Rio Grande City Nursing and Rehabilitation Center
2530 Central Palm Dr, Rio Grande City, TX 78582
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Follow this homeRio Grande City Nursing and Rehabilitation Center is a nursing home in Rio Grande City, 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 rating4 of 5
- Last standard health inspectionSeptember 10, 2025 (1 year ago)
- Health citations since May 18, 202318 (Texas average 28)
- Fines in the past three years1, $13,514 in total
- CMS flagsNone listed by CMS
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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 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 June 11, 2026
1 citationCMS 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 June 12, 2026.
Health inspection on May 5, 2026
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on May 27, 2026.
CMS has cited this home for F0656 2 times since 2024.
CMS update of April 29, 2026
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
CMS update of February 25, 2026
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
Health inspection on November 20, 2025
3 citationsCMS lists this as a complaint inspection.
Show the 3 citations
Citation F0552. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that residents are fully informed and understand their health status, care and treatments.
CMS lists it as corrected on November 21, 2025.
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 November 21, 2025.
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 November 21, 2025.
CMS update of November 20, 2025
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS staffing star rating changed from 3 of 5 to 1 of 5.
Health inspection on September 10, 2025
6 citationsCMS lists this as a standard inspection.
Show the 6 citations
Citation F0558. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Reasonably accommodate the needs and preferences of each resident.
CMS lists it as corrected on September 12, 2025.
CMS has cited this home for F0558 2 times since 2023.
Citation F0578. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor 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.
CMS lists it as corrected on September 12, 2025.
Citation F0628. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
CMS lists it as corrected on September 12, 2025.
Citation F0694. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
CMS lists it as corrected on September 12, 2025.
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 September 12, 2025.
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 September 12, 2025.
CMS update of July 30, 2025
Ownership
CMS lists this home under a new chain.
CMS update of April 30, 2025
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5.
CMS update of March 26, 2025
Fine
CMS changed the fine from November 4, 2024 from $20,790 to $13,514.
CMS update of February 26, 2025
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS health inspection star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS staffing star rating changed from 3 of 5 to 2 of 5.
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 4, 2024
2 citationsCMS lists this as a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
143 of 1,177 Texas homes (12%) got a citation at the actual harm level in 2024.
CMS fine of $13,514 on November 4, 2024.
Show the 2 citations
Citation F0689. Severity G: actual 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 November 8, 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 November 8, 2024.
CMS update of October 30, 2024
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
Ownership
CMS no longer lists a chain for this home.
Health inspection on August 8, 2024
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation F0758. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Implement 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.
CMS lists it as corrected on September 3, 2024.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on September 3, 2024.
CMS update of July 31, 2024
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS staffing star rating changed from 1 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
Health inspection on June 20, 2024
2 citationsCMS lists this as a complaint inspection.
Show the 2 citations
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on June 21, 2024.
Citation F0732. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Post nurse staffing information every day.
CMS lists it as corrected on June 21, 2024.
CMS update of April 25, 2024
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
CMS update of March 28, 2024
Ownership
CMS lists this home under a new chain.
Health inspection on May 18, 2023
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation F0558. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Reasonably accommodate the needs and preferences of each resident.
CMS lists it as corrected on May 19, 2023.
CMS star ratings
- 4 of 5CMS overall star rating
- 4 of 5CMS health inspection star rating
- 2 of 5CMS staffing star rating
- 4 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (956) 487-3996
- Last standard health inspection
- September 10, 2025 (1 year ago)
- Certified beds
- 110
- Residents per day, on average
- 86
- Ownership type
- Government - Hospital district
- Legal business name
- Starr County Hospital District
- Chain
- Wellsential Health
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Texas average (18 vs 28).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- STARR COUNTY HOSPITAL DISTRICT5% or greater direct ownership interest · 100% · since 02/28/2015
- REGENCY IHS OF RIO GRANDE CITY, LLCDirect ownership interest · not applicable · since 02/28/2015
- CSV RHEA MANAGEMENT HOLDCO, LLCIndirect ownership interest · not applicable · since 02/28/2015
- DWD TX HOLDINGS LLCIndirect ownership interest · not applicable · since 02/28/2015
- JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INCIndirect ownership interest · not applicable · since 02/28/2015
Show 10 more
- REG HG OPCO 1, LLCIndirect ownership interest · not applicable · since 02/28/2015
- REG HG OPCO LLCIndirect ownership interest · not applicable · since 02/28/2015
- REG OPERATOR HOLDCO LLCIndirect ownership interest · not applicable · since 02/28/2015
- REGENCY INTEGRATED HEALTH SERVICES LLCIndirect ownership interest · not applicable · since 02/28/2015
- REGENCY TEXAS HOLDINGS LLCIndirect ownership interest · not applicable · since 02/28/2015
- REGENCY IHS OF RIO GRANDE CITY, LLCOperational/managerial control · not applicable · since 02/28/2025
- REGENCY INTEGRATED HEALTH SERVICES LLCOperational/managerial control · not applicable · since 02/28/2015
- STARR COUNTY HOSPITAL DISTRICTOperational/managerial control · not applicable · since 02/28/2015
- DEKOWSKI, DONOVANOperational/managerial control · not applicable · since 02/28/2015
- PENA, ALEGRIAOperational/managerial control · not applicable · since 07/29/2024
Questions
When was Rio Grande City Nursing and Rehabilitation Center last inspected?
CMS lists September 10, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does Rio Grande City Nursing and Rehabilitation Center have?
CMS lists 18 health citations since May 18, 2023. CMS also calls these deficiencies.
Has Rio Grande City Nursing and Rehabilitation Center been fined?
CMS lists 1 fine in the past three years, $13,514 in total.
What is the CMS star rating of Rio Grande City Nursing and Rehabilitation Center?
Its CMS overall star rating is 4 of 5.
Is Rio Grande City Nursing and Rehabilitation Center a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.