Valley Grande Manor
1212 S BRIDGE, Weslaco, TX, 78596
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 Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Individual · Chain: Booker Hospital District
- Certified beds
- 147 · avg 95 residents/day
- Total nursing staff turnover
- 50.7% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- 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)
- 4 fines · $93,865 total
State licensing & capacity
- License number
- 308458
- Service type
- Medicare/medicaid
- Licensed capacity
- 147 beds
- Bed type breakdown
- 1 Medicare-only · 146 Medicaid/Medicare
- Current license effective
- November 1, 2024
- Current license expires
- November 1, 2027
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Booker Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Vgm Valley Grande Manor Weslaco Ops, Inc
- Administrator
- Robert Avila
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Disclosed owners (11 on record)
- Billy Schindele 2020 Irrv tr
Adp of The Snf · since 2025
- Juan d Asuaje
Operational/managerial Control · since 2025
- Booker Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2021
- Jerry a Trevino
Adp of The Snf · since 2021
- Shawn Hoover
Corporate Director · since 2021
- Sherry Schindele Irrv tr
Adp of The Snf · since 2021
+ 5 additional owners on the federal record.
Recent change of ownership
November 2021 (4 years ago) · acquired from Valley Grande Manor
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Change of Ownership, 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 47)
- D0761·Jan 30, 2026Complaint
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.
- D0605·Jan 30, 2026Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- D0602·Jan 30, 2026Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
- D0842·Nov 21, 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.
- D0656·Nov 21, 2025Complaint
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.
- D0641·Nov 21, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- D0880·Nov 20, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- K0600·Jul 25, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Federal penalties
By year
- 20252 fines · $30K
- 20241 fine · $8,021
- 20231 fine · $55K
Most recent events
- Jul 25, 2025Fine · $15K
- Jun 5, 2025Fine · $16K
- Apr 30, 2024Fine · $8,021
- Dec 21, 2023Fine · $55K
Largest single fine on record: $55K.
Fire-safety citations
13 Life-Safety-Code citations on file. Most recent: Jul 25, 2025. 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
Valley Grande Manor is a 147-bed nursing home in Weslaco, Hidalgo County, licensed since 1971 and currently operating at roughly 65% of capacity. CMS rates it 1 star overall, 1 star on health inspections, and 1 star on staffing. CMS has substantiated findings of resident abuse or neglect within the past 36 months, and the facility has received 4 fines totaling $93,865 since its most recent inspection cycle. It accepts Medicare and Medicaid.
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. Each resident receives roughly 183 minutes of nursing care per day, about 58 minutes less than at a 4-star-staffing facility in Texas. The registered nurse figure is especially thin: about 7 minutes per resident per day, compared to 37 minutes at the 4-star threshold. Residents here also tend to need more hands-on care than at a typical facility — less mobile or medically more complex on average — so those already-limited hours stretch further than the raw number suggests.
CMS has substantiated findings of resident abuse or neglect at this facility within the past 36 months. This is a formal CMS determination, not an allegation; it appears on the facility's federal record.
Four CMS fines totaling $93,865 have been assessed. The statewide median fine total is about $20,699, and roughly 30% of Texas nursing homes have no fines at all; this facility's total is more than four times the state median.
The facility is operating at roughly 65% of its 147 licensed beds — about 95 residents on an average day. Paired with 1-star health inspection and staffing ratings and substantiated abuse findings, low occupancy here reflects the broader regulatory record rather than available capacity that would otherwise be reassuring.
One administrator has turned over in the past year — elevated, though not at the level of two or more departures. The management company is VGM Valley Grande Manor Weslaco Ops, Inc., operating under the Booker Hospital District licensee.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Substantiated abuse findings on record
CMS has a substantiated abuse or neglect finding here within the past 36 months — ask the administrator what happened, what changed, and how the facility monitors for recurrence.
Registered nurse hours per resident
Reported RN hours work out to about 7 minutes per resident per day; ask how many RNs are on duty each shift and what happens when an RN calls out.
Four federal fines totaling $93,865
Ask what specific deficiencies triggered each of the four fines and what corrective steps were taken after each citation was resolved.
Why occupancy sits at 65%
With roughly 52 beds unfilled on an average day, ask whether that reflects recent discharges, referral slowdowns, or something else affecting the facility's census.
Recent administrator change
One administrator left in the past year — ask how long the current administrator has been in place and whether department-head roles are also fully staffed.
Resident Council access and meeting schedule
The facility has a Resident Council but no Family Council; ask how families receive updates from council meetings and how concerns are formally documented and addressed.
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.