Rio Grande City Nursing And Rehabilitation Center
Rio Grande City, Starr County, Texas · CCN 676119 · Government (Hospital district) · part of Wellsential Health (67 facilities, chain average 2.7 stars)
CMS rates Rio Grande City Nursing And Rehabilitation Center 4 of 5 overall as of August 2026. 110 certified beds, 88 residents a day on average. 18 citations on record from the current inspection cycles, 1 involving actual harm; 1 fine totalling $13,514.
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 | ★★★★☆ 4 of 5 |
|---|---|
| Health inspections | ★★★★☆ 4 of 5 |
| Staffing | ★★☆☆☆ 2 of 5 |
| Quality measures | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 4 / 3 of 5 |
Staffing
| Total nurse staffing | 3.28215 hours per resident per day |
|---|---|
| Registered nurses | 0.46593 hours per resident per day |
| Weekend total | 2.94974 hours per resident per day |
| Nursing staff turnover | 24.2% (registered nurses 44.4%) |
| 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 |
|---|---|---|---|
| 2026-06-11 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 2026-06-12 |
| 2026-05-05 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 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-27 |
| 2025-11-20 complaint survey |
Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · tag F0552 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-11-21 |
| 2025-11-20 complaint survey |
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · tag F0726 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-11-21 |
| 2025-11-20 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 2025-11-21 |
| 2025-09-10 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · tag F0558 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-12 |
| 2025-09-10 | 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 2025-09-12 |
| 2025-09-10 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · tag F0628 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-12 |
| 2025-09-10 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · tag F0694 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-12 |
| 2025-09-10 | 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 2025-09-12 |
| 2025-09-10 | 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 2025-09-12 |
| 2024-11-04 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2024-11-08 |
| 2024-11-04 complaint survey |
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 2024-11-08 |
| 2024-08-08 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · tag F0758 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-03 |
| 2024-08-08 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-03 |
| 2024-06-20 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 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-21 |
| 2024-06-20 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 2024-06-21 |
| 2023-05-18 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · tag F0558 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-05-19 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2024-11-04 | Fine | $13,514 |
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 |
|---|---|---|---|
| Starr County Hospital District Organization | 5% or greater direct ownership interest | 100% | 2015-02-28 |
| 2530 Central Palm Drive LLC Organization | adp of the snf | — | 2015-02-28 |
| Regency Ihs Clinical Consulting, LLC Organization | adp of the snf | — | 2015-02-28 |
| Regency Ihs Master Tenant LLC Organization | adp of the snf | — | 2015-02-28 |
| Regency Ihs Of Rio Grande City, LLC Organization | adp of the snf | — | 2015-02-28 |
| Regency Ihs Rehab LLC Organization | adp of the snf | — | 2015-02-28 |
| Regency Integrated Health Services LLC Organization | adp of the snf | — | 2015-02-28 |
| Starr County Hospital District Organization | adp of the snf | — | 2025-04-14 |
| Regency Ihs Of Rio Grande City, LLC Organization | direct ownership interest | — | 2015-02-28 |
| Csv Rhea Management Holdco, LLC Organization | indirect ownership interest | — | 2015-02-28 |
| Dwd Tx Holdings LLC Organization | indirect ownership interest | — | 2015-02-28 |
| Jack And Nancy Dwyer Workforce Development Center Inc. Organization | indirect ownership interest | — | 2015-02-28 |
| Reg Hg Opco 1, LLC Organization | indirect ownership interest | — | 2015-02-28 |
| Reg Hg Opco LLC Organization | indirect ownership interest | — | 2015-02-28 |
| Reg Operator Holdco LLC Organization | indirect ownership interest | — | 2015-02-28 |
| Regency Integrated Health Services LLC Organization | indirect ownership interest | — | 2015-02-28 |
| Regency Texas Holdings LLC Organization | indirect ownership interest | — | 2015-02-28 |
| Regency Ihs Of Rio Grande City, LLC Organization | operational/managerial control | — | 2025-02-28 |
| Regency Integrated Health Services LLC Organization | operational/managerial control | — | 2015-02-28 |
| Starr County Hospital District Organization | operational/managerial control | — | 2015-02-28 |
| Dekowski, Donovan Individual | adp of the snf | — | 2015-02-28 |
| Gonzales, Ana Individual | adp of the snf | — | 2025-01-01 |
| Martinez, Arturo Individual | adp of the snf | — | 2025-01-01 |
| Pena, Alegria Individual | adp of the snf | — | 2024-07-29 |
| Pena, Emanuel Individual | adp of the snf | — | 2025-01-01 |
| Munoz, Thalia Individual | corporate officer | — | 1982-01-01 |
| Baird, Daniel Individual | managing control - governing body | — | 2021-04-13 |
| Clapp, Barbara Individual | managing control - governing body | — | 2021-06-01 |
| Cortese, Daren Individual | managing control - governing body | — | 2021-08-10 |
| Gibson, Patricia Individual | managing control - governing body | — | 2021-08-01 |
| Guerra, Adrian Individual | managing control - governing body | — | 2016-05-01 |
| Mandelbaum, Elliot Individual | managing control - governing body | — | 2025-01-01 |
| Munoz, Thalia Individual | managing control - governing body | — | 1982-01-01 |
| Pena, Elisa Individual | managing control - governing body | — | 2022-05-01 |
| Salinas, Arcadio Individual | managing control - governing body | — | 2024-09-17 |
| Dekowski, Donovan Individual | operational/managerial control | — | 2015-02-28 |
| Pena, Alegria Individual | operational/managerial control | — | 2024-07-29 |
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 Rio Grande City 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 Starr County.