Medina Valley Health & Rehabilitation Center

913 Hwy 90 W, Castroville, TX 78009

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Medina Valley Health & Rehabilitation Center is a nursing home in Castroville, Texas. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

At a glance

CMS overall star rating3 of 5
Last standard health inspectionFebruary 27, 2026 (8 months ago)
Health citations since September 22, 202336 (Texas average 28)
Fines in the past three yearsNone listed by CMS
CMS flagsNone listed by CMS

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

Get an email when CMS publishes something new about this home

One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.

CMS flags

CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

CMS update of July 29, 2026
- Star rating
  The CMS overall star rating changed from 4 of 5 to 3 of 5.
- Star rating
  The CMS staffing star rating changed from 2 of 5 to 1 of 5.
CMS update of May 27, 2026
- Star rating
  The CMS overall star rating changed from 3 of 5 to 4 of 5.
- Star rating
  The CMS health inspection star rating changed from 3 of 5 to 4 of 5.
CMS update of April 29, 2026
- Star rating
  The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
Health inspection on February 27, 2026
7 citations
CMS lists this as a standard inspection.
Show the 7 citations
- Citation F0641. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Ensure each resident receives an accurate assessment.
  CMS lists it as corrected on March 27, 2026.
  CMS has cited this home for F0641 2 times since 2024.
- Citation F0880. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Provide and implement an infection prevention and control program.
  CMS lists it as corrected on March 27, 2026.
  CMS has cited this home for F0880 3 times since 2023.
- Citation F0686. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  CMS lists it as corrected on March 27, 2026.
- Citation F0727. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: 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.
  CMS lists it as corrected on March 27, 2026.
- Citation F0842. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  CMS lists it as corrected on March 27, 2026.
  CMS has cited this home for F0842 3 times since 2023.
- Citation F0908. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Keep all essential equipment working safely.
  CMS lists it as corrected on March 27, 2026.
  CMS has cited this home for F0908 2 times since 2024.
- Citation F0638. Severity B: potential for minimal harm, pattern.
  The rule CMS cited: Assure that each resident’s assessment is updated at least once every 3 months.
  CMS lists it as corrected on March 27, 2026.
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Fire safety inspection on February 27, 2026
4 citations
CMS lists this as a standard inspection.
Show the 4 citations
- Citation K0222. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
  CMS lists it as corrected on March 20, 2026.
  CMS has cited this home for K0222 2 times since 2024.
- Citation K0351. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Install an approved automatic sprinkler system.
  CMS lists it as corrected on March 27, 2026.
  CMS has cited this home for K0351 3 times since 2023.
- Citation K0355. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Properly select, install, inspect, or maintain portable fire extinguishes.
  CMS lists it as corrected on March 27, 2026.
  CMS has cited this home for K0355 2 times since 2024.
- Citation K0920. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure proper usage of power strips and extension cords.
  CMS lists it as corrected on March 27, 2026.
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CMS update of July 30, 2025
- Star rating
  The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
CMS update of February 26, 2025
- Star rating
  The CMS quality measures star rating changed from 3 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
Health inspection on November 15, 2024
15 citations
CMS lists this as a standard inspection.
Show the 15 citations
- Citation F0812. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  CMS lists it as corrected on December 18, 2024.
  CMS has cited this home for F0812 2 times since 2023.
- Citation F0580. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  CMS lists it as corrected on December 18, 2024.
- Citation F0641. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure each resident receives an accurate assessment.
  CMS lists it as corrected on December 18, 2024.
- Citation F0644. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
  CMS lists it as corrected on December 18, 2024.
- Citation F0645. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: PASARR screening for Mental disorders or Intellectual Disabilities
  CMS lists it as corrected on December 18, 2024.
- Citation F0657. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  CMS lists it as corrected on December 18, 2024.
- Citation F0677. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.
  CMS lists it as corrected on December 18, 2024.
- Citation F0690. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  CMS lists it as corrected on December 18, 2024.
  CMS has cited this home for F0690 3 times since 2023.
- Citation F0755. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  CMS lists it as corrected on December 18, 2024.
- Citation F0761. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure 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.
  CMS lists it as corrected on December 18, 2024.
  CMS has cited this home for F0761 2 times since 2024.
- Citation F0842. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  CMS lists it as corrected on December 18, 2024.
- Citation F0849. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: 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.
  CMS lists it as corrected on December 18, 2024.
- Citation F0880. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide and implement an infection prevention and control program.
  CMS lists it as corrected on December 18, 2024.
- Citation F0908. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Keep all essential equipment working safely.
  CMS lists it as corrected on December 17, 2024.
- Citation F0814. Severity B: potential for minimal harm, pattern.
  The rule CMS cited: Dispose of garbage and refuse properly.
  CMS lists it as corrected on December 18, 2024.
  CMS has cited this home for F0814 2 times since 2023.
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Fire safety inspection on November 15, 2024
12 citations
CMS lists this as a standard inspection.
Show the 12 citations
- Citation K0353. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.
  CMS lists it as corrected on December 18, 2024.
  CMS has cited this home for K0353 2 times since 2023.
- Citation K0211. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Keep aisles, corridors, and exits free of obstruction in case of emergency.
  CMS lists it as corrected on December 18, 2024.
- Citation K0281. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Install proper backup exit lighting.
  CMS lists it as corrected on December 18, 2024.
- Citation K0355. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Properly select, install, inspect, or maintain portable fire extinguishes.
  CMS lists it as corrected on December 18, 2024.
- Citation K0372. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
  CMS lists it as corrected on December 18, 2024.
- Citation K0712. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Have simulated fire drills held at unexpected times.
  CMS lists it as corrected on December 18, 2024.
- Citation K0923. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Have proper medical gas storage and administration areas.
  CMS lists it as corrected on December 18, 2024.
- Citation K0222. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
  CMS lists it as corrected on December 18, 2024.
- Citation K0293. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Have properly located and lighted "Exit" signs.
  CMS lists it as corrected on December 18, 2024.
- Citation K0345. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Have approved installation, maintenance and testing program for fire alarm systems.
  CMS lists it as corrected on December 18, 2024.
- Citation K0511. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Have properly installed electrical wiring and gas equipment.
  CMS lists it as corrected on December 18, 2024.
- Citation K0351. Severity C: potential for minimal harm, widespread.
  The rule CMS cited: Install an approved automatic sprinkler system.
  CMS lists it as corrected on December 18, 2024.
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Health inspection on October 30, 2024
3 citations
CMS lists this as a complaint inspection.
Show the 3 citations
- Citation F0609. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  CMS lists it as corrected on November 14, 2024.
  CMS has cited this home for F0609 2 times since 2024.
- Citation F0689. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  CMS lists it as corrected on December 11, 2023.
- Citation F0690. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  CMS lists it as corrected on November 14, 2024.
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CMS update of October 30, 2024
- Star rating
  The CMS staffing star rating changed from 1 of 5 to 2 of 5.
- Star rating
  The CMS quality measures star rating changed from 5 of 5 to 3 of 5.
Health inspection on September 21, 2024
1 citation
CMS lists this as a complaint inspection.
Show the 1 citation
- Citation F0761. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure 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.
  CMS lists it as corrected on October 1, 2024.
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CMS update of July 31, 2024
- Star rating
  The CMS overall star rating changed from 4 of 5 to 3 of 5.
- Star rating
  The CMS staffing star rating changed from 2 of 5 to 1 of 5. CMS changed how it scores this rating for many homes at once.
Health inspection on July 26, 2024
1 citation
CMS lists this as a complaint inspection.
Show the 1 citation
- Citation F0609. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  CMS lists it as corrected on September 2, 2024.
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CMS update of April 25, 2024
- Star rating
  The CMS overall star rating changed from 3 of 5 to 4 of 5.
- Star rating
  The CMS staffing star rating changed from 1 of 5 to 2 of 5.
Health inspection on November 15, 2023
1 citation
CMS lists this as a complaint inspection.
Show the 1 citation
- Citation F0842. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  CMS lists it as corrected on December 11, 2023.
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Health inspection on September 22, 2023
8 citations
CMS lists this as a standard inspection.
Show the 8 citations
- Citation F0604. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
  CMS lists it as corrected on October 25, 2023.
- Citation F0812. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  CMS lists it as corrected on October 25, 2023.
- Citation F0880. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Provide and implement an infection prevention and control program.
  CMS lists it as corrected on October 25, 2023.
- Citation F0690. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  CMS lists it as corrected on October 25, 2023.
- Citation F0726. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
  CMS lists it as corrected on October 25, 2023.
- Citation F0759. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure medication error rates are not 5 percent or greater.
  CMS lists it as corrected on October 25, 2023.
- Citation F0760. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure that residents are free from significant medication errors.
  CMS lists it as corrected on October 25, 2023.
- Citation F0814. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Dispose of garbage and refuse properly.
  CMS lists it as corrected on October 25, 2023.
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Fire safety inspection on September 22, 2023
2 citations
CMS lists this as a standard inspection.
Show the 2 citations
- Citation K0351. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Install an approved automatic sprinkler system.
  CMS lists it as corrected on October 25, 2023.
- Citation K0353. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.
  CMS lists it as corrected on October 25, 2023.
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CMS star ratings

3 of 5CMS overall star rating
4 of 5CMS health inspection star rating
1 of 5CMS staffing star rating
4 of 5CMS quality measures star rating

Facts from CMS

Phone: (830) 931-2900
Last standard health inspection: February 27, 2026 (8 months ago)
Certified beds: 116
Residents per day, on average: 84.8
Ownership type: For profit - Partnership
Legal business name: Medina County Hospital District
Chain: Not listed by CMS
Takes part in: Medicare and Medicaid

More health citations than the Texas average (36 vs 28).

Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

MEDINA COUNTY HOSPITAL DISTRICT5% or greater direct ownership interest · 100% · since 08/01/2014
PMG OPCO - CASTROVILLE LLCOperational/managerial control · not applicable · since 03/01/2026
BAUDER, WILLIAMOperational/managerial control · not applicable · since 03/01/2026

Questions

When was Medina Valley Health & Rehabilitation Center last inspected?

CMS lists February 27, 2026 as the date of its most recent standard health inspection.

How many citations (violations) does Medina Valley Health & Rehabilitation Center have?

CMS lists 36 health citations since September 22, 2023. CMS also calls these deficiencies.

Has Medina Valley Health & Rehabilitation Center been fined?

CMS lists no fines for this home in the past three years.

What is the CMS star rating of Medina Valley Health & Rehabilitation Center?

Its CMS overall star rating is 3 of 5.

Is Medina Valley Health & Rehabilitation Center a Special Focus Facility?

No. CMS does not list it as a Special Focus Facility or a candidate.

At a glance

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CMS flags

Inspections, fines and changes

CMS update of July 29, 2026

CMS update of May 27, 2026

CMS update of April 29, 2026

Health inspection on February 27, 2026

Fire safety inspection on February 27, 2026

CMS update of July 30, 2025

CMS update of February 26, 2025

Health inspection on November 15, 2024

Fire safety inspection on November 15, 2024

Health inspection on October 30, 2024

CMS update of October 30, 2024

Health inspection on September 21, 2024

CMS update of July 31, 2024

Health inspection on July 26, 2024

CMS update of April 25, 2024

Health inspection on November 15, 2023

Health inspection on September 22, 2023

Fire safety inspection on September 22, 2023

CMS star ratings

Facts from CMS

Owners and managers

Questions