Starr County Nursing And Transitional Care
5260 BRAND ST, Rio Grande City, TX, 78582-6999
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
- Non profit - Corporation · Chain: Wellsential Health
- Certified beds
- 120 · avg 101 residents/day
- Total nursing staff turnover
- 49.4% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 40% — 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
- 308000
- Service type
- Medicare/medicaid
- Licensed capacity
- 120 beds
- Bed type breakdown
- 16 Medicare-only · 104 Medicaid/Medicare
- Current license effective
- March 1, 2026
- Current license expires
- March 1, 2029
- Initial license date
- November 18, 2020
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Oakbend Medical Center (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Regency Ihs Rgc Llc
- Administrator
- Michelle Flores
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 (32 on record)
- Oakbend Medical Center
Adp of The Snf · since 2025
- Regency Ihs Rgc Llc
Adp of The Snf · since 2025
- Regency Integrated Health Services Llc
Adp of The Snf · since 2025
- Elliot j Mandelbaum
Managing Control - Governing Body · since 2025
- Maria Robles
Adp of The Snf · since 2025
- Mario Luis Vasquez Aguilar
Adp of The Snf · since 2025
+ 26 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 27)
- D0880·Dec 8, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0842·Dec 8, 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.
- E0760·Dec 8, 2025Complaint
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
- D0695·Dec 8, 2025Complaint
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- D0880·Oct 17, 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0755·Oct 17, 2024
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0695·Oct 17, 2024
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- D0693·Oct 17, 2024
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.
Fire-safety citations
1 Life-Safety-Code citation on file. Most recent: Jul 21, 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
Starr County Nursing And Transitional Care is a 120-bed Medicare/Medicaid nursing home in Rio Grande City, TX, licensed to Oakbend Medical Center, a hospital district, and managed by Regency Ihs Rgc Llc. CMS rates it 3 stars overall, with a 4-star health inspection rating and a 4-star quality measures rating for long-stay residents — but a 1-star staffing rating. Operating at about 101 residents per day, the facility carries no CMS fines on record.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates this facility 1 star on staffing — the lowest tier, shared by about 38% of Texas nursing homes. Each resident receives roughly 184 minutes of total nursing care per day, about 57 minutes less than at a 4-star-staffing facility in Texas. RN coverage is 23 minutes per resident per day, well below the 37-minute threshold for 4-star RN staffing in Texas. Residents here tend to need more hands-on care than at a typical facility — less mobile or more medically complex on average — so those already-limited staff hours stretch further than the raw numbers suggest.
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 run at 2.8 hours per resident per day versus 3.1 on weekdays — ask how many nurses and aides are on each shift outside of business hours.
RN presence on the floor
Reported RN hours average 23 minutes per resident per day; ask how many hours a registered nurse is physically on-site each day and whether an RN is always present overnight.
Management company's role
Day-to-day operations are run by Regency Ihs Rgc Llc under a hospital-district license — ask which entity makes staffing and care decisions and who holds accountability when problems arise.
How the Resident Council operates
The facility has a Resident Council but no Family Council — ask how family members can formally raise concerns and how the Resident Council's feedback reaches administration.
Care plans for high-need residents
Quality measures rate 4 stars overall but 3 stars for short-stay residents — ask how care plans are reviewed and updated for residents recovering from surgery or hospitalization.
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.