Nursing home
Medina Valley Health & Rehabilitation Center
913 Hwy 90 W, Castroville, TX 78009 · Map
For profit - Partnership · 116 certified beds
Medina Valley Health & Rehabilitation Center is a Medicare-certified nursing home in Castroville, Texas. CMS rates it 3 out of 5 stars overall (2/5 for staffing, 3/5 for health inspections). Nurse staffing is 3.26 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Nov 15, 2024 cited 15 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Medina Valley Health & Rehabilitation Center compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.26 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.34 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.98 | 2.01 | 2.34 | below avg |
| Nursing staff turnover | 32.9% | 51.5% | 46.4% | below avg |
| Deficiencies cited, last inspection | 15.0 | 9.1 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the February 27, 2026 inspection was corrected by March 27, 2026
What inspectors found at Medina Valley Health & Rehabilitation Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Feb 27, 2026 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Feb 27, 2026 · Full report (PDF) - Potential for harm
Keep all essential equipment working safely.
Environmental Deficiencies · Feb 27, 2026 · Full report (PDF) - Potential for harm
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 · Feb 27, 2026 · Full report (PDF) - Potential for harm
Have 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.
Nursing and Physician Services Deficiencies · Feb 27, 2026 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Feb 27, 2026 · Full report (PDF) - Minimal
Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning Deficiencies · Feb 27, 2026 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Nov 15, 2024 · Full report (PDF) - Potential for harm
Keep all essential equipment working safely.
Environmental Deficiencies · Nov 15, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Nov 15, 2024 · Full report (PDF) - Potential for harm
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Administration Deficiencies · Nov 15, 2024 · Full report (PDF) - Potential for harm
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 · Nov 15, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 913 Hwy 90 W
Castroville, TX 78009 - CMS certification #
- 675974
- Ownership
- For profit - Partnership
- Certified beds
- 116
- Avg residents/day
- 85.3
- Provider type
- Medicare and Medicaid
- First certified
- 2003-06-20
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Medina Valley Health & Rehabilitation Center using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Christus Santa Rosa Medical Center, San Antonio. 9.4 miles away, straight line. CMS overall hospital rating: 3 of 5 stars. Location approximate.
- Nearest Medicare nursing home
- Westover Hills Rehabilitation and Healthcare, San Antonio. 8.6 miles away, straight line.
- Nearest home health agency office
- Adventia Healthcare Associates, Inc, Castroville. 4.9 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- H-E-B Pharmacy. 3.8 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 78009 as metropolitan (metropolitan high commuting).
- Dialysis within 15 miles
- Davita Roadrunner Dialysis, San Antonio, 8.3 miles away, straight line (CMS rating 3 of 5 stars)
Usrc Gateway Dialysis, San Antonio, 8.8 miles away, straight line (CMS rating 4 of 5 stars)
Fkc Alamo Ranch, San Antonio, 9.1 miles away, straight line (CMS rating 5 of 5 stars) - Hospice
- 50 Medicare hospices tell CMS they serve ZIP code 78009.
Blue Skies Hospice, office in San Antonio, 3.2 miles away, straight line
Bexar Hospice, office in San Antonio, 6.7 miles away, straight line
Changing Seasons Hospice, office in San Antonio, 15.1 miles away, straight line - Nearest geriatric medicine practice
- Wellmed Medical Group Pa, San Antonio. 12.7 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- Wildfire risk to homes
- In Medina County, TX, risk to homes is greater than 46% of communities in Texas and 78% of communities nationwide. USDA rates the whole county, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane relatively low, inland flooding very high, wildfire relatively moderate, tornado very high, heat wave relatively high, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Medina Valley Health & Rehabilitation Center a good nursing home?
CMS gives Medina Valley Health & Rehabilitation Center an overall rating of 3 out of 5 stars, including 2/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Medina Valley Health & Rehabilitation Center staffed?
Medina Valley Health & Rehabilitation Center reports 3.26 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Medina Valley Health & Rehabilitation Center had inspection problems?
Its most recent CMS inspection cited 15 deficiencies.
How many beds does Medina Valley Health & Rehabilitation Center have?
Medina Valley Health & Rehabilitation Center is certified for 116 beds.