure the activities program is directed by a qualified professional."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.38 hours per resident per day, below the Texas average of 2.98.

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Common questions

What is Del Rio Nursing and Rehabilitation Center's Medicare star rating?
CMS rates Del Rio Nursing and Rehabilitation Center 4 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Del Rio Nursing and Rehabilitation Center get at its last inspection?
13 health deficiencies at the standard inspection on June 17, 2026. The Texas average is 9.4.
Has Del Rio Nursing and Rehabilitation Center been fined?
Yes. CMS lists 2 fines totaling $22,403 in the last three years.
Does Del Rio Nursing and Rehabilitation Center accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Del Rio Nursing and Rehabilitation Center?
CMS lists 21 owners and managers, and links the home to Touchstone Communities. Legal business name: VAL VERDE COUNTY HOSPITAL DISTRICT.

Sources

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