Laredo Nursing And Rehabilitation Center
1701 TOURNAMENT TRAIL DR, Laredo, TX, 78041
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 - Individual · Chain: Touchstone Communities
- Certified beds
- 120 · avg 101 residents/day
- Total nursing staff turnover
- 35.2% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 37.5% — 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)
- 2 fines · $93,962 total
State licensing & capacity
- License number
- 144510
- Service type
- Medicare/medicaid
- Licensed capacity
- 120 beds
- Bed type breakdown
- 120 Medicaid/Medicare
- Current license effective
- February 28, 2025
- Current license expires
- February 28, 2028
- Initial license date
- June 11, 2012
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Uvalde County Hospital Authority (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Laredo Operator, Ltd
- Administrator
- Raul F. Ramos
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Touchstone Communities chain — 28 facilities. Chain-wide average overall rating 2.8 / 5.
Disclosed owners (28 on record)
- Laredo Operator Ltd
Adp of The Snf · since 2025
- Samuel Cantu
Operational/managerial Control · since 2024
- The Bryon And Rena Sehlke Living Trust
Adp of The Snf · since 2023
- Cynthia Gilcrease
Operational/managerial Control · since 2022
- Leslie d Campbell
Operational/managerial Control · since 2020
- Raul f Ramos
Operational/managerial Control · since 2020
+ 22 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 21)
- D0689·Dec 4, 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.
- F0880·Jan 9, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0842·Jan 9, 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.
- D0759·Jan 9, 2025
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
- D0695·Jan 9, 2025
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- E0657·Jan 9, 2025
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.
- E0940·Oct 16, 2023Complaint
Administration Deficiencies
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
- D0880·Oct 16, 2023Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Federal penalties
By year
- 20232 fines · $94K
Most recent events
- Oct 16, 2023Fine · $41K
- Sep 7, 2023Fine · $53K
Largest single fine on record: $53K.
Fire-safety citations
4 Life-Safety-Code citations on file. Most recent: Oct 16, 2023. 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
Laredo Nursing And Rehabilitation Center is a 120-bed nursing home in Laredo, TX, accepting Medicare and Medicaid, operated by Touchstone Communities under a hospital district license. CMS rates it 1 star overall, with a 1-star health inspection rating and a 2-star staffing rating. Two CMS fines totaling $93,962 have been assessed. Quality measures split sharply: long-stay residents rate 5 stars, short-stay residents rate 1 star. The license is active through February 2028.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 2 stars — about 203 minutes of nursing care per resident per day, roughly 38 minutes less than at a 4-star-staffing facility in Texas. That gap is further compressed by the resident mix: residents here need more hands-on care than at a typical facility — sicker, or less mobile on average — so the same staffing hours stretch thinner than the raw minutes suggest. About 32% of Texas nursing homes share this 2-star staffing tier.
Roughly 4 in 10 nursing staff left in the past year. That puts turnover below Texas's 25th-percentile cutoff — better than about three-quarters of nursing homes in the state. A relatively stable frontline team is an unusual pairing with a 1-star overall rating.
CMS recorded 2 fines totaling $93,962. The state median fine total across penalized Texas facilities is $20,699, so this facility's total runs well above the typical fine amount. About 30% of Texas facilities have had zero fines.
The quality measure ratings split in an uncommon way: long-stay residents — those living here permanently or for many months — rate 5 stars, while short-stay residents — those here for post-hospital recovery — rate 1 star. These are measured separately by CMS and reflect different populations and outcomes.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Short-stay outcomes and care process
CMS rates short-stay quality measures at 1 star — ask what specific outcomes drive that rating and what the facility is doing to address them.
Staffing on weekends
Reported weekend nursing hours run about 2.9 hours per resident per day, below the already-low weekday average — ask how weekend coverage is structured and who oversees care when regular staff are off.
The two CMS fines
Two fines totaling $93,962 have been assessed — ask what deficiencies triggered them and what corrective steps have been completed.
Registered nurse hours
Reported RN time runs about 25 minutes per resident per day, below Texas's 37-minute threshold for 4-star staffing — ask when RNs are on-site and how off-hours nursing decisions are handled.
Current bed availability
The facility is running about 101 residents against 120 licensed beds — ask whether a specific unit or room type has a waitlist and what the typical admission timeline looks like.
Resident Council structure and access
A Resident Council meets here but no Family Council exists — ask how family members can raise concerns outside of a scheduled Resident Council meeting.
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.