Val Verde Nursing And Rehabilitation Center
Del Rio, Val Verde County, Texas · CCN 675395 · Non-profit (Corporation) · part of Wellsential Health (67 facilities, chain average 2.7 stars)
CMS rates Val Verde Nursing And Rehabilitation Center 3 of 5 overall as of August 2026. 76 certified beds, 51 residents a day on average. 30 citations on record from the current inspection cycles, 2 at immediate jeopardy; 1 fine totalling $138,908.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★☆☆ 3 of 5 |
|---|---|
| Health inspections | ★★★☆☆ 3 of 5 |
| Staffing | ★★☆☆☆ 2 of 5 |
| Quality measures | ★★★☆☆ 3 of 5 |
| Quality: long-stay / short-stay | 5 / 1 of 5 |
Staffing
| Total nurse staffing | 3.24228 hours per resident per day |
|---|---|
| Registered nurses | 0.43024 hours per resident per day |
| Weekend total | 2.87577 hours per resident per day |
| Nursing staff turnover | 31.1% (registered nurses 33.3%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-02-03 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-02-04 |
| 2026-02-03 complaint survey |
Post nurse staffing information every day. Nursing and Physician Services Deficiencies · tag F0732 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2026-02-04 |
| 2025-12-03 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-12-04 |
| 2025-12-03 complaint survey |
Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-12-04 |
| 2025-06-06 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · tag F0761 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-06-15 |
| 2025-06-06 | 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. Nutrition and Dietary Deficiencies · tag F0801 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-06-15 |
| 2025-06-06 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-06-15 |
| 2025-06-06 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · tag F0583 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-06-15 |
| 2025-06-06 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-06-15 |
| 2025-06-06 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · tag F0842 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-06-15 |
| 2025-06-06 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · tag F0912 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2025-06-15 |
| 2024-05-10 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-10 |
| 2024-05-10 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · tag F0692 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-10 |
| 2024-05-10 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-10 |
| 2023-11-17 complaint survey |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-20 |
| 2023-10-01 complaint survey |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
K Immediate jeopardy to resident health or safety; pattern | Deficient, Provider has date of correction 2023-10-02 |
| 2023-10-01 complaint survey |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-10-02 |
| 2023-10-01 complaint survey |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · tag F0842 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-10-02 |
| 2023-10-01 complaint survey |
Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-02 |
| 2023-04-08 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2023-04-09 |
| 2023-04-08 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · tag F0679 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-04-09 |
| 2023-04-08 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · tag F0727 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-04-09 |
| 2023-04-08 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-04-09 |
| 2023-04-08 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · tag F0842 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-04-09 |
| 2023-04-08 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · tag F0578 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-04-09 |
| 2023-04-08 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-05-03 |
| 2023-04-08 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-04-09 |
| 2023-04-08 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-04-09 |
| 2023-04-08 | 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. Nutrition and Dietary Deficiencies · tag F0801 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-04-09 |
| 2023-04-08 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · tag F0912 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2023-04-09 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2023-10-01 | Fine | $138,908 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Val Verde County Hospital District Organization | 5% or greater direct ownership interest | 100% | 2022-04-01 |
| 100 Herrmann Drive LLC Organization | adp of the snf | — | 2022-04-01 |
| Regency Ihs Clinical Consulting, LLC Organization | adp of the snf | — | 2022-04-01 |
| Regency Ihs Master Tenant LLC Organization | adp of the snf | — | 2022-04-01 |
| Regency Ihs Of Val Verde, LLC Organization | adp of the snf | — | 2022-04-01 |
| Regency Ihs Rehab LLC Organization | adp of the snf | — | 2022-04-01 |
| Regency Integrated Health Services LLC Organization | adp of the snf | — | 2022-04-01 |
| Val Verde County Hospital District Organization | adp of the snf | — | 2022-04-01 |
| Regency Ihs Of Val Verde, LLC Organization | direct ownership interest | — | 2022-04-01 |
| Csv Rhea Management Holdco, LLC Organization | indirect ownership interest | — | 2022-04-01 |
| Dwd Tx Holdings LLC Organization | indirect ownership interest | — | 2022-04-01 |
| Jack And Nancy Dwyer Workforce Development Center Inc. Organization | indirect ownership interest | — | 2022-04-01 |
| Reg Hg Opco 1, LLC Organization | indirect ownership interest | — | 2022-04-01 |
| Reg Hg Opco LLC Organization | indirect ownership interest | — | 2022-04-01 |
| Reg Operator Holdco LLC Organization | indirect ownership interest | — | 2022-04-01 |
| Regency Integrated Health Services LLC Organization | indirect ownership interest | — | 2022-04-01 |
| Regency Texas Holdings LLC Organization | indirect ownership interest | — | 2022-04-01 |
| Regency Ihs Of Val Verde, LLC Organization | operational/managerial control | — | 2022-04-01 |
| Regency Integrated Health Services LLC Organization | operational/managerial control | — | 2022-04-01 |
| Val Verde County Hospital District Organization | operational/managerial control | — | 2022-04-01 |
| Dekowski, Donovan Individual | adp of the snf | — | 2022-04-01 |
| Guerra, Maria Individual | adp of the snf | — | 2024-01-02 |
| Gutierrez, Jaime Individual | adp of the snf | — | 2014-05-01 |
| Jimenez, Alfonso Individual | adp of the snf | — | 2025-01-01 |
| Reyes, Sarah Individual | adp of the snf | — | 2025-01-01 |
| Jurado, Jorge Individual | corporate officer | — | 2023-10-13 |
| Baird, Daniel Individual | managing control - governing body | — | 2021-04-13 |
| Carvajal, Antonio Individual | managing control - governing body | — | 2024-05-16 |
| Chartrand, Daniel Individual | managing control - governing body | — | 2014-05-19 |
| Clapp, Barbara Individual | managing control - governing body | — | 2021-06-01 |
| Cortese, Daren Individual | managing control - governing body | — | 2021-08-10 |
| Diaz, Cris Individual | managing control - governing body | — | 2022-05-25 |
| Gibson, Patricia Individual | managing control - governing body | — | 2021-08-01 |
| Gonzales, Veronica Individual | managing control - governing body | — | 2024-05-16 |
| Jurado, Jorge Individual | managing control - governing body | — | 2023-10-13 |
| Kaufman, Nicole Individual | managing control - governing body | — | 2021-08-10 |
| Mandelbaum, Elliot Individual | managing control - governing body | — | 2025-01-01 |
| Otazo, Julio Individual | managing control - governing body | — | 2022-05-25 |
| Palmer, Robin Individual | managing control - governing body | — | 2020-11-18 |
| Dekowski, Donovan Individual | operational/managerial control | — | 2022-04-01 |
| Guerra, Maria Individual | operational/managerial control | — | 2024-01-02 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Val Verde Nursing And Rehabilitation Center.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Val Verde County.