Mid Valley Nursing & Rehabilitation
601 N MILE 2 WEST, Mercedes, TX, 78570
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: Touchstone Communities
- Certified beds
- 123 · avg 77 residents/day
- Total nursing staff turnover
- 45.2% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · 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 · $16,611 total
State licensing & capacity
- License number
- 307303
- Service type
- Medicare/medicaid
- Licensed capacity
- 123 beds
- Bed type breakdown
- 34 Medicare-only · 89 Medicaid/Medicare
- Current license effective
- April 1, 2025
- Current license expires
- April 1, 2028
- Initial license date
- January 10, 2017
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Uvalde County Hospital Authority (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Touchstone Strategies Mercedes, Llc
- Administrator
- Marcos A Cavazos
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 (23 on record)
- Touchstone Strategies Mercedes Llc
Adp of The Snf · since 2025
- International Bank of Commerce
5% or Greater Security Interest · since 2021
- Leticia Carrasco
Operational/managerial Control · since 2020
- Marcos Carazos
Operational/managerial Control · since 2020
- Leslie d Campbell
Operational/managerial Control · since 2020
- Aegis Therapies, Inc.
Adp of The Snf · since 2019
+ 17 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 28)
- D0842·Jan 13, 2026Complaint
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.
- D0657·Jan 13, 2026Complaint
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.
- D0573·Jan 13, 2026Complaint
Resident Rights Deficiencies
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
- D0761·Dec 31, 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.
- D0694·Dec 31, 2025Complaint
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- D0578·Dec 31, 2025Complaint
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- D0690·Apr 11, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D0842·Mar 7, 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.
Federal penalties
By year
- 20242 fines · $17K
Most recent events
- Dec 23, 2024Fine · $8,330
- Dec 23, 2024Fine · $8,281
Largest single fine on record: $8,330.
Fire-safety citations
2 Life-Safety-Code citations on file. Most recent: Nov 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
Mid Valley Nursing & Rehabilitation is a 123-bed Medicare- and Medicaid-certified nursing home in Mercedes, Hidalgo County, managed by Touchstone Communities under a hospital district license. CMS rates it 2 stars overall, with a 1-star staffing rating — the lowest tier. Quality-of-care outcome measures rate 5 stars for long-stay residents. The facility is running at roughly 62% of licensed capacity, with 76 of 123 beds occupied on an average day.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star — the bottom tier, shared by about 38% of Texas nursing homes. Residents receive roughly 195 minutes of nursing care per day, about 46 minutes less than at a 4-star-staffing facility in Texas. That gap is compounded by the resident mix: people here need more hands-on care than at a typical facility — sicker, or less mobile on average — so those 195 minutes stretch thinner than the raw number suggests. RN coverage is 14 minutes per resident per day, against a 37-minute threshold for 4-star staffing in Texas.
The facility carries 2 CMS fines totaling $16,611 since the last inspection cycle. The state median fine total among Texas nursing homes that have been fined is $20,699, and about 30% of Texas facilities have no fines at all.
The facility is operating at roughly 62% of its 123 licensed beds — about 76 residents on an average day. Low occupancy at a facility with a 1-star staffing rating and 2-star overall rating is the context in which that number sits.
Despite the 2-star overall and 1-star staffing ratings, CMS rates long-stay quality-of-care outcomes at 5 stars — its highest tier. Short-stay outcomes rate 3 stars.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on evenings and weekends
With a 1-star CMS staffing rating and 195 daily nursing minutes per resident, ask how many nurses and aides are on the floor during evening shifts and weekends specifically.
How the resident mix affects daily care
Residents here require more hands-on help than at a typical facility on average — ask how staffing schedules are adjusted when higher-need residents are admitted.
What explains the low occupancy
At roughly 62% capacity, ask whether the open beds reflect a recent census drop, planned renovations, or an ongoing admission pattern, and how that affects staffing levels.
How 5-star outcomes are achieved with 1-star staffing
Long-stay outcome measures rate 5 stars while staffing rates 1 star — ask what care protocols or oversight account for that gap.
RN presence on each shift
Reported RN hours average 14 minutes per resident per day; ask which shifts have a registered nurse physically on-site and for how many hours.
Touchstone's role in day-to-day operations
The facility is licensed to a hospital district but managed by Touchstone Communities — ask who sets staffing budgets and how the management contract structures accountability.
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.