Grand Terrace Rehabilitation And Healthcare
812 W. HOUSTON AVE., Mcallen, TX, 78501
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: The Ensign Group
- Certified beds
- 93 · avg 86 residents/day
- Total nursing staff turnover
- 36.6% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 11.1% — 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
- 311781
- Service type
- Medicare/medicaid
- Licensed capacity
- 93 beds
- Bed type breakdown
- 93 Medicaid/Medicare
- Current license effective
- December 1, 2023
- Current license expires
- December 1, 2026
- Initial license date
- March 31, 1991
Texas HHS licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Fannin County Hospital Authority (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Mcallen Care Associates, Inc
- Administrator
- Nefi Guzman
Texas HHS licensing registry · as of April 16, 2026
About this community
Grand Terrace Rehabilitation And Healthcare is a 93-bed Medicare/Medicaid nursing home in McAllen, managed by McAllen Care Associates and licensed through a hospital district authority. CMS rates it 5 stars overall, with 5 stars on health inspections and 3 stars on quality measures. Staffing earns a 2-star rating — the one area where the facility falls below its otherwise strong CMS scores. The license is active through December 2026.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 2 stars — about 196 minutes of nursing care per resident per day, roughly 45 minutes less than at a 4-star-staffing facility in Texas. That gap matters more here because residents tend to need more hands-on care than at a typical Texas nursing home — less mobile or more dependent on average — so those 196 minutes stretch thinner than the number alone suggests.
Despite the staffing rating, the nursing team shows unusual stability. About 4 in 10 nursing staff left in the past year — below Texas's 25th-percentile cutoff, meaning turnover is lower than roughly three-quarters of nursing homes in the state. RN turnover sits at roughly 1 in 10 over the same period, which is exceptionally low by Texas standards. A long-stay resident here is less likely to cycle through multiple primary caregivers than at most facilities.
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 average 2.78 hours per resident per day — ask how staffing levels on nights and weekends compare to weekday daytime coverage.
How care plans account for resident needs
Quality measures rate 3 stars despite a 5-star inspection record — ask how care plans are reviewed and updated as residents' needs change.
Resident Council access and meeting schedule
The facility has a Resident Council but no Family Council — ask how families are informed of concerns raised in Resident Council meetings.
Staffing ratios during high-census periods
With 86 of 93 beds occupied on average, ask how nurse-to-resident ratios are maintained when the facility is near full capacity.
Management company's role in daily operations
The facility is licensed under a hospital district authority but managed by McAllen Care Associates — ask which entity makes day-to-day staffing and care decisions.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHS 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.