Skip to the page
Get started free

Data / Nursing homes / Texas / Medina Valley Health & Rehabilitation Center

Medina Valley Health & Rehabilitation Center, Castroville, TX: 3 star rating, no fines

Medina Valley Health & Rehabilitation Center in Castroville, TX is owned by Medina County Hospital District, is rated 3 of 5 stars by Medicare, and had no fines in the three years to October 1, 2026. CMS lists 28 health citations from inspections in that time, the latest survey on February 27, 2026, and none of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in Texas
Address
913 Hwy 90 W, Castroville, TX 78009
Overall rating
3 of 5 stars
Health inspection rating
4 of 5
Staffing rating
1 of 5
Quality measure rating
4 of 5
Certified beds
116
Residents per day
85 on average
Ownership type
For profit, partnership
Legal business name
Medina County Hospital District
Fines
$0 across 0 fines, three years to October 1, 2026
Payment denials
0
Health citations
28, of which 0 with actual harm or immediate jeopardy
Latest survey
February 27, 2026
CMS Certification Number
675974
On Care Compare
Medicare Care Compare

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
February 27, 2026F908Keep all essential equipment working safely.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 27, 2026data.cms.gov
February 27, 2026F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 27, 2026data.cms.gov
February 27, 2026F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 27, 2026data.cms.gov
February 27, 2026F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 27, 2026data.cms.gov
February 27, 2026F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 27, 2026data.cms.gov
February 27, 2026F641Ensure each resident receives an accurate assessment.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 27, 2026data.cms.gov
February 27, 2026F638Assure that each resident’s assessment is updated at least once every 3 months.B: pattern, minimal harm potentialCorrectedMarch 27, 2026data.cms.gov
November 15, 2024F908Keep all essential equipment working safely.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 17, 2024data.cms.gov
November 15, 2024F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 18, 2024data.cms.gov
November 15, 2024F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 18, 2024data.cms.gov
November 15, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 18, 2024data.cms.gov
November 15, 2024F814Dispose of garbage and refuse properly.B: pattern, minimal harm potentialCorrectedDecember 18, 2024data.cms.gov
November 15, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 18, 2024data.cms.gov
November 15, 2024F761Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 18, 2024data.cms.gov
November 15, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 18, 2024data.cms.gov
November 15, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 18, 2024data.cms.gov
November 15, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 18, 2024data.cms.gov
November 15, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 18, 2024data.cms.gov
November 15, 2024F645PASARR screening for Mental disorders or Intellectual DisabilitiesD: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 18, 2024data.cms.gov
November 15, 2024F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 18, 2024data.cms.gov
November 15, 2024F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 18, 2024data.cms.gov
November 15, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 18, 2024data.cms.gov
October 30, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 14, 2024data.cms.gov
October 30, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmPast noncomplianceDecember 11, 2023data.cms.gov
October 30, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 14, 2024data.cms.gov
September 21, 2024F761Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 1, 2024data.cms.gov
July 26, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 2, 2024data.cms.gov
November 15, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 11, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 12 individual or personal trusts (1 managers, 2 officers, directors or trustees, 9 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Medina County Hospital DistrictDirect owner100%August 1, 2014data.cms.gov
PMG OPCO, Castroville LLCOperational or managerial controlNot listedMarch 1, 2026data.cms.gov
Bauder Family Investments, LLCAdditional disclosable partyNot listedMarch 1, 2026data.cms.gov
Boulware St James LLCAdditional disclosable partyNot listedMarch 1, 2026data.cms.gov
PMG Realco, Castroville LLCAdditional disclosable partyNot listedMarch 1, 2026data.cms.gov
Steven Boulware Family Investments LLCAdditional disclosable partyNot listedMarch 1, 2026data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.