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Senior Care in Castroville, TX

2 licensed senior care facilities in Castroville, drawn from the Texas licensing registry.

Medina Valley Health & Rehabilitation Center

913 HWY 90 W, Castroville

3/5CMS overallStaff 2·Health 3

Nursing home · Medicare/medicaid · 116 beds · For-profit

Medina Valley Health & Rehabilitation Center is a 116-bed Medicare/Medicaid nursing home in Castroville, Texas, licensed to Medina County Hospital District and managed by Cascademedina Health Services Ltd. CMS rates it 3 stars overall, with a 2-star staffing rating. Nursing staff turnover is exceptionally low — roughly 3 in 10 left in the past year, well below the Texas median of 5 in 10. The facility is operating at about 74% of licensed capacity.

Verified·CMS Mar 2026 · Texas HHSC Apr 16, 2026

Changing Seasons Of Castroville

1687 OLD HIGHWAY 90, Castroville

Assisted living · Type B · 16 beds

Changing Seasons of Castroville is a 16-bed Type B assisted living facility in Castroville, Medina County, licensed to Residential Care Homes of America LLC. The current license is active through July 2028. Memory care is not offered here; a prior memory-care certification expired in July 2022 and has not been renewed.

Verified·Texas HHSC Apr 16, 2026