La Vida Serena Nursing And Rehabilitation
711 KINGS WAY, Del Rio, TX, 78840
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 - Corporation · Chain: Creative Solutions In Healthcare
- Certified beds
- 120 · avg 70 residents/day
- Total nursing staff turnover
- 37.1% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 28.6% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $8,278 total
- Infection control citations
- 1
State licensing & capacity
- License number
- 148899
- Service type
- Medicare/medicaid
- Licensed capacity
- 120 beds
- Bed type breakdown
- 44 Medicare-only · 76 Medicaid/Medicare
- Current license effective
- March 1, 2024
- Current license expires
- March 1, 2027
- Initial license date
- February 22, 1999
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Del Rio I Enterprises, Llc (Limited Liability Company (LLC))
- Operator / manager
- Creative Solutions In Healthcare, Inc
- Administrator
- Mayte Valdez
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Creative Solutions in Healthcare chain — 149 facilities. Chain-wide average overall rating 2.7 / 5.
Disclosed owners (5 on record)
- Honor x Enterprises, Llc
5% or Greater Direct Ownership Interest · 100% · since 2013
- Creative Solutions in Healthcare Inc
Operational/managerial Control · 100% · since 2012
- Gary r Blake
Operational/managerial Control · 50% · since 2012
- Linda f Huggins
W-2 Managing Employee · since 2012
- Malisa a Blake
Operational/managerial Control · 50% · since 2012
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 17)
- G0689·May 8, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- G0657·May 8, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D0609·May 8, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D0684·Sep 19, 2024
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D0641·Sep 19, 2024
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- C0732·Jul 11, 2024Complaint
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
- E0641·Jul 11, 2024Complaint
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- E0921·Aug 16, 2023
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Federal penalties
By year
- 20251 fine · $8,278
Most recent events
- May 8, 2025Fine · $8,278
Fire-safety citations
9 Life-Safety-Code citations on file. Most recent: Sep 19, 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
La Vida Serena Nursing And Rehabilitation is a 120-bed Medicare- and Medicaid-certified nursing home in Del Rio, Val Verde County, operated by Creative Solutions In Healthcare. CMS rates it 4 stars overall and 4 stars on health inspections, but 2 stars on staffing. About 70 residents occupy the facility on a given day — 58% of licensed beds. The license is active through March 2027.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 2 stars — roughly 31% of Texas nursing homes share that rating or lower. Each resident receives about 184 minutes of nursing care per day, approximately 57 minutes less than at a 4-star-staffing facility in Texas. Residents here also require more hands-on care than at a typical facility — they are sicker or less mobile on average — so those 184 minutes stretch thinner than the number alone suggests.
About 4 in 10 nursing staff left in the past year. That figure falls below Texas's 25th-percentile cutoff, meaning turnover here is better than roughly three-quarters of nursing homes in the state. RN turnover runs at about 3 in 10, also in the low tier for Texas.
One administrator has turned over in the past year, placing this facility in the elevated tier for administrative change. That is a single departure rather than a pattern, but new leadership can affect how policies are implemented at the floor level.
The facility carried 58% bed occupancy on average — about 70 residents in 120 licensed beds. That figure is low relative to Texas peers and coincides with the 2-star staffing rating; the two conditions exist together in the record.
CMS recorded one fine totaling $8,278. The state median for fines among facilities that receive any is $20,699, and about 30% of Texas nursing homes have no fines at all.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on weekends
Weekend nursing hours here average 2.53 hours per resident per day — below the already-low weekday figure; ask how many nurses and aides are scheduled Saturday and Sunday.
New administrator's tenure
An administrator change occurred in the past year; ask how long the current administrator has been in place and whether department-head positions are fully filled.
Why occupancy is low
The facility runs at roughly 58% of its 120 licensed beds; ask whether the open beds reflect a waitlist pause, reduced admissions, or another operational factor.
Staffing for higher-need residents
Residents here require more hands-on care than the Texas average; ask how many certified nursing aides are on the floor during each shift relative to the current census.
Resident Council activity
A Resident Council is listed but no Family Council; ask how often the Resident Council meets and how family members can raise concerns outside of that structure.
The 2023 CMS citation
One CMS fine of $8,278 is on record; ask what the deficiency was and what process change followed the citation.
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.