Nursing homeActive
Mid Valley Nursing & Rehabilitation
601 N Mile 2 West, Mercedes, TX 785709562941689123 certified beds · 79 residentsGovernment - Hospital districtMedicare and Medicaid
Surveys on file
11
since 2023
Deficiencies
28
● 0● 24● 4
Penalties · 3 yrs
$16,611
2 fines
Last survey
2026-06-10
Complaint
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
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 |
|---|---|---|---|---|
| 2026-06-10 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2026-04-09 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2026-01-13 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2025-12-31 | Complaint | 030 | CMS-2567 (Care Compare) | — |
| 2025-04-11 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-03-07 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2025-02-05 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2024-12-23 | Complaint | 024 | CMS-2567 (Care Compare) | — |
| 2024-04-16 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-11-16 | Standard | 010 | CMS-2567 (Care Compare) | — |
| 2023-10-31 | Complaint | 010 | 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.
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-06-26Record 676414-20260610-F755
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 2026-05-01Record 676414-20260409-F755
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-01Record 676414-20260409-F759
F760Ensure that residents are free from significant medication errors.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-05-01Record 676414-20260409-F760
F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-01Record 676414-20260409-F813
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 2026-05-01Record 676414-20260409-F880
F573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-09Record 676414-20260113-F573
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 2026-02-09Record 676414-20260113-F657
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 2026-01-16Record 676414-20251231-F578
F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-16Record 676414-20251231-F694
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 2026-01-16Record 676414-20251231-F761
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 2025-05-01Record 676414-20250411-F690
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 2025-04-03Record 676414-20250307-F656
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 2025-04-03Record 676414-20250307-F842
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 2025-02-28Record 676414-20250205-F656
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 2025-02-28Record 676414-20250205-F695
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-28Record 676414-20250205-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 2025-02-28Record 676414-20250205-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 2025-02-28Record 676414-20250205-F880
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity JHarm
Abuse & neglect
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-12-24Record 676414-20241223-F600
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity JHarm
Abuse & neglect
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-12-24Record 676414-20241223-F607
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-03-21Record 676414-20241223-F689
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 JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-12-24Record 676414-20241223-F690
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 2024-12-24Record 676414-20241223-F609
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 2024-12-24Record 676414-20241223-F656
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 2024-05-09Record 676414-20240416-F755
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 2023-11-17Record 676414-20231116-F578
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-02Record 676414-20231031-F755
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2024-12-23 | Civil money penalty | $8,281 | CMS · Penalties |
| 2024-12-23 | Civil money penalty | $8,330 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.23
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day3.32
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours3.00
Facility
Texas
National
Texas 2.98 · National 3.42
Total nursing staff turnover45%
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| Measure | Facility | Texas | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 1.0% | 3.8% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 0.0% | 3.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 4.2% | 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 | 10.5% | 15.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 0.4% | 3.0% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 15.2% | 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 |
|---|---|---|---|---|
| Campbell, Leslie Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Carazos, Marcos Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Carrasco, Leticia Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Castillo, Lynnea Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Gilcrease, Cynthia Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Sehlke, Bryon Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Touchstone Strategies Mercedes LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Zurovec, Darrell Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Aegis Therapies, Inc. Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Alamo Advisors LP Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Apolinar, Adam Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Campbell, Leslie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Capital Funding Group, Inc. Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Carazos, Marcos Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Carrasco, Leticia Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Carvajal Pharmacy Ltc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Castillo, Lynnea Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fellbaum, Ernest Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gilcrease, Cynthia Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| International Bank Of Commerce Organization | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE | — | — |
| Levine, Andrew Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Plante & Moran Pllc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sehlke, Bryon Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Studer, Stanley Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| The Bryon And Rena Sehlke Living Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Touchstone Communities Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Touchstone Realty - Mercedes LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Touchstone Strategies Mercedes LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Trident Health Services Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Zurovec, Darrell Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Touchstone Communities — 25 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 |
|---|---|---|---|
| Veranda Rehabilitation and Healthcare Harlingen | 2.0 mi | 2026-04-09 | 0151 |
| Windsor Nursing And Rehabilitation Center Of Wesla Weslaco | 6.1 mi | 2026-05-29 | 0212 |
| Valley Grande Manor Weslaco | 6.6 mi | 2026-07-02 | 0496 |
| Weslaco Nursing And Rehabilitation Center Weslaco | 7.0 mi | 2026-04-24 | 0220 |
| Windsor Atrium Harlingen | 11.9 mi | 2026-05-08 | 0263 |
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 |