Medina Valley Health & Rehabilitation Center
913 Hwy 90 W, Castroville, TX, 78009
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Order the reportFederal 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 June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Partnership
- Certified beds
- 116 · avg 87 residents/day
- Total nursing staff turnover
- 34.3% — lower than most Texas nursing homesTexas avg: 53.8% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 25% — lower than most Texas nursing homesTexas avg: 52.8% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Medicare certification
- CMS Certification Number
- 675974
- Certified beds
- 116 beds · avg 87 residents/day
- Ownership type
- For profit - Partnership
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Medina County Hospital District
CMS Care Compare, processing date June 1, 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 May 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 36)
- D0908·Feb 27, 2026
Environmental Deficiencies
Keep all essential equipment working safely.
- E0880·Feb 27, 2026
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0842·Feb 27, 2026
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.
- D0727·Feb 27, 2026
Nursing and Physician Services Deficiencies
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.
- D0686·Feb 27, 2026
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- E0641·Feb 27, 2026
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- B0638·Feb 27, 2026
Resident Assessment and Care Planning Deficiencies
Assure that each resident’s assessment is updated at least once every 3 months.
- D0908·Nov 15, 2024
Environmental Deficiencies
Keep all essential equipment working safely.
Fire-safety citations
18 Life-Safety-Code citations on file. Most recent: Feb 27, 2026. 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 Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Medina Valley Health & Rehabilitation Centerinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.