Nursing homeActive
Starr County Nursing And Transitional Care
5260 Brand St, Rio Grande City, TX 785828887078277120 certified beds · 101 residentsGovernment - Hospital districtMedicare and Medicaid
Surveys on file
8
since 2023
Deficiencies
27
● 0● 27● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-01-13
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 4
Staffing 2
Quality 4
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 |
|---|---|---|---|---|
| 2026-01-13 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2025-12-08 | Complaint | 040 | CMS-2567 (Care Compare) | — |
| 2024-10-17 | Standard | 060 | CMS-2567 (Care Compare) | — |
| 2024-09-26 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-07-18 | Complaint | 030 | CMS-2567 (Care Compare) | — |
| 2024-06-12 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-04-03 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2023-07-21 | Standard | 030 | 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.
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-15Record 676495-20260113-F686
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 2026-01-15Record 676495-20260113-F695
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 2026-01-15Record 676495-20260113-F761
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 2026-01-15Record 676495-20260113-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 2026-01-15Record 676495-20260113-F842
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 2025-12-09Record 676495-20251208-F695
F760Ensure that residents are free from significant medication errors.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-12-09Record 676495-20251208-F760
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 2025-12-09Record 676495-20251208-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 2025-12-09Record 676495-20251208-F880
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-25Record 676495-20241017-F558
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-25Record 676495-20241017-F645
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 2024-10-25Record 676495-20241017-F693
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 2024-10-25Record 676495-20241017-F695
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 2024-10-25Record 676495-20241017-F755
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 2024-10-25Record 676495-20241017-F880
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-04Record 676495-20240926-F607
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 2024-10-04Record 676495-20240926-F609
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-19Record 676495-20240718-F558
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-09Record 676495-20240718-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 2024-07-19Record 676495-20240718-F656
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 2024-06-19Record 676495-20240612-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 2024-06-19Record 676495-20240612-F656
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-12Record 676495-20240403-F641
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 2024-04-12Record 676495-20240403-F657
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-22Record 676495-20230721-F550
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 2023-07-22Record 676495-20230721-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 2023-07-22Record 676495-20230721-F880
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.47
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day2.99
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours2.65
Facility
Texas
National
Texas 2.98 · National 3.42
Total nursing staff turnover43%
Facility
Texas
National
Texas 55% · National 46%
Registered nurse turnover25%
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 | 2.7% | 3.8% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.4% | 3.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 16.7% | 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 | 12.2% | 15.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 3.9% | 3.0% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 15.0% | 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 |
|---|---|---|---|---|
| Oakbend Medical Center Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Dekowski, Donovan Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Flores, Michellle Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Oakbend Medical Center Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Regency Ihs Rgc LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Regency Integrated Health Services LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Baird, Daniel Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Clapp, Barbara Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Cortese, Daren Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Crayton, Tom 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 | — | — |
| Dorman, John Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Dwd Tx Holdings LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Flores, Michellle Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Freudenberger, Joseph Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Freudenberger, Joseph Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Gibson, Patricia Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Haley, Jeff Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Jack And Nancy Dwyer Workforce Development Center Inc Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| King, Abby Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| King, Elizabeth Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Mandelbaum, Elliot Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Oakbend Medical Center Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Pisani, Adam Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Popatia, Amirali 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 Rehab LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Regency Ihs Rgc LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Regency Ihs Rgc LLC Organization | DIRECT OWNERSHIP INTEREST | 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 | — | — |
| Robles, Maria Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Rosa, Myrna Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Starr County SNF Project LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Stuart, Julius Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Uthman, Edward Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Vasquez Aguilar, Mario 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 Starr.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Rio Grande City Nursing And Rehabilitation Center Rio Grande City | 10.7 mi | 2026-06-11 | 1151 |
| Las Alturas De Penitas Penitas | 25.1 mi | 2026-05-28 | 0125 |
| Mission Nursing and Rehabilitation Center Mission | 33.4 mi | 2026-04-02 | 0231 |
| Mission Valley Nursing and Transitional Care Mission | 33.4 mi | 2026-02-11 | 1143 |
| Briarcliff Nursing and Rehabilitation Center McAllen | 34.7 mi | 2026-06-17 | 0425 |
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 |