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 HHS 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 HHS licensing registry · as of April 16, 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 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.