Nursing homeActive
Weslaco Nursing And Rehabilitation Center
422 E 18th St, Weslaco, TX 785969569738451120 certified beds · 113 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
6
since 2023
Deficiencies
26
● 0● 26● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-04-24
Complaint
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 4
Staffing 1
Quality 5
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| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-04-24 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2025-11-19 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2025-05-14 | Standard | 060 | CMS-2567 (Care Compare) | — |
| 2025-03-31 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-03-14 | Standard | 0100 | CMS-2567 (Care Compare) | — |
| 2023-01-06 | Standard | 040 | CMS-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.
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-25Record 676037-20260424-F641
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 2026-04-25Record 676037-20260424-F656
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-11-20Record 676037-20251119-F684
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-11-20Record 676037-20251119-F760
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 2025-05-15Record 676037-20250514-F578
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-15Record 676037-20250514-F641
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 2025-05-15Record 676037-20250514-F656
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-15Record 676037-20250514-F757
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 2025-05-15Record 676037-20250514-F761
F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-15Record 676037-20250514-F925
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 2025-04-04Record 676037-20250331-F609
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 2025-04-04Record 676037-20250331-F880
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 2024-03-15Record 676037-20240314-F578
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 2024-03-15Record 676037-20240314-F609
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-15Record 676037-20240314-F655
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-15Record 676037-20240314-F677
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-15Record 676037-20240314-F695
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-15Record 676037-20240314-F756
F758Implement 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-15Record 676037-20240314-F758
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 2024-03-15Record 676037-20240314-F761
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 2024-03-15Record 676037-20240314-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 2024-03-15Record 676037-20240314-F842
F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-01-09Record 676037-20230106-F577
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-01-09Record 676037-20230106-F690
F693Ensure 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-01-09Record 676037-20230106-F693
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 2023-01-09Record 676037-20230106-F812
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.17
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day3.30
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours2.94
Facility
Texas
National
Texas 2.98 · National 3.42
Total nursing staff turnover24%
Facility
Texas
National
Texas 55% · National 46%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Texas | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 3.8% | 3.8% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.5% | 3.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 9.1% | 9.6% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.3% | 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 | 10.7% | 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 | 17.7% | 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)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Starr County Hospital District Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Dekowski, Donovan Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Regency Ihs Of Weslaco LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Regency Integrated Health Services LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Starr County Hospital District Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Stratton-Grosch, Leslie Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| 422 East 18th Street LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Baird, Daniel Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Bejarano, Jose Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Clapp, Barbara Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Cortese, Daren Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Csv Rhea Management Holdco, LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Dekowski, Donovan Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Dwd Tx Holdings LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Gibson, Patricia Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Guerra, Adrian Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Jack And Nancy Dwyer Workforce Development Center Inc Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Mandelbaum, Elliot Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Munoz, Thalia Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Munoz, Thalia Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Pena, Elisa Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Reg Bridge Opco LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Reg Hg Opco LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Reg Operator Holdco LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Regency Ihs Clinical Consulting, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Regency Ihs Of Weslaco LLC Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Regency Ihs Of Weslaco LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Regency Ihs Rehab LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Regency Integrated Health Services LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Regency Integrated Health Services LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Regency Texas Holdings LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Salinas, Arcadio Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Serna, Marissa Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Starr County Hospital District Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Stratton-Grosch, Leslie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ureste, Lorena Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Wellsential Health — 67 facilities
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 Hidalgo.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Valley Grande Manor Weslaco | 0.6 mi | 2026-07-02 | 0496 |
| Windsor Nursing And Rehabilitation Center Of Wesla Weslaco | 1.1 mi | 2026-05-29 | 0212 |
| Mid Valley Nursing & Rehabilitation Mercedes | 7.0 mi | 2026-06-10 | 0244 |
| Veranda Rehabilitation and Healthcare Harlingen | 8.2 mi | 2026-04-09 | 0151 |
| The Heights Of Alamo Alamo | 8.9 mi | 2025-11-13 | 0111 |
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
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |