Hidalgo Nursing And Rehabilitation Center
4503 S SUGAR RD, Edinburg, TX, 78539
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 Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- Government - Hospital district · Chain: Wellsential Health
- Certified beds
- 126 · avg 100 residents/day
- Total nursing staff turnover
- 41.6% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 62.5% — higher 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
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $7,582 total
State licensing & capacity
- License number
- 308645
- Service type
- Medicare/medicaid
- Licensed capacity
- 126 beds
- Bed type breakdown
- 46 Medicare-only · 80 Medicaid/Medicare
- Current license effective
- June 1, 2025
- Current license expires
- June 1, 2028
- Initial license date
- November 8, 2013
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Uvalde County Hospital Authority (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Touchstone Strategies Harker Heights, Llc
- Administrator
- Senovio Garza
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 (26 on record)
- Regency Ihs of Hidalgo Llc
Adp of The Snf · since 2025
- Regency Integrated Health Services Llc
Adp of The Snf · since 2025
- Uvalde County Hospital Authority
Adp of The Snf · since 2025
- Celeste Martinez
Adp of The Snf · since 2024
- Csv Rhea Management Holdco, Llc
Indirect Ownership Interest · 100% · since 2024
- Donovan r Dekowski
Operational/managerial Control · since 2024
+ 20 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, 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 18)
- E0602·Jan 29, 2026Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
- D0695·Nov 19, 2025Complaint
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- D0842·Feb 12, 2025Complaint
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.
- D0656·Feb 12, 2025
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D0600·Jan 16, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- E0944·Nov 17, 2023Complaint
Administration Deficiencies
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
- D0880·Nov 17, 2023Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0849·Nov 17, 2023Complaint
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.
Federal penalties
By year
- 20231 fine · $7,582
Most recent events
- Nov 3, 2023Fine · $7,582
Fire-safety citations
1 Life-Safety-Code citation on file. Most recent: Aug 26, 2022. 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
Hidalgo Nursing and Rehabilitation Center is a 126-bed Medicare/Medicaid nursing home in Edinburg, TX, operated under a hospital district authority and managed by Touchstone Strategies. CMS rates it 2 stars overall, with a 1-star staffing rating and a substantiated abuse finding on record. Quality-of-care outcome measures rate 5 stars. The license is active through June 2028.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS has substantiated findings of resident abuse or neglect at this facility within the past 36 months. That flag appears in federal records and is separate from the inspection rating.
CMS rates staffing 1 star here — the lowest tier, shared by about 38% of Texas nursing homes. Each resident receives roughly 203 minutes of nursing care per day, about 38 minutes less than at a 4-star-staffing facility in Texas. Residents here require more hands-on care than at a typical facility — more dependent or medically complex on average — so those 203 minutes stretch thinner than the raw number suggests.
About 4 in 10 nursing staff left in the past year. That rate falls below the Texas 25th-percentile cutoff, meaning turnover here is better than roughly three-quarters of nursing homes in the state.
One CMS fine of $7,582 has been issued. That total sits well below the Texas median of $20,699 for facilities that have been fined.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Details behind the abuse finding
CMS shows a substantiated abuse or neglect finding within the past 36 months — ask what happened, what corrective steps were taken, and whether any staff involved are still employed here.
How staffing gaps are covered
With a 1-star staffing rating and 203 nursing minutes per resident per day, ask how the facility fills shifts when regular staff are absent and whether agency staff are routinely used.
Care planning for high-need residents
Residents here require more hands-on care than the state average on the whole — ask how care plans are reviewed and how often they are updated as a resident's condition changes.
What the Resident Council covers
A Resident Council meets here but no Family Council exists — ask how family members can raise concerns and how the facility responds to feedback outside of resident meetings.
Waitlist and bed availability
With 100 residents in 126 licensed beds, ask whether a specific unit or care level has a waitlist and how far in advance families typically need to plan.
Management company's day-to-day role
The facility is licensed to a hospital district but managed by Touchstone Strategies — ask which entity makes staffing and care decisions and who to contact if a concern escalates.
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.