Veranda Rehabilitation And Healthcare
4301 SOUTH EXPRESSWAY 83, Harlingen, TX, 78550
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: The Ensign Group
- Certified beds
- 100 · avg 86 residents/day
- Total nursing staff turnover
- 38.8% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 14.3% — 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
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $8,021 total
State licensing & capacity
- License number
- 307272
- Service type
- Medicare/medicaid
- Licensed capacity
- 100 beds
- Bed type breakdown
- 100 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
- Fannin County Hospital Authority (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Harlingen Healthcare, Inc
- Administrator
- Randy O Elkins
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the The Ensign Group chain — 329 facilities across 17 states. Chain-wide average overall rating 3.2 / 5.
Disclosed owners (4 on record)
- Clark r Sanderson
Corporate Officer · 100% · since 2019
- Fannin County Hospital Authority
5% or Greater Direct Ownership Interest · 100% · since 2019
- Harlingen Healthcare, Inc.
Operational/managerial Control · 100% · since 2019
- Jason Hess
Operational/managerial Control · since 2019
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 13)
- D0761·Dec 10, 2025Complaint
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.
- D0602·Jun 25, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
- E0925·Jun 25, 2025
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- D0880·Jun 25, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0656·Jun 25, 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.
- D0755·May 22, 2025Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0740·May 22, 2025Complaint
Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- D0842·May 9, 2024Complaint
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.
Federal penalties
By year
- 20241 fine · $8,021
Most recent events
- Apr 12, 2024Fine · $8,021
Fire-safety citations
2 Life-Safety-Code citations on file. Most recent: Jun 25, 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
Veranda Rehabilitation and Healthcare is a 100-bed Medicare/Medicaid nursing home in Harlingen, Texas, part of The Ensign Group. CMS rates it 5 stars overall, with 5 stars on quality measures and 4 stars on health inspections. Staffing is rated 2 stars — residents receive about 185 minutes of nursing care per day, roughly 56 minutes below the Texas 4-star threshold. Turnover runs low: about 4 in 10 nursing staff left in the past year, well below the Texas median.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates this facility 2 stars on staffing. Each resident receives about 185 minutes of nursing care per day — roughly 56 minutes less than at a 4-star-staffing facility in Texas. Beyond the raw minutes, residents here require more hands-on care than at a typical facility — sicker, or less mobile on average — so those hours stretch thinner than the number alone suggests.
About 4 in 10 nursing staff left in the past year. That places total turnover below Texas's 25th-percentile cutoff — better than roughly three-quarters of nursing homes in the state. RN turnover is exceptionally low: about 1 in 10 registered nurses left in the same period, a figure that falls in the bottom quarter of the state's distribution.
CMS issued one fine totaling $8,021 in the period on record. The Texas median for facilities that receive any fine is $20,699, and about 30% of Texas nursing homes had 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 hours on nights and weekends
Weekend nursing hours average 2.48 minutes per resident per day — lower than the weekday figure; ask how staffing levels are set on evenings and weekends.
How care plans account for higher resident needs
Residents here need more hands-on care than at a typical facility; ask how care plans are reviewed and adjusted as individual needs change.
RN presence during the day
Reported RN hours work out to about 32 minutes per resident per day; ask what hours a registered nurse is on the floor and who covers clinical decisions overnight.
Resident Council activity and access
The facility has a Resident Council but no Family Council; ask how often the council meets and how family members can raise concerns outside of it.
Ensign Group oversight and local management
The facility is licensed to Fannin County Hospital Authority and managed by Harlingen Healthcare, Inc., under The Ensign Group; ask how decisions about staffing and care standards are made at the local level versus the corporate level.
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.