1200 E Lane St., Laredo, TX 78043 · Webb County · (956) 722-0031
188 certified beds, about 115 residents a day · Government - Hospital district · Medicare and Medicaid since 1985
CMS Care Compare ratings, data as of September 1, 2026 · CCN 455528 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on May 21, 2026, inspectors cited 12 health deficiencies (the Texas average is 9.4, the national average 9.2).
Of 42 health citations since December 2023, 3 were rated as actual harm or immediate jeopardy to residents (3 immediate jeopardy).
CMS lists 2 fines totaling $49,719 in the last three years; the largest was $41,438, and the latest is dated August 14, 2025.
Nurses and nurse aides worked 3.12 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.66 of those hours.
47.3% 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.
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.
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 42 health citations on file.
Inspectors wroteBased on observation, interview, and record review, the facility failed to establish and 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 diseases and infections for 4 of 5 residents (Resident #1, Resident #2, Resident #3, and Resident #4) reviewed for infection control practices. The facility failed to ensure Resident #1 had an EBP precaution/isolation sign posted outside of his door or room. The facility failed to ensure Resident #1 had an order for EBP.The facility failed to ensure Resident #2 had an EBP precaution/isolation sign posted outside of his door or room. [...]
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 one of one kitchen reviewed for kitchen sanitation.1. The facility failed to ensure that eggs were stored on the bottom shelf of the refrigerator.2. The facility failed to ensure food items in refrigerator 2 were labeled and dated.3. The facility failed to ensure that there were no personal items stored in refrigerator 2.4. The facility failed to ensure that leftovers were discarded within 72 hours.5. The facility failed to ensure that items labeled keep frozen were kept in the freezer.6. The facility failed to ensure that food items in freezer 3 were labeled and dated. 7. The facility failed to ensure the kitchen was following their policies. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents had the right to reside and receive services in the facility with reasonable accommodation of resident needs and preference for 1 (Resident #95) of 25 residents reviewed for call lights. The facility failed to ensure Resident #95 had the call light within reach while in bed in their room. This failure could place residents at risk of being unable to obtain assistance or help when needed and in the event of an emergency.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents received proper treatment and care to maintain mobility and good foot health for 1 (Resident #67) of 6 residents reviewed for foot care. The facility failed to provide adequate foot care to Resident #67. This failure could put residents at risk for infection, impaired mobility, and poor foot health as well as a decline in their quality of life.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the resident environment remained as free of accident hazards as possible for 1 of 8 residents (Resident #61) reviewed for hazards: The facility failed to ensure Resident #61 did not have a disposable razor in his restroom. This failure could place residents at risk of harm or injury and contribute to avoidable accidents and a decline in health.
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 resident (Resident#7) reviewed for indwelling catheters. The facility failed to prevent Resident#7's urinary catheter tubing (bag) from touching the floor. This failure could place residents at risk for cross contamination and urinary tract infections.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents who were fed by enteral means received the appropriate treatment and services to prevent complications of enteral feeding for 2 (Resident #11 and Resident #39) of 5 residents reviewed for enteral feeding.1. The facility failed to ensure Resident #39's enteral feeding administration supplies were labeled and dated on 05/19/26.2. The facility failed to ensure Resident #11's enteral feeding administration supplies were labeled and dated on 05/20/26. These failures could affect residents receiving enteral nutrition and hydration and place them at risk of health complications and decline in health.
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 2 of 6 (Resident #51 and Resident #29) residents reviewed for respiratory care. 1. The facility failed to ensure Resident #51's oxygen tubing was not touching the floor on 05/19/2026. 2. The facility failed to post an Oxygen sign indicating Resident #51 received oxygen on 5/19/2026. 3. The facility failed to ensure Resident #29's oxygen was administered at the correct setting of liters per minute on 05/19/26 as ordered by the physician. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure all drugs and biologicals were labeled and stored appropriately for 1 of 3 residents (Resident #11) reviewed for labeling and storage. The facility failed to put an open date for Resident #11's Insulin Glargine Solution 100 UNIT/ML on 5/19/2026. These failures could have placed residents at risk of not receiving the therapeutic effects of the medication.
Inspectors wroteBased on observation, interview, and record review the facility failed to enact a policy regarding use and storage of foods brought to residents by family and other visitors to ensure safe and sanitary storage, handling and consumption for 1 of 8 resident refrigerators reviewed for refrigerator sanitation. The facility failed to ensure resident's personal refrigerators were maintained. Resident #96's personal refrigerator had 1 half pint 1 % low fat milk carton with an expiration date of 04/06/26. This failure could place residents who store food items in resident refrigerators, at risk of cross-contamination and food-borne illnesses if consumed.
Inspectors wroteBased on interview, and record review, the facility failed to maintain medical records in accordance with accepted professional standards and practices, on each resident that are- complete; accurately documented; readily accessible; and, systematically organized for 2 of 6 residents (Resident #130 and Resident #115).1. The facility failed to maintain medical records for Resident #130's progress notes, and dialysis communication sheet from 3/31/26, 4/2/26 and 4/4/26 that were complete and accurate.2. The facility failed to accurately document Resident #115's verbal behaviors towards staff in his electronic medical record This failure could place residents at risk of not recording a proper account of medical interventions, treatments, and outcomes during a residents' stay.
Inspectors wroteBased on observation, record review, and interview, the facility failed to establish and maintain an infection prevention and control program, designed to provide a safe and sanitary environment to help prevent the development and transmission of communicable diseases and infections, for 1 of 5 residents (Resident #11) reviewed for infection control.1. The wound care nurse failed to place a barrier between Resident #11's buttocks and his brief while providing wound care.2. The wound care nurse failed to wash her hands with soap and water after providing wound care for Resident #11. These failures could place residents at risk for infection through cross contamination of pathogens.
Inspectors wroteBased on observation, interview, and record review the facility failed to conduct regular inspections and maintenance of resident bed frames, mattresses, and bed rails, leading to potential entrapment hazards for 1 of 8 (Resident #123) residents reviewed for safety in rooms. The facility failed to ensure Resident #123's hospital bed functioned properly, as the knee and foot sections could not be elevated. This failure could place residents at risk of injury resulting from equipment malfunction.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure residents had the right to personal privacy for 2 (Resident #1 and #2) of 5 residents reviewed for respect and dignity. The facility failed to ensure staff closed Resident #1's door to provide privacy during incontinent and wound care on 04/16/2026. The facility failed to ensure staff closed Resident #2's privacy curtain to provide privacy during incontinent care on 04/16/2026. These failures could place residents at risk of emotional or psychological distress and embarrassment.
Inspectors wroteBased observation, interview, and record review, the facility failed to establish and 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 diseases and infections for 2 (Resident #1 and #2) of 5 residents reviewed for infection control practices.1. The facility failed to ensure the WCN knew the correct procedures or professional practices to cleanse the wound adequately on Resident #1. 2. The facility failed to ensure the WCN, CNA-A, CNA-B and CNA-C performed proper hand hygiene when providing care to Resident #1 and Resident #2.3. The facility failed to ensure CNA-A and CNA-C did not enter clean packages or containers with contaminated gloves and not take contaminated supplies from Resident #2's room and place them back on the clean supply cart. [...]
Inspectors wroteBased on interview and record review the facility failed to ensure the comprehensive care plan was developed within 7 days after completion of the comprehensive assessment and reviewed and revised by the interdisciplinary team after each assessment including both the comprehensive and quarterly review assessments to reflect the current condition for 1 of 5 residents (Resident #1) reviewed for care plan revisions. The facility failed to develop Resident #1's comprehensive care plan within 7 days after completion of the comprehensive assessment. This deficient practice could place residents at risk of not receiving appropriate interventions to meet their current needs.
Inspectors wroteBased on interviews and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with resident rights, that included measurable objectives and time frames to meet a resident's medical, nursing, and mental and psychosocial needs that were identified in the comprehensive assessment, for 1 (Resident #1) of 4 residents reviewed for care plans. The facility failed to ensure Resident #1's care plan reflected she refused to eat, to shower, wound care, medications, and was noncompliant with staying repositioned on her sides. This failure could place the residents at risk of not receiving appropriate interventions and care to meet their needs.
Inspectors wroteBased on interview, and record review the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents, for one of five residents (Resident #3) reviewed for accidents and supervision. The facility failed to prevent Resident #3 from attaining alcohol-based hand rub on 12/21/2025. This failure could place residents at risk of ingesting potentially harmful ingredients due to its high alcohol content. Record review of Resident #3's admission record, dated 01/10/2026, revealed Resident #3 was admitted to the facility on [DATE]. Resident #3 was a [AGE] year-old male who was admitted to the facility with multiple diagnoses which included alcohol dependence with alcohol-induced mood disorder, alcohol dependence with unspecified alcohol-induced disorder, and alcoholic cirrhosis of liver without ascites (liver damage). [...]
Inspectors wroteBased on observation, interview and record review the facility failed to establish and 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 infection for one of five residents (Resident #2) reviewed for infection control.1. The facility failed to ensure CNA A removed her contaminated gloves and performed hand hygiene after touching multiple surfaces prior to initiating Resident #2's perineal care on 01/10/2026.2. The facility failed to ensure CNA A performed hand hygiene when completing perineal care to cleaning bowel movement. These failures could place residents at risk for contamination and infection.
Inspectors wroteBased on interviews and record reviews, the facility failed to ensure all alleged violations involving abuse, neglect, exploitation, or mistreatment, including injuries of unknown sources, were reported immediately to the administrator of the facility and to HHSC for 1 of 3 Residents (Resident #4) reviewed for abuse. The facility staff failed to report an allegation of abuse to the administrator and HHSC within 2 hours after the allegation was made per facility policy. This deficient practice could affect any resident and could contribute to further neglect.
Inspectors wroteBased on record reviews and interviews, the facility failed to ensure residents were free of any significant medication errors for one (Resident #1) of five residents reviewed for medication errors. The facility failed to ensure that (RN A) did not administer 5ml (10mg) of Lorazepam (a benzodiazepine medication used to treat anxiety disorders that slows down the nervous system) instead of the physician ordered 0.5ml (1mg) of Lorazepam to Resident #1 on 04/27/25. This failure could result in residents not receiving the physician ordered dose of medications which could lead to an adverse reaction, overdose, hospitalization, or death.
Inspectors wroteBased on record reviews, observations, and interviews the facility failed to ensure residents were free from abuse for three (Resident #2, Resident #4, and Resident #6) of 10 residents reviewed for abuse.1. The facility failed to ensure Resident #2 was not hit on the arm and chest by Resident #3 on 04/04/25.2. The facility failed to ensure Resident #4 was not slapped on the arm by Resident #5 on 07/05/25.3. The facility failed to ensure Resident #6 was not hit on the arm and kicked on the leg by Resident #7 on 07/08/25.4. The facility failed to ensure Resident #2 was not slapped on the arm by Resident #3 on 08/06/25. These failures could place residents at risk for physical, mental, and psychosocial harm.
Inspectors wroteBased on record reviews and interviews, the facility failed to notify, consistent with his or her authority, the resident representative(s) when there was a need to alter treatment significantly (that is, a need to discontinue an existing form of treatment due to adverse consequences, or to commence a new form of treatment) for one (Resident #1) of five residents reviewed for notification of changes. The facility failed to notify Resident #1's guardian when (RN A) administered 5ml (10mg) of Lorazepam instead of the physician ordered 0.5ml (1mg) of Lorazepam to Resident #1 on 04/27/25. This failure could result in resident's family/RP not being aware of the resident's condition.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure all drugs and biologicals were stored in locked compartments and labeled in accordance with currently accepted professional principles reviewed for medications stored in 1 of 7 medication carts and 1 of 3 medication rooms reviewed for medication storage. 1) Medication room on B-hall was left unlocked at 7:37 AM on 04/01/25. 2) Medication room on B-hall was left unlocked at 5:01 PM on 04/02/25. 3) Medication cart on A-hall was observed unlocked at 4:33 PM on 04/02/25. These failures could place residents in the facility at risk of drug diversion or misuse of medications leading to harm.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure each resident had the right to be free from abuse for two residents (Resident #3, Resident #43) of 10 residents reviewed for abuse. The facility failed to ensure: Resident #3 and Resident #43 were free of abuse. Residents #3 and #43 were involved in a Resident-to-Resident altercation. Both residents sustained minor injuries from the altercation. These failures have the potential to result in serious injury because of abuse.
Inspectors wroteBased on interview and record review the facility failed to incorporate the recommendations from the PASRR Level II determination and the PASRR evaluation report for 1 of 5 residents (Resident #47) reviewed for PASRR. The facility failed to initiate an NFSS within 20 business days following the date the services were agreed upon in the IDT meeting. This failure could cause residents with mental health disorders and psychiatric conditions to have a delay in services or not receive specialized services or equipment that may be needed.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents fed by enteral means received the appropriate treatment and services for 2 of 4 residents (Residents #11 and #23) reviewed for tube feeding management. The facility failed to ensure there were labels or instructions on Resident #11 and Resident #23 ' s enteral nutrition supplemental feeding bags on 04/01/25. These failures could place residents at risk for non-therapeutic responses to enteral feeding, as well as receiving the wrong feeding or receiving a feeding at the wrong rate.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals to meet the needs of each resident for 1 of 16 residents (Residents #105) reviewed for pharmacy services. MA A failed to reconcile the instructions written on Resident #105's blister pack with the physician's order for cefpodoxime (antibiotic) before it was administered despite them having different directions for administration on 04/02/25. This failure could place residents at risk for non-therapeutic responses to medications, receiving the wrong feeding or receiving a feeding at the wrong rate.
Inspectors wroteBased on observation, interview and record review, the facility failed to maintain clinical records in accordance with accepted professional standards and practices that are complete and accurately documented for 3 of 7 residents (Resident #1, Resident #3 and Resident #5) reviewed for medical records accuracy, in that: The facility failed to maintain accurate shower records for Residents #1, #3, and #5. This failure could place residents at risk for not receiving showers and lead to skin infections.
Inspectors wroteBased on interviews and record review, the facility failed to ensure that all alleged violations involving the reasonable suspicion of a crime were reported immediately to a law enforcement entity for its political subdivision, within two hours if the events that cause the allegation involve abuse or result in serious bodily injury, or not later than 24 hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury, for 1 (Resident #2 ) of 5 residents reviewed for abuse/neglect. The facility failed to report to the local law enforcement agency within the allotted time frame of 24 hours on 02/07/2025 around 8 PM when CNA A observed Resident #2 being punched by Resident #4 and when Resident #2 verbalized that Resident #4 physically punched Resident #2. [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure each resident was free of accidental hazards for 1 (Resident #1) of 10 residents reviewed for accidental hazards. The facility failed to securely store chemicals on 05/15/2024 which resulted in Resident #1 gaining access to a bottle of bleach. This failure could place residents at risk for ingesting poisonous chemicals which could cause vomiting, diarrhea, or illness requiring hospitalization.
Inspectors wroteBased on observation, interview and record review the facility failed to consult with the resident's physician when there was a significant change in the resident's physical and mental status that is, a deterioration in health, mental, or psychosocial status in either life-threatening conditions or clinical complications for 2 of 6 (Resident #23 and Resident #38) residents reviewed for notification of change. The facility failed to communicate with the Registered Dietitian's recommendations to the Physician and to follow up with the physician when the physician did not return the call. These failures placed the residents at risk of worsening health conditions, continued unplanned weight loss, malnutrition, impaired skin integrity, and hospitalization. An IJ was identified on 02/08/24. The IJ template was provided to the facility on [DATE] at 6:15 pm. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure acceptable parameters of nutritional status, such as usual body weight or desirable body weight range and electrolyte balance, unless the resident's clinical condition demonstrated that this was not possible, or resident preferences indicate otherwise for three of eight residents (Resident #23, Resident #38 and Resident #76) reviewed for nutrition. 1.) The facility failed to ensure Resident #23 did not sustain a significant weight loss of 13.64% in less than three months. 2.) The facility failed to ensure Resident #38 did not sustain a significant weight loss of 11.2 pound/5.59% weight loss in one month and an overall 22.4 pound/10.59% weight loss over six months. [...]
Inspectors wroteBased on observation, interviews, and record review the facility failed to provide residents who were unable to carry out activities of daily living received the necessary services to maintain good personal hygiene to dependent residents for 3 of 5 residents (Resident #88, Resident #55, and Resident #70) reviewed for ADL care. Nursing staff did not shower Resident #88, Resident #55, and Resident #70 on 2 scheduled shower days. This deficient practice could affect 111 residents who required assistance with showers in the facility and it could contribute to poor hygiene and skin breakdown.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure that residents receive care, consistent with professional standards of practice, to promote healing, prevent infection, and prevent new ulcers from developing for 1 (Resident #87) of 5 residents reviewed for pressure ulcers. The facility failed to implement Resident #87's physician recommendation/order to float/off-load heels to remove pressure on pressure injuries of heels/feet. These failures could result in increased pain, infections, development of new pressure ulcers, and decline in quality of life for residents.
Inspectors wroteBased on observation interview and record review, the facility failed nesure the residents environment as free of accidents and hazards as is as possible in that: 1.) Water in the resident bathroom's were not functioning and maintained in 2 of 19 resident (Resident #5, Resident #31 and Resident #96) rooms sampled on Hall A of the facility. 2.) The facility failed to ensure bathroom sinks in occupied resident rooms for Resident's #37, 56, 27, 87, and 38 hot water temperatures were below 110 degrees Fahrenheit. This failure could affect residents by placing them at risk for diminished quality of life due to the lack of a well-kept environment and no water in Resident #5, Resident #31, and Resident #96's bathroom. Water temperatures over 110 degrees Fahrenheit put residents at risk of being in an unsafe environment and at risk for burn injuries.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that the residents requiring respiratory care were provided such care consistent with professional standards of practice for 2 of 2 (Resident #56 and Resident #102) residents who were reviewed for respiratory care. 1)The facility failed to ensure that Resident #56 and Resident #102's nasal cannula tubing were dated. 2)The facility failed to ensure that the tubing connecting the humidifier bottle to the oxygen concentrator machine for Resident #56 was dated. 3)The facility failed to ensure that Resident #102's nebulizer tubing was dated. 4)The facility failed to ensure that Resident #56 was receiving oxygen as per the physician's order. These failures could place the residents who receive oxygen care at risk for developing respiratory complications or infections and a decreased quality of care.
Inspectors wroteBased on observation, record review, and interview, the facility failed to establish and 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 diseases and infections, for four of six Residents (Resident #38, Resident #100, Resident #102 and Resident #57) that were reviewed for infection control and transmission-based precautions policies and practices. 1)RN O did not maintain one clean hand and one dirty hand while providing tracheostomy care for Resident #38. [...]
Inspectors wroteBased on observation, interviews and record review, the facility failed to ensure each resident was treated 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 one (Resident # 57) of three residents reviewed for dignity. The facility failed promote Resident #57's dignity by covering his catheter's urinary collection bag with a privacy bag. This failure could place residents with catheters at risk for a loss of dignity, decreased self-worth and decreased self-esteem.
Inspectors wroteBased on observation, 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 time frames to meet resident's mental and psychosocial needs, for two (Resident #57 and Resident #102) of eight residents reviewed for care plans. 1) The facility did not develop and implement a comprehensive person-centered care plan that addressed Resident #57's indwelling catheter. 2) The facility failed to address Resident #102's respiratory treatments in her comprehensive person-centered care plan. This failure could place residents in the facility at risk of not receiving the necessary care and services to maintain their health and safety.
Inspectors wroteBased on interview and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident that included measurable objectives and time frames to meet a resident's medical, nursing, and mental and psychosocial needs, for one (R #2) of six residents reviewed for care plans: The facility failed to update R #2's care plan to include history of R#2's falls on 6/17/23, and 08/21/2023, as well as failed to update R#2's care plan to reflect actual events that transpired on 6/17/23 and 08/21/2023. This failure could place residents at risk for not having their needs met and psychosocial complications.
Inspectors wroteBased on observation, record review, and interview, the facility failed to establish and 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 diseases and infections, for one (R# 1) of five that were reviewed for infection control and transmission-based precautions policies and practices, in that: CNA A did not perform hand hygiene or glove changes after touching R#1's bedside table, bed remote, and R#1's feet, prior to commencing incontinent care, nor during incontinent care. These failures could place residents at risk for infection through cross contamination of pathogens.
16 fire safety citations on file: 2 on May 21, 2026, 11 on April 3, 2025, 3 on February 10, 2024.
| Date | Penalty | Amount or length |
|---|---|---|
| August 14, 2025 | Fine | $8,281 |
| February 10, 2024 | Fine | $41,438 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Texas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.12 | 3.39 | 3.86 |
| Registered nurses | 0.66 | 0.43 | 0.69 |
| All nursing staff on weekends | 2.71 | 2.98 | 3.42 |
| Nurse aides | 1.72 | ||
| Licensed practical nurses | 0.74 | ||
| Nursing staff turnover (share who left in a year) | 47.3% | 55.3% | 45.8% |
| Registered nurse turnover | 37.5% | 54.6% | 42.9% |
| Administrators who left | 2 |
CMS expects 3.92 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 3.28 on weekdays and 2.71 on weekends, 17% 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 2.73 in April to June 2025 to 3.12 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.12 | 0.66 | 3.28 | 2.71 | 0.0% | 0 of 90 | 115 |
| Oct to Dec 2025 | 3.06 | 0.59 | 3.22 | 2.63 | 0.0% | 0 of 92 | 118 |
| Jul to Sep 2025 | 2.94 | 0.62 | 3.10 | 2.55 | 0.0% | 0 of 92 | 115 |
| Apr to Jun 2025 | 2.73 | 0.66 | 2.90 | 2.32 | 0.2% | 0 of 91 | 114 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Texas, Jan to Mar 2026 | 3.33 | 0.40 | 3.50 | 2.93 | 2.2% | 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
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.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Texas, all employers | |||
| CNAs (nursing assistants) | $18.03 | $16.97 to $20.71 | 88,680 |
| LPNs and LVNs | $29.92 | $27.46 to $32.89 | 57,560 |
| Registered nurses | $46.14 | $38.06 to $50.53 | 271,380 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
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.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Texas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 17.0 | 15.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.5 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 6.8 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 6.4 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.0 | 3.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 8.1 | 9.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 13.5 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 4.4 | 12.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 2.2 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.2 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Laredo West Nursing and Rehabilitation Center's Medicare short-stay residents. How to read these, and what Medicare pays for.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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. 14 eligible stays.
11.0% 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. 38 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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. 15 eligible stays.
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. 11 residents counted.
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. 25 residents counted.
7.3% 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. 25 residents counted.
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. 5 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.
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.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Regency IHS of West Laredo LLC | Direct ownership interest | Organization | 10/01/2022 | |
| Dekowski, Donovan | Direct ownership interest | Individual | 10/01/2022 | |
| Martinez-Purata, Dario | Direct ownership interest | Individual | 03/10/2025 | |
| Ortiz, Ana | Direct ownership interest | Individual | 01/01/2025 | |
| Trevino, Victor | Direct ownership interest | Individual | 01/01/2023 | |
| Csv Rhea Management Holdco, LLC | Indirect ownership interest | Organization | 10/01/2022 | |
| Dwd Tx Holdings LLC | Indirect ownership interest | Organization | 10/01/2022 | |
| Jack and Nancy Dwyer Workforce Development Center Inc | Indirect ownership interest | Organization | 10/01/2022 | |
| Reg Leased Opco LLC | Indirect ownership interest | Organization | 10/01/2022 | |
| Reg Operator Holdco LLC | Indirect ownership interest | Organization | 10/01/2022 | |
| Regency Integrated Health Services LLC | Indirect ownership interest | Organization | 10/01/2022 | |
| Regency Texas Holdings LLC | Indirect ownership interest | Organization | 10/01/2022 | |
| Baird, Daniel | Indirect ownership interest | Individual | 04/13/2021 | |
| Clapp, Barbara | Indirect ownership interest | Individual | 06/01/2021 | |
| Cortese, Daren | Indirect ownership interest | Individual | 08/10/2021 | |
| Gibson, Patricia | Indirect ownership interest | Individual | 08/01/2021 | |
| Mandelbaum, Elliot | Indirect ownership interest | Individual | 10/01/2022 | |
| Apolinar, Adam | Corporate officer | Individual | 07/23/2015 | |
| Contreras, Terri | Corporate officer | Individual | 04/29/2019 | |
| Elliott, Benjamin | Corporate officer | Individual | 01/13/2016 | |
| Faglie, Kelly | Corporate officer | Individual | 03/31/2017 | |
| Gaitonde, Gajanan | Corporate officer | Individual | 02/28/2006 | |
| Gonzales, Hector | Corporate officer | Individual | 03/27/2001 | |
| Gutierrez, Monica | Corporate officer | Individual | 01/13/2016 | |
| Kessler, William | Corporate officer | Individual | 02/27/1973 | |
| Zamora, Raul | Corporate officer | Individual | 12/30/1980 | |
| Regency IHS of West Laredo LLC | Operational/managerial control | Organization | 10/01/2022 | |
| Regency Integrated Health Services LLC | Operational/managerial control | Organization | 10/01/2022 | |
| Uvalde County Hospital Authority | Operational/managerial control | Organization | 10/01/2022 | |
| Dekowski, Donovan | Operational/managerial control | Individual | 10/01/2022 | |
| Martinez-Purata, Dario | Operational/managerial control | Individual | 03/10/2025 | |
| Regency IHS Clinical Consulting, LLC | Adp of the SNF | Organization | 10/01/2022 | |
| Regency IHS of West Laredo LLC | Adp of the SNF | Organization | 10/01/2022 | |
| Regency IHS Rehab LLC | Adp of the SNF | Organization | 10/01/2022 | |
| Regency Integrated Health Services LLC | Adp of the SNF | Organization | 04/17/2025 | |
| Uvalde County Hospital Authority | Adp of the SNF | Organization | 04/17/2025 | |
| Dekowski, Donovan | Adp of the SNF | Individual | 10/01/2022 | |
| Martinez-Purata, Dario | Adp of the SNF | Individual | 03/10/2025 | |
| Ortiz, Ana | Adp of the SNF | Individual | 01/01/2025 | |
| Trevino, Victor | Adp of the SNF | Individual | 01/01/2023 |
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.
Chosen from this home's own inspection record.
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