Starr County Nursing And Transitional Care
Rio Grande City, Starr County, Texas · CCN 676495 · Government (Hospital district) · part of Wellsential Health (67 facilities, chain average 2.7 stars)
CMS rates Starr County Nursing And Transitional Care 4 of 5 overall as of August 2026. 120 certified beds, 101 residents a day on average. 27 citations on record from the current inspection cycles; no fines on record.
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 | 5 / 4 of 5 |
Staffing
| Total nurse staffing | 2.98815 hours per resident per day |
|---|---|
| Registered nurses | 0.46892 hours per resident per day |
| Weekend total | 2.64784 hours per resident per day |
| Nursing staff turnover | 42.7% (registered nurses 25%) |
| 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 |
|---|---|---|---|
| 2026-01-13 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-01-15 |
| 2026-01-13 | 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 2026-01-15 |
| 2026-01-13 | 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 2026-01-15 |
| 2026-01-13 | 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 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-01-15 |
| 2026-01-13 | 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 2026-01-15 |
| 2025-12-08 complaint survey |
Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-12-09 |
| 2025-12-08 complaint survey |
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 2025-12-09 |
| 2025-12-08 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 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-12-09 |
| 2025-12-08 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 2025-12-09 |
| 2024-10-17 | 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 2024-10-25 |
| 2024-10-17 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · tag F0645 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-10-25 |
| 2024-10-17 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · tag F0693 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-10-25 |
| 2024-10-17 | 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 2024-10-25 |
| 2024-10-17 | 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 2024-10-25 |
| 2024-10-17 | 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 2024-10-25 |
| 2024-09-26 complaint survey |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0607 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-10-04 |
| 2024-09-26 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 2024-10-04 |
| 2024-07-18 complaint survey |
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 2024-07-19 |
| 2024-07-18 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 2024-08-09 |
| 2024-07-18 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 2024-07-19 |
| 2024-06-12 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 2024-06-19 |
| 2024-06-12 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 2024-06-19 |
| 2024-04-03 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 2024-04-12 |
| 2024-04-03 complaint survey |
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 2024-04-12 |
| 2023-07-21 | 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 2023-07-22 |
| 2023-07-21 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-07-22 |
| 2023-07-21 | 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 2023-07-22 |
Fines and payment denials
No fines or payment denials on record since 2023.
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 |
|---|---|---|---|
| Oakbend Medical Center Organization | 5% or greater direct ownership interest | 100% | 2023-03-01 |
| Oakbend Medical Center Organization | adp of the snf | — | 2025-04-29 |
| Regency Ihs Rehab LLC Organization | adp of the snf | — | 2023-03-01 |
| Regency Ihs Rgc LLC Organization | adp of the snf | — | 2025-04-29 |
| Regency Integrated Health Services LLC Organization | adp of the snf | — | 2025-04-29 |
| Starr County Snf Project LLC Organization | adp of the snf | — | 2022-03-01 |
| Regency Ihs Rgc LLC Organization | direct ownership interest | — | 2023-03-01 |
| Csv Rhea Management Holdco, LLC Organization | indirect ownership interest | — | 2023-03-01 |
| Dwd Tx Holdings LLC Organization | indirect ownership interest | — | 2023-03-01 |
| Jack And Nancy Dwyer Workforce Development Center Inc. Organization | indirect ownership interest | — | 2023-03-01 |
| Reg Bridge Opco LLC Organization | indirect ownership interest | — | 2023-03-01 |
| Reg Hg Opco LLC Organization | indirect ownership interest | — | 2023-03-01 |
| Reg Operator Holdco LLC Organization | indirect ownership interest | — | 2023-03-01 |
| Regency Integrated Health Services LLC Organization | indirect ownership interest | — | 2023-03-01 |
| Regency Texas Holdings LLC Organization | indirect ownership interest | — | 2023-03-01 |
| Oakbend Medical Center Organization | operational/managerial control | — | 2023-03-01 |
| Regency Ihs Rgc LLC Organization | operational/managerial control | — | 2023-03-01 |
| Regency Integrated Health Services LLC Organization | operational/managerial control | — | 2023-03-01 |
| Dekowski, Donovan Individual | adp of the snf | — | 2023-03-01 |
| Flores, Michellle Individual | adp of the snf | — | 2023-07-17 |
| Robles, Maria Individual | adp of the snf | — | 2025-01-01 |
| Rosa, Myrna Individual | adp of the snf | — | 2025-01-01 |
| Vasquez Aguilar, Mario Individual | adp of the snf | — | 2025-01-01 |
| Freudenberger, Joseph Individual | corporate officer | — | 2007-06-19 |
| 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 |
| Crayton, Tom Individual | managing control - governing body | — | 2013-01-15 |
| Dorman, John Individual | managing control - governing body | — | 2022-01-18 |
| Freudenberger, Joseph Individual | managing control - governing body | — | 2007-06-19 |
| Gibson, Patricia Individual | managing control - governing body | — | 2021-08-01 |
| Haley, Jeff Individual | managing control - governing body | — | 2016-07-15 |
| King, Abby Individual | managing control - governing body | — | 2018-01-23 |
| King, Elizabeth Individual | managing control - governing body | — | 2023-01-17 |
| Mandelbaum, Elliot Individual | managing control - governing body | — | 2025-01-01 |
| Pisani, Adam Individual | managing control - governing body | — | 2019-01-15 |
| Popatia, Amirali Individual | managing control - governing body | — | 2020-03-17 |
| Stuart, Julius Individual | managing control - governing body | — | 2023-01-16 |
| Uthman, Edward Individual | managing control - governing body | — | 2008-01-15 |
| Dekowski, Donovan Individual | operational/managerial control | — | 2023-03-01 |
| Flores, Michellle Individual | operational/managerial control | — | 2023-07-17 |
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 Starr County Nursing And Transitional Care.
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.