Mid Valley Nursing & Rehabilitation
601 N Mile 2 West, Mercedes, TX, 78570
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Order the reportFederal 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 June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Government - Hospital district · Chain: Touchstone Communities
- Certified beds
- 123 · avg 79 residents/day
- Total nursing staff turnover
- 41% — lower than most Texas nursing homesTexas avg: 53.8% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 20% — lower than most Texas nursing homesTexas avg: 52.8% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $16,611 total
Medicare certification
- CMS Certification Number
- 676414
- Certified beds
- 123 beds · avg 79 residents/day
- Ownership type
- Government - Hospital district
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Uvalde County Hospital Authority
- Chain affiliation
- Touchstone Communities
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Touchstone Communities chain — 25 facilities. Chain-wide average overall rating 2.7 / 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 May 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 27)
- D0880·Apr 9, 2026
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0813·Apr 9, 2026
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- E0760·Apr 9, 2026
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
- D0759·Apr 9, 2026
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
- D0755·Apr 9, 2026
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 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.
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
5 Life-Safety-Code citations on file. Most recent: Apr 9, 2026. 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 Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Mid Valley Nursing & Rehabilitationinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.