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Hidalgo Nursing and Rehabilitation Center

4503 S Sugar Rd, Edinburg, TX 78539 · Hidalgo County · (956) 386-1112

126 certified beds, about 104 residents a day · Government - Hospital district · Medicare and Medicaid since 2013

CMS abuse icon: cited for abuse in a recent inspection Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 676346 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on April 14, 2026, inspectors cited 6 health deficiencies (the Texas average is 9.4, the national average 9.2).

Of 25 health citations since November 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 1 fine totaling $7,582 in the last three years; the largest was $7,582, and the latest is dated November 3, 2023.

Nurses and nurse aides worked 3.32 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.43 of those hours.

41.6% of nursing staff left within the year CMS measured (Texas average 55.3%).

CMS links it to Wellsential Health, an affiliated group of 67 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 25 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
14D
10E
0F
Potential for minimal harm
0A
0B
0C
April 29, 2026Complaint inspection · 2 citations
  1. D
    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, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 1, 2026
    Inspectors wroteBased on interviews and record reviews the facility failed to ensure the residents right to be informed of the risks and benefits of proposed care, of treatment and treatment alternatives or treatment options and to choose the alternative or option he or she prefers, for 1 resident (Resident #1) of 5 residents reviewed for consent for antipsychotic medications in that: Resident #1 was prescribed and administered olanzapine (Zyprexa)(an antipsychotic) without prior consent based on information of the benefits, risks, and options available. This failure could affect the right to self-determination of all facility residents who receive medication by allowing them to receive medication without their prior knowledge or consent, or that of their responsible party or emergency contacts.
  2. D
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    F605 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 1, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure that the residents were free from chemical restraints not required to treat the resident's medical symptoms for 1 (Resident #1) of 5 residents reviewed for unnecessary medications. The facility failed to have an adequate indication for the use of the medication olanzapine (Zyprexa)(an antipsychotic) for Resident #1 before administering the medication with a black box warning. This failure could put residents at risk of harm from adverse reactions or harmful side effects. Based on interview and record review, the facility failed to ensure that the residents were free from chemical restraints not required to treat the resident's medical symptoms for 1 (Resident #1) of 5 residents reviewed for unnecessary medications. [...]
April 14, 2026Standard inspection · 6 citations
  1. E
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    F628 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 15, 2026
    Inspectors wroteBased on record reviews and interviews, the facility failed to send a copy of the residents' discharge notice, prior to discharge, to the representative of the Office of State Long-Term Care (LTC) Ombudsman for 77 of 81 of residents discharged from the facility for the first 3 months in 2026. The facility failed to send a copy of the residents' discharge notice, prior to discharge, to the representative of the Office of State Long-Term Care (LTC) Ombudsman These failures could place residents at risk of not knowing their rights and receiving the services of the state LTC Ombudsman. Findings Included: Record review of the monthly report of discharges dated 04/14/2026 provided by the Social Worker revealed out of a total of 81 residents discharged only 4 discharges of AMA were sent to the LTC Ombudsman for the months of January, February, and March of 2026. [...]
  2. 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) April 15, 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 kitchen. 1. The facility failed to ensure male kitchen staff were wearing beard restraints and wear them properly while in the kitchen.2. The facility failed to discard scratched non-stick pans. 3. The facility failed to wear gloves while cooking raw ground beef for consumption.4. The facility failed to ensure can opener was clean.5. The facility failed to ensure dinner rolls were covered while waiting for baking.6. The facility failed to ensure the air conditioning vents to be free of a black substance surrounding the vents and condensation. 7. [...]
  3. 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) April 15, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident who was incontinent of bladder received appropriate treatment and services to prevent urinary tract infections and restore continence to the extent possible for 1 of 3 residents (Resident#19) reviewed for quality of care. The facility failed to prevent Resident#19's urinary catheter tubing (bag) from touching the floor on 4/12/26. This failure could place residents at risk for cross contamination and urinary tract infections.
  4. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 15, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that residents who needed respiratory care were provided such care consistent with professional standards of practice, the comprehensive person-centered care plan, and the resident's goals and preferences for 1 of 8 residents (Resident #20) reviewed for respiratory care. 1. The facility failed to ensure Resident #20's oxygen tubing was not touching the floor on 4/12/2026. 2. The facility failed to post an Oxygen sign indicating Resident #20 received oxygen on 4/12/2026. These deficient practices could place residents who receive respiratory care at an increased risk of developing respiratory complications, a decreased quality of care, and at risk of fire hazards by not posting oxygen signs outside the residents' rooms.
  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 15, 2026
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure all drugs and biologicals used in the facility were labeled in accordance with currently accepted professional principles, and included the appropriate accessory and cautionary instructions, and the expiration date when applicable for 2 of 7 (100/200-hall and 300/400-halls) medication carts reviewed for pharmacy services. 1. The facility failed to store 5 loose tablets in their appropriate blister packs in the medication cart for halls 100 and 200 at 2:37 PM on 04/13/26. 2. The facility failed to store 8 loose tablets/capsules in their appropriate blister packs in the medication cart for halls 300 and 400 at 2:54 PM on 04/13/26. This deficient practice could place residents at risk of losing medications leading to medication shortage.
  6. 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) April 15, 2026
    Inspectors wroteBased on observation, interviews and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment to help prevent the development and transmission of communicable diseases and infections for 1 of 5 residents (Resident #20) reviewed for infection control. CNA B and CNA C failed to follow Enhanced Barrier Precautions for an indwelling catheter for Resident #20 on 4/12/26. This failure could place residents at risk for cross contamination and the spread of infection.
January 29, 2026Complaint inspection · 1 citation
  1. E
    Protect each resident from the wrongful use of the resident's belongings or money.
    F602 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) February 2, 2026
    Inspectors wroteBased on interviews and record reviews, the facility failed to ensure residents had the right to be free from abuse, neglect, misappropriation of property for 1 of 2 residents (Resident #1) reviewed for misappropriation and exploitation, in that: The facility failed to ensure Resident #1's debit card was secured resulting in 26 unauthorized transactions totaling $1,340.60. This failure could affect residents and their responsible party by preventing them from having access to their funds.
November 19, 2025Complaint inspection · 1 citation
  1. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 21, 2025
    Inspectors wroteBased on interviews and record review, the facility failed to ensure that a resident who needed respiratory care was provided with such care, consistent with professional standards of practice for 1 (Resident #1) of 4 residents reviewed for oxygen management. The facility failed to provide Resident #1 with a BIPAP machine as per doctor's orders. This deficient practice could place residents who receive respiratory care at an increased risk of developing respiratory complications and a decreased quality of life. Record review of the facility's PIR revealed Resident #1 did not have the BIPAP machine on during the night of 11/26/25. Record review of Resident #1's admission record dated 11/18/25 revealed a [AGE] year-old male with an admission date of 08/01/25 and an initial admission date of 05/28/25. [...]
February 12, 2025Standard inspection, Complaint inspection · 2 citations
  1. 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) February 14, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights, that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment for 1 of 4 residents (Resident #247) reviewed for care plans, in that: The facility failed to ensure Resident #247's care plan revised on 01/17/25 reflected he required a mechanical lift to be transferred to and from bed. This deficient practice could place residents in the facility at risk of not being provided with the necessary care or services and not having personalized plans developed to address their specific needs.
  2. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · 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) February 14, 2025
    Inspectors wroteBased on interview and record reviews, the facility failed to maintain clinical records in accordance with accepted professional standards and practices that are complete and accurately documented for 1 of 1 resident (Resident #11) reviewed for residents needs as identified through resident assessments. The facility failed to ensure LVN P documented resident #11's assessment on 01/29/25 after CNA O informed her she had noticed redness on Resident #11's leg. This deficient practice could affect residents whose records are maintained by the facility and could place them at risk of not having assessments documented resulting in potential delayed treatment and decreased quality of life.
January 16, 2025Complaint inspection · 1 citation
  1. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 20, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure residents were free from verbal abuse for 1 of 4 residents (R# 1) reviewed for abuse. The facility failed to prevent CNA A, from verbally abusing R#1 on 05/20/24 when she used obscene language. This failure could place residents at risk of emotional distress, fear, decreased quality of life and further abuse.
November 17, 2023Standard inspection, Complaint inspection · 9 citations
  1. E
    Allow resident to participate in the development and implementation of his or her person-centered plan of care.
    F553 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 15, 2023
    Inspectors wroteBased on interview and record review, the facility failed to ensure the resident's right to participate in the development and implementation of his or her person-centered plan of care, for 1 of 6 Residents (Resident #73) reviewed for care plans. The facility failed to conduct 11 quarterly care plan meetings to discuss Resident #73's care since his admission in 2021. This failure could cause residents not to be able to participate in the planning of their care, not receiving the care they want or need, and not being informed of all services offered by the facility.
  2. E
    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.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 15, 2023
    Inspectors wroteBased on interviews and record reviews, the facility failed to ensure residents' right to formulate an advance directive for 4 of 12 residents (Residents #2, #34, #55, and #97) reviewed for advanced directives, in that: 1. The facility failed to ensure Resident #2's Out-of-Hospital Do Not Resuscitate (OOH-DNR) was executed correctly as it was not signed by witnesses or a physician and there were no dates on the form. 2. The facility failed to ensure Resident #34's OOH-DNR was executed correctly as the physician's printed signature and license number were missing from the form. 3. The facility failed to ensure Resident #55's OOH-DNR was executed correctly as it was not signed by the responsible party and there was no date the form was signed. 4. The facility failed to ensure Resident #97's OOH-DNR was in the medical record. [...]
  3. 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 · found on a complaint visit · Corrected (the home has a date of correction) December 15, 2023
    Inspectors wroteBased on interviews and record reviews, 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 Activity Director reviewed, in that: The facility failed to ensure the AD was qualified to serve as the director of the activities program. This failure could place residents at risk for reduced quality of life due to lack of activities that were individualized to match the skills, abilities, and interests/preferences of each resident.
  4. E
    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.
    F849 · Administration · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 15, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to collaborate with hospice representatives and coordinate the hospice care planning process for each resident receiving hospice services, to ensure quality of care for the resident, ensuring communication with the hospice medical director, the resident's attending physician, and others participating in the provision of care for 3 of 3 residents (Resident #15, #55 and #97) reviewed for hospice services, in that: 1. The facility failed to obtain Resident #15's most recent hospice Plan of Care and documentation by specific interdisciplinary hospice staff providing services to the resident. 2. The facility failed to obtain Resident #55's most recent hospice Plan of Care and documentation by specific interdisciplinary hospice staff providing services to the resident. 3. [...]
  5. E
    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
    F944 · Administration · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 15, 2023
    Inspectors wroteBased on interviews and record reviews, the facility failed to ensure Quality Assurance and Performance Improvement (QAPI) training that outlines and informs staff of the elements and goals of the facility's QAPI program for 15 of 26 employees (CNA C, CNA E, CNA F, CNA G, CNA H, CNA I, CNA J, CNA K, LVN L, LVN M, LVN N, RN O, PT P, the FNSD and the AD) reviewed for training, in that: The facility failed to ensure that quality assurance and performance improvement training was provided to CNA C, CNA E, CNA F, CNA G, CNA H, CNA I, CNA J, CNA K, LVN L, LVN M, LVN N, RN O, PT P, the FNSD and the AD. This failure could place residents at risk of staff not being aware of the facility's QAPI processes that focus on the outcomes of care and quality of life due to a lack of training.
  6. 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) December 15, 2023
    Inspectors wroteBased on interview and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with resident rights, that include measurable objectives and time frames to meet residents' mental, nursing, and psychosocial needs and to ensure that the comprehensive care plan described the services that were to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being, including the right to refuse treatment for 1 of 6 residents (Resident #15) reviewed for care plans, in that: The facility failed to implement Resident #15's comprehensive person-centered care plan to address oxygen use and therapy services. [...]
  7. 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 · found on a complaint visit · Corrected (the home has a date of correction) December 15, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure the comprehensive care plan was reviewed and revised by the interdisciplinary team after each assessment, including both the comprehensive and quarterly review assessments for 2 of 7 residents (R#20 and 80), reviewed for care plan revisions, in that: R#20 requested an activity preference while in isolation that did not result in the revision of CP involving activities and CP was not revised. R#80 requested an activity preference while in COVID-19 isolation that did not result in the revision of CP involving activities and CP was not revised. These failures could place residents at risk for lack of coordination of services and activity preferences.
  8. 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 · found on a complaint visit · Corrected (the home has a date of correction) December 15, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide resident preferences for 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 7 residents (R#20 and R#80), reviewed for activity preferences, in that: R#20's activity preference was not provided while he was in an isolation room. R#80's activity preference was not provided while she was isolated for COVID-19. These failures could affect residents' psychosocial well-being and could lead to a diminished quality of life.
  9. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 15, 2023
    Inspectors wroteBased on observation, interviews and record reviews, the facility failed to establish and maintain an infection control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for one resident (#1) of two residents observed for infection control in that: 1. CNA B failed to doff her soiled gloves after performing peri care for Resident #1 and before grabbing a clean sheet and brief for the resident. 2. CNA B failed to sanitize her hands prior to donning new gloves while performing peri care for Resident #1. This deficient practice could affect residents who receive incontinent care and could result in cross contamination of germs and could result in a urinary tract infection (a painful infection of the urinary system, which includes the kidneys, bladder, urethra, and ureters).
November 3, 2023Complaint inspection · 3 citations
  1. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure each resident received adequate supervision to prevent accidents for one (1) of seven (6) residents (Resident #1) reviewed for accidents and hazards: The facility failed to develop and implement interventions to prevent Resident #1 's elopement from the facility. Resident #1 eloped from the facility on 03/31/23 and was returned to the facility by local police department. The non-compliance was identified as Past Non-Compliance. The Immediate Jeopardy (IJ) began on 03/31/2023 and ended on 03/31/2023. The facility corrected the non-compliance before the investigation began. This deficient practice could place the residents at risk for harm, serious injury or death.
  2. E
    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, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 10, 2023
    Inspectors wroteBased on interview and record review the facility failed to report the findings from their investigations of abuse, neglect, exploitation, or mistreatment to HHSC within 5 working days for 4 out of 9 reviewed for incident and accident reporting. The facility failed to submit a Provider Investigation Report (Form 3613-A) to HHSC for four reported incidents on: - 03/31/23 involving an allegation of resident neglect - 04/09/23 involving an allegation of infection control - 06/17/23 involving an allegation of pharmaceutical services - 07/18/23 involving an allegation of infection control This deficient practice could place all residents at risk of incidents not being investigated or reported to HHSC.
  3. E
    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, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 10, 2023
    Inspectors wroteBased on interview, observation and record review, the facility failed to ensure drug records are in order and that an account of all controlled drugs is maintained and periodically reconciled for 1 of 24 residents (Resident # 2) being reviewed for pharmacy services. The facility failed to ensure that narcotics were reconciled as being given from the resident's eMAR to the resident's narcotic reconciliation form on the medication cart. This failure could place residents at risk of not receiving their narcotic medications and drug diversions.

Fire safety inspections

1 fire safety citation on file: 1 on April 14, 2026.

Every fire safety citation1 citation
  1. F
    Have a properly installed medical gas master alarm panel.
    K 904 · April 14, 2026 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
November 3, 2023Fine $7,582

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)3.323.393.86
Registered nurses0.430.430.69
All nursing staff on weekends2.972.983.42
Nurse aides2.05
Licensed practical nurses0.85
Nursing staff turnover (share who left in a year)41.6%55.3%45.8%
Registered nurse turnover50.0%54.6%42.9%
Administrators who left0

CMS expects 4.99 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 3.47 on weekdays and 2.97 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.30 in April to June 2025 to 3.32 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.320.433.472.97 0.0%0 of 90104
Oct to Dec 20253.190.363.302.90 0.0%0 of 92104
Jul to Sep 20253.390.433.523.07 0.0%0 of 92100
Apr to Jun 20253.300.423.413.03 0.0%0 of 9197
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.

Trains nurse aides: this home runs a state-approved CNA program (state list: HHSC Approved NATCEP Providers, as of October 6, 2026). A nursing home cannot charge aides it employs, or has offered a job, for state-approved training (42 CFR 483.152(c)). See Hidalgo Nursing and Rehabilitation Center CNA training on CareerFunded, our sister site for career training.

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.

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For Hidalgo 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.

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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
11.415.813.9
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
0.00.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
4.33.33.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.31.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
13.314.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.23.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
12.49.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
23.025.723.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
12.812.312.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.62.21.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.02.11.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Hidalgo 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 (61.0% 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

61.0% 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. 69 eligible stays.

Potentially preventable readmissions

11.3% 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. 83 eligible stays.

Infections that led to a hospital stay

5.9% 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. 28 eligible stays.

Self-care and mobility at discharge

54.0% this home

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. 37 residents counted.

Falls with major injury

0.0% this home

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. 60 residents counted.

New or worsened pressure ulcers

1.1% this home

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. 60 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. 16 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: UVALDE COUNTY HOSPITAL AUTHORITY. CMS links this home to Wellsential Health, a group of 67 nursing homes averaging 2.7 stars overall.

NameRoleTypeShareSince
Regency IHS of Hidalgo LLCDirect ownership interestOrganization03/01/2024
Garza, SenovioDirect ownership interestIndividual03/01/2024
Martinez, CelesteDirect ownership interestIndividual03/01/2024
Melendez, IvanDirect ownership interestIndividual03/01/2024
Munoz, NaptalyDirect ownership interestIndividual03/01/2024
Csv Rhea Management Holdco, LLCIndirect ownership interestOrganization03/01/2024
Dwd Tx Holdings LLCIndirect ownership interestOrganization03/01/2024
Jack and Nancy Dwyer Workforce Development Center IncIndirect ownership interestOrganization03/01/2024
Reg Leased Opco LLCIndirect ownership interestOrganization03/01/2024
Reg Operator Holdco LLCIndirect ownership interestOrganization03/01/2024
Regency Integrated Health Services LLCIndirect ownership interestOrganization03/01/2024
Regency Texas Holdings LLCIndirect ownership interestOrganization03/01/2024
Baird, DanielIndirect ownership interestIndividual04/13/2021
Clapp, BarbaraIndirect ownership interestIndividual06/01/2021
Cortese, DarenIndirect ownership interestIndividual08/10/2021
Dekowski, DonovanIndirect ownership interestIndividual03/01/2024
Gibson, PatriciaIndirect ownership interestIndividual08/01/2021
Mandelbaum, ElliotIndirect ownership interestIndividual03/01/2024
Apolinar, AdamCorporate officerIndividual07/23/2015
Contreras, TerriCorporate officerIndividual04/29/2019
Elliott, BenjaminCorporate officerIndividual01/13/2016
Faglie, KellyCorporate officerIndividual03/31/2017
Gonzales, HectorCorporate officerIndividual03/27/2001
Regency IHS of Hidalgo LLCOperational/managerial controlOrganization03/01/2024
Regency Integrated Health Services LLCOperational/managerial controlOrganization03/01/2024
Uvalde County Hospital AuthorityOperational/managerial controlOrganization06/01/2022
Dekowski, DonovanOperational/managerial controlIndividual03/01/2024
Garza, SenovioOperational/managerial controlIndividual03/01/2024
Regency IHS Clinical Consulting, LLCAdp of the SNFOrganization03/01/2024
Regency IHS of Hidalgo LLCAdp of the SNFOrganization05/19/2025
Regency IHS Rehab LLCAdp of the SNFOrganization03/01/2024
Regency Integrated Health Services LLCAdp of the SNFOrganization05/19/2025
Uvalde County Hospital AuthorityAdp of the SNFOrganization05/19/2025
Dekowski, DonovanAdp of the SNFIndividual03/01/2021
Garza, SenovioAdp of the SNFIndividual03/01/2024
Martinez, CelesteAdp of the SNFIndividual03/01/2024
Melendez, IvanAdp of the SNFIndividual03/01/2024
Munoz, NaptalyAdp of the SNFIndividual03/01/2024

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. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 6 problems in this area, most recently on April 14, 2026: "Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on April 29, 2026: "Ensure that residents are fully informed and understand their health status, care and treatments."
  3. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 4 problems in this area, most recently on April 29, 2026: "Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function."
  4. When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on February 12, 2025: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.97 hours per resident per day, below the Texas average of 2.98.

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Common questions

What is Hidalgo Nursing and Rehabilitation Center's Medicare star rating?
CMS rates Hidalgo Nursing and Rehabilitation Center 1 out of 5 stars overall, with 2 for health inspections, 1 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Hidalgo Nursing and Rehabilitation Center get at its last inspection?
6 health deficiencies at the standard inspection on April 14, 2026. The Texas average is 9.4.
Has Hidalgo Nursing and Rehabilitation Center been fined?
Yes. CMS lists 1 fine totaling $7,582 in the last three years.
Does Hidalgo 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 Hidalgo Nursing and Rehabilitation Center?
CMS lists 38 owners and managers, and links the home to Wellsential Health. Legal business name: UVALDE COUNTY HOSPITAL AUTHORITY.

Sources

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