Mid Valley Nursing & Rehabilitation
601 N MILE 2 WEST, Mercedes, TX, 78570
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: Touchstone Communities
- Certified beds
- 123 · avg 77 residents/day
- Total nursing staff turnover
- 45.2% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $16,611 total
State licensing & capacity
- License number
- 307303
- Service type
- Medicare/medicaid
- Licensed capacity
- 123 beds
- Bed type breakdown
- 34 Medicare-only · 89 Medicaid/Medicare
- Current license effective
- April 1, 2025
- Current license expires
- April 1, 2028
- Initial license date
- January 10, 2017
Texas HHS licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Uvalde County Hospital Authority (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Touchstone Strategies Mercedes, Llc
- Administrator
- Marcos A Cavazos
Texas HHS licensing registry · as of April 16, 2026
About this community
Mid Valley Nursing & Rehabilitation is a 123-bed Medicare- and Medicaid-certified nursing home in Mercedes, Hidalgo County, managed by Touchstone Communities under a hospital district license. CMS rates it 2 stars overall, with a 1-star staffing rating — the lowest tier. Quality-of-care outcome measures rate 5 stars for long-stay residents. The facility is running at roughly 62% of licensed capacity, with 76 of 123 beds occupied on an average day.
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. Residents receive roughly 195 minutes of nursing care per day, about 46 minutes less than at a 4-star-staffing facility in Texas. That gap is compounded by the resident mix: people here need more hands-on care than at a typical facility — sicker, or less mobile on average — so those 195 minutes stretch thinner than the raw number suggests. RN coverage is 14 minutes per resident per day, against a 37-minute threshold for 4-star staffing in Texas.
The facility carries 2 CMS fines totaling $16,611 since the last inspection cycle. The state median fine total among Texas nursing homes that have been fined is $20,699, and about 30% of Texas facilities have no fines at all.
The facility is operating at roughly 62% of its 123 licensed beds — about 76 residents on an average day. Low occupancy at a facility with a 1-star staffing rating and 2-star overall rating is the context in which that number sits.
Despite the 2-star overall and 1-star staffing ratings, CMS rates long-stay quality-of-care outcomes at 5 stars — its highest tier. Short-stay outcomes rate 3 stars.
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 a 1-star CMS staffing rating and 195 daily nursing minutes per resident, ask how many nurses and aides are on the floor during evening shifts and weekends specifically.
How the resident mix affects daily care
Residents here require more hands-on help than at a typical facility on average — ask how staffing schedules are adjusted when higher-need residents are admitted.
What explains the low occupancy
At roughly 62% capacity, ask whether the open beds reflect a recent census drop, planned renovations, or an ongoing admission pattern, and how that affects staffing levels.
How 5-star outcomes are achieved with 1-star staffing
Long-stay outcome measures rate 5 stars while staffing rates 1 star — ask what care protocols or oversight account for that gap.
RN presence on each shift
Reported RN hours average 14 minutes per resident per day; ask which shifts have a registered nurse physically on-site and for how many hours.
Touchstone's role in day-to-day operations
The facility is licensed to a hospital district but managed by Touchstone Communities — ask who sets staffing budgets and how the management contract structures accountability.
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.