Nursing homeActive

Val Verde Nursing And Rehabilitation Center

100 Hermann Dr, Del Rio, TX 78840830775747776 certified beds · 51 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
7
since 2023
Deficiencies
30
3252
Penalties · 3 yrs
$138,908
1 fine
Last survey
2026-02-03
Complaint
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 3
Staffing 2
Quality 3
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Texas Health and Human Services Commission · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-02-03Complaint110CMS-2567 (Care Compare)
2025-12-03Complaint020CMS-2567 (Care Compare)
2025-06-06Standard160CMS-2567 (Care Compare)
2024-05-10Standard030CMS-2567 (Care Compare)
2023-11-17Complaint010CMS-2567 (Care Compare)
2023-10-01Complaint031CMS-2567 (Care Compare)
2023-04-08Standard191CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Texas Health and Human Services Commission publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-02-03Complaint survey · 2 deficienciesOfficial report
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-04Record 675395-20260203-F609
F732Post nurse staffing information every day.Scope/severity CPaperwork
Staffing
Widespread; potential for minimal harm.Corrected 2026-02-04Record 675395-20260203-F732
2025-12-03Complaint survey · 2 deficienciesOfficial report
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-12-04Record 675395-20251203-F609
F610Respond appropriately to all alleged violations.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-12-04Record 675395-20251203-F610
2025-06-06Standard survey · 7 deficienciesOfficial report
F583Keep residents' personal and medical records private and confidential.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-15Record 675395-20250606-F583
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-15Record 675395-20250606-F641
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-06-15Record 675395-20250606-F761
F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-06-15Record 675395-20250606-F801
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-06-15Record 675395-20250606-F812
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-15Record 675395-20250606-F842
F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.Scope/severity CPaperwork
Environment
Widespread; potential for minimal harm.Corrected 2025-06-15Record 675395-20250606-F912
2024-05-10Standard survey · 3 deficienciesOfficial report
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-10Record 675395-20240510-F656
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-10Record 675395-20240510-F692
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-10Record 675395-20240510-F761
2023-11-17Complaint survey · 1 deficiencyOfficial report
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-20Record 675395-20231117-F755
2023-10-01Complaint survey · 4 deficienciesOfficial report
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity KHarm
Care planning
Pattern; immediate jeopardy to resident health or safety.Corrected 2023-10-02Record 675395-20231001-F686
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-10-02Record 675395-20231001-F656
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-10-02Record 675395-20231001-F842
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-02Record 675395-20231001-F880
2023-04-08Standard survey · 11 deficienciesOfficial report
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2023-04-09Record 675395-20230408-F684
F578Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-09Record 675395-20230408-F578
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-03Record 675395-20230408-F657
F679Provide activities to meet all resident's needs.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-04-09Record 675395-20230408-F679
F727Have 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.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-04-09Record 675395-20230408-F727
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-09Record 675395-20230408-F755
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-09Record 675395-20230408-F761
F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-09Record 675395-20230408-F801
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-04-09Record 675395-20230408-F812
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-04-09Record 675395-20230408-F842
F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.Scope/severity CPaperwork
Environment
Widespread; potential for minimal harm.Corrected 2023-04-09Record 675395-20230408-F912

Penalties & enforcement

DateActionAmountSource
2023-10-01Civil money penalty$138,908CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.43
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day3.24
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours2.88
Facility
Texas
National
Texas 2.98 · National 3.42
Total nursing staff turnover31%
Facility
Texas
National
Texas 55% · National 46%
Registered nurse turnover33%
Facility
Texas
National
Texas 55% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityTexasNational
Percentage of long-stay residents with pressure ulcers
lower is better
3.9%3.8%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
5.4%3.3%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
8.9%9.6%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.0%0.8%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.0%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
21.3%15.8%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
3.2%3.0%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
11.5%18.0%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Val Verde County Hospital District
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Dekowski, Donovan
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Guerra, Maria
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Regency Ihs Of Val Verde, LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Regency Integrated Health Services LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Val Verde County Hospital District
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
100 Herrmann Drive LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Baird, Daniel
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Carvajal, Antonio
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Chartrand, Daniel
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Clapp, Barbara
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Cortese, Daren
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Csv Rhea Management Holdco, LLC
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Dekowski, Donovan
Individual
ADP OF THE SNFNOT APPLICABLE
Diaz, Cris
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Dwd Tx Holdings LLC
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Gibson, Patricia
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Gonzales, Veronica
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Guerra, Maria
Individual
ADP OF THE SNFNOT APPLICABLE
Gutierrez, Jaime
Individual
ADP OF THE SNFNOT APPLICABLE
Jack And Nancy Dwyer Workforce Development Center Inc
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Jimenez, Alfonso
Individual
ADP OF THE SNFNOT APPLICABLE
Jurado, Jorge
Individual
CORPORATE OFFICERNOT APPLICABLE
Jurado, Jorge
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Kaufman, Nicole
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Mandelbaum, Elliot
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Otazo, Julio
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Palmer, Robin
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Reg Hg Opco 1, LLC
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Reg Hg Opco LLC
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Reg Operator Holdco LLC
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Regency Ihs Clinical Consulting, LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Regency Ihs Master Tenant LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Regency Ihs Of Val Verde, LLC
Organization
DIRECT OWNERSHIP INTERESTNOT APPLICABLE
Regency Ihs Of Val Verde, LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Regency Ihs Rehab LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Regency Integrated Health Services LLC
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Regency Integrated Health Services LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Regency Texas Holdings LLC
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Reyes, Sarah
Individual
ADP OF THE SNFNOT APPLICABLE
Val Verde County Hospital District
Organization
ADP OF THE SNFNOT APPLICABLE
Part of a chain
Wellsential Health67 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Texas.

No county cost figures on file for Val Verde.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Del Rio Nursing and Rehabilitation Center
Del Rio
0.8 mi2026-06-171241
La Vida Serena Nursing And Rehabilitation
Del Rio
3.3 mi2025-12-121102
Eagle Pass Nursing and Rehabilitation
Eagle Pass
51.4 mi2025-05-213193
La Hacienda De Paz Rehabilitation and Care Center
Eagle Pass
52.1 mi2025-12-100171
Maverick Nursing and Rehabilitation Center
Eagle Pass
52.3 mi2026-06-270281
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01