Val Verde Nursing And Rehabilitation Center
100 HERRMANN DR, 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
- Non profit - Corporation · Chain: Wellsential Health
- Certified beds
- 76 · avg 60 residents/day
- Total nursing staff turnover
- 25% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 50% — near the Texas averageTexas 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
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $321,278 total
State licensing & capacity
- License number
- 308585
- Service type
- Medicare/medicaid
- Licensed capacity
- 76 beds
- Bed type breakdown
- 76 Medicaid/Medicare
- Current license effective
- April 1, 2025
- Current license expires
- April 1, 2028
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Val Verde County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Regency Ihs Of Val Verde, Llc
- Administrator
- Maria C Guerra
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Wellsential Health chain — 67 facilities. Chain-wide average overall rating 2.8 / 5.
Parent entity
Jack And Nancy Dwyer Workforce Development Center Inc
Disclosed owners (32 on record)
- Alfonso Jimenez
Adp of The Snf · since 2025
- Elliot j Mandelbaum
Managing Control - Governing Body · since 2025
- Sarah Reyes
Adp of The Snf · since 2025
- Antonio Carvajal
Managing Control - Governing Body · since 2024
- Veronica Gonzales
Managing Control - Governing Body · since 2024
- Maria c Guerra
Operational/managerial Control · since 2024
+ 26 additional owners on the federal record.
Recent change of ownership
April 2022 (4 years ago) · acquired from Val Verde Nursing And Rehabilitation Center
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 28)
- E0610·Dec 3, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
- E0609·Dec 3, 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.
- C0912·Jun 6, 2025
Environmental Deficiencies
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
- D0842·Jun 6, 2025
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.
- E0812·Jun 6, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E0801·Jun 6, 2025
Nutrition and Dietary Deficiencies
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- E0761·Jun 6, 2025
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.
- D0641·Jun 6, 2025
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Federal penalties
By year
- 20232 fines · $321K
Most recent events
- Oct 1, 2023Fine · $139K
- Apr 8, 2023Fine · $182K
Largest single fine on record: $182K.
Fire-safety citations
12 Life-Safety-Code citations on file. Most recent: Jun 6, 2025. 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
Val Verde Nursing And Rehabilitation Center is a 76-bed nursing home in Del Rio operated by Regency IHS of Val Verde under county hospital district ownership. CMS rates it 3 stars overall, with a 2-star staffing rating and a 2-star quality-of-care rating. Two CMS fines totaling $321,278 have been assessed — more than 15 times the Texas median fine amount. Staff turnover is exceptionally low at roughly 2 in 10 nursing staff per year.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 2 stars. Each resident receives about 178 minutes of nursing care per day — roughly 63 minutes less than at a 4-star-staffing facility in Texas, putting this facility among the bottom 32% of Texas nursing homes on staffing. Residents here also require more hands-on care than at a typical facility — more dependent or medically complex on average — so those 178 minutes stretch thinner than the raw number suggests.
About 2 in 10 nursing staff left in the past year. Texas nursing homes at the 25th percentile see 42% annual turnover; this facility's 25% rate falls well below that — better than roughly three-quarters of nursing homes in the state. For a long-stay resident, that means fewer caregiver changes over time.
Two CMS fines totaling $321,278 have been assessed. The Texas median fine amount is $20,699; this facility's total is more than 15 times that figure. About 30% of Texas nursing homes have received no fines at all.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
What the fines covered
Two CMS fines totaling $321,278 have been assessed — ask which deficiencies triggered them and what specific changes were made in response.
Staffing on nights and weekends
Reported weekend nursing hours are 2.69 per resident per day, below the already-low weekday figure — ask how many nurses and aides are on duty overnight and on weekends.
Short-stay care outcomes
CMS rates short-stay quality measures 1 star while long-stay measures rate 5 stars — ask what the facility's typical short-stay population looks like and how rehab discharge goals are set.
RN coverage each shift
Reported RN hours are about 19 minutes per resident per day; ask how many hours a registered nurse is physically on the floor each day and who covers when the RN is off-site.
Current bed availability
With 59.5 residents on average in 76 licensed beds — about 78% occupancy — ask whether a specific room or unit is currently open and what the typical wait looks like.
Regency IHS management role
The county hospital district holds the license while Regency IHS of Val Verde manages day-to-day operations — ask which entity sets staffing levels and handles complaint resolution.
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.