Medina Valley Health & Rehabilitation Center
913 HWY 90 W, Castroville, TX, 78009
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Partnership
- Certified beds
- 116 · avg 85 residents/day
- Total nursing staff turnover
- 32.9% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 33.3% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
State licensing & capacity
- License number
- 150027
- Service type
- Medicare/medicaid
- Licensed capacity
- 116 beds
- Bed type breakdown
- 116 Medicaid/Medicare
- Current license effective
- August 1, 2024
- Current license expires
- August 1, 2027
- Initial license date
- July 16, 1992
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Medina County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Cascademedina Health Services Ltd
- Administrator
- Patrice Gregory
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Disclosed owners (10 on record)
- Saleh n Jaafar
Adp of The Snf · since 2024
- Billie Bell
Corporate Officer · since 2023
- Patrice Gregory
Adp of The Snf · since 2020
- Cascade Health Services, Llc
Operational/managerial Control · 100% · since 2014
- Cascade Medina Health Services, Ltd
Operational/managerial Control · since 2014
- Castroville Care Center, Ltd
Adp of The Snf · since 2014
+ 4 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 35)
- D0908·Nov 15, 2024
Environmental Deficiencies
Keep all essential equipment working safely.
- D0880·Nov 15, 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0849·Nov 15, 2024
Administration Deficiencies
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.
- D0842·Nov 15, 2024
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- B0814·Nov 15, 2024
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
- E0812·Nov 15, 2024
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0761·Nov 15, 2024
Pharmacy Service Deficiencies
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.
- D0755·Nov 15, 2024
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Fire-safety citations
18 Life-Safety-Code citations on file. Most recent: Nov 15, 2024. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
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.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 2 stars — about 195 minutes of nursing care per resident per day, roughly 46 minutes less than at a 4-star-staffing facility in Texas. About 32% of Texas nursing homes share this staffing rating. Residents here need more hands-on care than at a typical facility — sicker, or less mobile on average — so the same staffing hours stretch thinner than the raw minutes suggest.
Nursing staff turnover runs at roughly 3 in 10 over the past year, below the state's 25th-percentile cutoff — better than about three-quarters of nursing homes in Texas. RN turnover follows a similar pattern at 3 in 10. A stable caregiving team means residents are less likely to encounter a revolving door of unfamiliar faces.
The facility is operating at approximately 74% of its 116 licensed beds, with an average of 85 residents per day.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing gaps on weekends
Weekend nursing hours here average 2.6 hours per resident per day — lower than the reported weekday figure; ask how staffing levels and supervision differ on weekends.
RN coverage each day
Reported RN hours average about 20 minutes per resident per day; ask how many hours a registered nurse is physically present in the building each day.
Care plans for higher-need residents
Residents here require more hands-on care than at a typical facility on average; ask how care plans are reviewed and updated as a resident's needs change.
Current bed availability
The facility is running at roughly 74% occupancy; ask whether specific units or wings account for the open beds and what the typical admission timeline looks like.
Cascademedina's management role
Day-to-day operations are run by Cascademedina Health Services Ltd under the hospital district's license; ask what decisions rest with Cascademedina versus the district board.
Resident Council access
The facility has a Resident Council but no Family Council; ask how family members raise concerns and how often feedback from the Resident Council reaches administration.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.