Rio Grande City Nursing And Rehabilitation Center
2530 CENTRAL PALM DR, Rio Grande City, TX, 78582
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: Wellsential Health
- Certified beds
- 110 · avg 83 residents/day
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $13,514 total
State licensing & capacity
- License number
- 144397
- Service type
- Medicare/medicaid
- Licensed capacity
- 110 beds
- Bed type breakdown
- 110 Medicaid/Medicare
- Current license effective
- February 28, 2025
- Current license expires
- February 28, 2028
- Initial license date
- October 18, 2006
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Starr County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Regency Ihs Of Rio Grande City Llc
- Administrator
- Alegria Pena
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Wellsential Health chain — 67 facilities. Chain-wide average overall rating 2.8 / 5.
Parent entity
Jack And Nancy Dwyer Workforce Development Center Inc
Disclosed owners (28 on record)
- Starr County Hospital District
Adp of The Snf · since 2025
- Regency Ihs of Rio Grande City, Llc
Operational/managerial Control · 100% · since 2025
- Ana Gonzales
Adp of The Snf · since 2025
- Arturo Martinez
Adp of The Snf · since 2025
- Elliot j Mandelbaum
Managing Control - Governing Body · since 2025
- Emanuel Pena
Adp of The Snf · since 2025
+ 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
Recent health-deficiency citations (most recent 8 of 16)
- D0755·Nov 20, 2025Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0726·Nov 20, 2025Complaint
Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- D0552·Nov 20, 2025Complaint
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
- D0880·Sep 10, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0761·Sep 10, 2025
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·Sep 10, 2025
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- D0628·Sep 10, 2025
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D0578·Sep 10, 2025
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.
Federal penalties
By year
- 20241 fine · $14K
Most recent events
- Nov 4, 2024Fine · $14K
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Rio Grande City Nursing and Rehabilitation Center is a 110-bed Medicare/Medicaid nursing home in Starr County, Texas, licensed through February 2028 and managed by Regency IHS of Rio Grande City LLC under the Wellsential Health chain. CMS rates it 3 stars overall, with a 1-star staffing rating and a 1-star short-stay quality rating alongside a 5-star long-stay quality rating. One CMS fine of $13,514 has been issued. Roughly 83 of its 110 beds are occupied on a given day.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 1 star — the lowest tier, shared by about 38% of Texas nursing homes. Each resident receives roughly 201 minutes of total nursing care per day, about 40 minutes less than at a 4-star-staffing facility in Texas. Residents here also need more hands-on help than at a typical facility — they are, on average, sicker or less mobile — so those 201 minutes stretch thinner than the raw number suggests.
One administrator has turned over in the past year. That sits above the typical level for Texas nursing homes, though short of the pattern seen at facilities with sustained leadership gaps.
CMS issued one fine totaling $13,514. About 30% of Texas nursing homes received no fines in the same period, so this facility is in the majority that did receive at least one.
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 201 total nursing minutes per resident per day at the 1-star staffing level, ask how many nurses and aides are on the floor during nights and weekend shifts specifically.
Residents' care complexity and staffing response
CMS data shows residents here need more hands-on help than average — ask how the facility adjusts staffing when a resident's condition changes.
Short-stay outcome differences
Long-stay quality rates 5 stars while short-stay quality rates 1 star — ask what specific outcomes drive that gap and what the rehab discharge process looks like.
Administrator continuity going forward
One administrator left in the past year; ask how long the current administrator has been in place and whether that role is considered stable.
The $13,514 CMS fine
Ask what deficiency triggered the fine issued in the past inspection cycle and what corrective steps were taken.
Family Council availability
The facility has a Resident Council but no Family Council — ask how family members are expected to raise concerns about a loved one's care.
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.