Grand Terrace Rehabilitation And Healthcare
812 W. HOUSTON AVE., Mcallen, TX, 78501
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
- Government - Hospital district · Chain: The Ensign Group
- Certified beds
- 93 · avg 86 residents/day
- Total nursing staff turnover
- 36.6% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 11.1% — 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
State licensing & capacity
- License number
- 311781
- Service type
- Medicare/medicaid
- Licensed capacity
- 93 beds
- Bed type breakdown
- 93 Medicaid/Medicare
- Current license effective
- December 1, 2023
- Current license expires
- December 1, 2026
- Initial license date
- March 31, 1991
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Fannin County Hospital Authority (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Mcallen Care Associates, Inc
- Administrator
- Nefi Guzman
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 (12 on record)
- Mcallen Care Associates, Inc.
Adp of The Snf · since 2025
- Khursheed Alam
Operational/managerial Control · since 2024
- Caretrust gp Llc
Adp of The Snf · since 2023
- Caretrust Reit Inc
Adp of The Snf · since 2023
- Clark r Sanderson
Corporate Officer · since 2023
- Ctr Partnership lp
Adp of The Snf · since 2023
+ 6 additional owners on the federal record.
Recent change of ownership
December 2023 (2 years ago) · acquired from Grand Terrace Rehabilitation And Healthcare
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
Recent health-deficiency citations (most recent 8 of 11)
- D0684·Dec 8, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D0761·Dec 4, 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.
- D0761·Nov 19, 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.
- D0656·Nov 20, 2024Complaint
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.
- D0921·Nov 8, 2024Complaint
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- D0880·Aug 31, 2023
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0693·Aug 31, 2023
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- D0689·Aug 31, 2023
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Fire-safety citations
1 Life-Safety-Code citation on file. Most recent: Jun 9, 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
Grand Terrace Rehabilitation And Healthcare is a 93-bed Medicare/Medicaid nursing home in McAllen, managed by McAllen Care Associates and licensed through a hospital district authority. CMS rates it 5 stars overall, with 5 stars on health inspections and 3 stars on quality measures. Staffing earns a 2-star rating — the one area where the facility falls below its otherwise strong CMS scores. The license is active through December 2026.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 2 stars — about 196 minutes of nursing care per resident per day, roughly 45 minutes less than at a 4-star-staffing facility in Texas. That gap matters more here because residents tend to need more hands-on care than at a typical Texas nursing home — less mobile or more dependent on average — so those 196 minutes stretch thinner than the number alone suggests.
Despite the staffing rating, the nursing team shows unusual stability. About 4 in 10 nursing staff left in the past year — below Texas's 25th-percentile cutoff, meaning turnover is lower than roughly three-quarters of nursing homes in the state. RN turnover sits at roughly 1 in 10 over the same period, which is exceptionally low by Texas standards. A long-stay resident here is less likely to cycle through multiple primary caregivers than at most facilities.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on nights and weekends
Weekend nursing hours average 2.78 hours per resident per day — ask how staffing levels on nights and weekends compare to weekday daytime coverage.
How care plans account for resident needs
Quality measures rate 3 stars despite a 5-star inspection record — ask how care plans are reviewed and updated as residents' needs change.
Resident Council access and meeting schedule
The facility has a Resident Council but no Family Council — ask how families are informed of concerns raised in Resident Council meetings.
Staffing ratios during high-census periods
With 86 of 93 beds occupied on average, ask how nurse-to-resident ratios are maintained when the facility is near full capacity.
Management company's role in daily operations
The facility is licensed under a hospital district authority but managed by McAllen Care Associates — ask which entity makes day-to-day staffing and care decisions.
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.