Medina Valley Health & Rehabilitation Center
913 Hwy 90 W, Castroville, TX 78009
Phone: 8309312900
CMS ratings and facility information
Medina Valley Health & Rehabilitation Center is a Medicare-certified nursing facility in Castroville, Medina County, Texas. CMS data for this profile was updated October 2026. Ratings and facility details can change; confirm current information with CMS and the facility.
| CMS overall rating | 3 of 5 stars |
|---|---|
| Health inspection rating | 4 of 5 |
| Staffing rating | 1 of 5 |
| Quality measures rating | 4 of 5 |
| Certified beds | 116 |
| Ownership | For profit - Partnership |
| CMS certification number | 675974 |
Staffing
| Total nurse hours per resident day | 3 |
|---|---|
| RN hours per resident day | 0.46 |
| Nurse aide hours per resident day | 1.78 |
| Total nursing staff turnover percent | 42.7 |
| RN turnover percent | 55.6 |
Resident outcome measures
| Measure | Value | Unit | Period |
|---|---|---|---|
| Hospitalizations | 2.28 | events_per_1000_resident_days | 20250401-20260331 |
| Emergency-department visits | 2.28 | events_per_1000_resident_days | 20250401-20260331 |
| Falls with major injury | 2.9 | percent | 2025Q3-2026Q2 |
| Pressure ulcers | 1.5 | percent | 2025Q3-2026Q2 |
| Urinary tract infections | 1.02 | percent | 2025Q3-2026Q2 |
| Antipsychotic medication use | 4.06 | percent | 2025Q3-2026Q2 |
Health inspection citations
| Survey date | Tag | Citation | Severity |
|---|---|---|---|
| 2026-02-27 | 0641 | Ensure each resident receives an accurate assessment. | E |
| 2026-02-27 | 0880 | Provide and implement an infection prevention and control program. | E |
| 2026-02-27 | 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D |
| 2026-02-27 | 0727 | Have 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 |
| 2026-02-27 | 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2026-02-27 | 0908 | Keep all essential equipment working safely. | D |
| 2026-02-27 | 0638 | Assure that each resident’s assessment is updated at least once every 3 months. | B |
| 2024-11-15 | 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2024-11-15 | 0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D |
| 2024-11-15 | 0641 | Ensure each resident receives an accurate assessment. | D |
| 2024-11-15 | 0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D |
| 2024-11-15 | 0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D |
| 2024-11-15 | 0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D |
| 2024-11-15 | 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| 2024-11-15 | 0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D |
| 2024-11-15 | 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2024-11-15 | 0761 | 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. | D |
| 2024-11-15 | 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2024-11-15 | 0849 | Arrange 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 |
| 2024-11-15 | 0880 | Provide and implement an infection prevention and control program. | D |
| 2024-11-15 | 0908 | Keep all essential equipment working safely. | D |
| 2024-11-15 | 0814 | Dispose of garbage and refuse properly. | B |
| 2023-09-22 | 0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | E |
| 2023-09-22 | 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2023-09-22 | 0880 | Provide and implement an infection prevention and control program. | E |
| 2023-09-22 | 0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D |
| 2023-09-22 | 0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D |
| 2023-09-22 | 0759 | Ensure medication error rates are not 5 percent or greater. | D |
| 2023-09-22 | 0760 | Ensure that residents are free from significant medication errors. | D |
| 2023-09-22 | 0814 | Dispose of garbage and refuse properly. | D |
Penalties
No penalties were listed in this CMS data snapshot.
Ownership records
| Name | Type | Role |
|---|---|---|
| MEDINA COUNTY HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST |
| BELL, BILLIE | Individual | CORPORATE OFFICER |
| PMG OPCO - CASTROVILLE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL |
| BAUDER, WILLIAM | Individual | OPERATIONAL/MANAGERIAL CONTROL |
| BOULWARE, DOUGLAS | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF |
| BAUDER FAMILY INVESTMENTS, LLC | Organization | ADP OF THE SNF |
| BOULWARE ST JAMES LLC | Organization | ADP OF THE SNF |
| PMG REALCO - CASTROVILLE LLC | Organization | ADP OF THE SNF |
| STEVEN BOULWARE FAMILY INVESTMENTS LLC | Organization | ADP OF THE SNF |
| BAUDER, KELLY | Individual | ADP OF THE SNF |
| BAUDER, MADISON | Individual | ADP OF THE SNF |
| BAUDER, PARKER | Individual | ADP OF THE SNF |
| BAUDER, WILLIAM | Individual | ADP OF THE SNF |
| BOULWARE, STEVEN | Individual | ADP OF THE SNF |
| BOULWARE, THOMAS | Individual | ADP OF THE SNF |
| GREGORY, PATRICE | Individual | ADP OF THE SNF |
| JAAFAR, SALEH | Individual | ADP OF THE SNF |
| WALKER, KATIE | Individual | ADP OF THE SNF |
Compare nursing homes in Medina County, Texas.
Source: Centers for Medicare & Medicaid Services Care Compare data. Data snapshot: October 2026. Read Our Data & Methodology. This directory does not provide medical or legal advice.