For profit - Limited Liability company · 120 certified beds · CMS number 675800
La Vida Serena Nursing and Rehabilitation, Del Rio, TX
CMS records 18 health deficiencies at La Vida Serena Nursing and Rehabilitation in Del Rio, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Dec 12, 2025. The highest severity cited is G (actual harm (not immediate jeopardy)). CMS lists 1 fine totaling $8,404 in the last three years.
- 18deficiencies, 3 cycles (TX median 25)
- 6in the latest cycle (TX median 8)
- Ghighest severity · Actual harm
- $8,404fines, last 3 years
- 3CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for La Vida Serena Nursing and Rehabilitation as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and La Vida Serena Nursing and Rehabilitation may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (6 deficiencies)
Standard inspection Dec 12, 2025. CMS counts 6 health deficiencies and 7 fire safety deficiencies in this cycle.
Dec 12, 2025 · Standard inspection
6 deficiencies, highest E
F921 · Safe, functional, sanitary building
Requirement cited (CMS): Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 16, 2026
F865 · Quality improvement (QAPI) program
Requirement cited (CMS): Have a plan that describes the process for conducting QAPI and QAA activities.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 20, 2025
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 15, 2025
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 15, 2025
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 15, 2025
F565 · Resident and family councils
Requirement cited (CMS): Honor the resident's right to organize and participate in resident/family groups in the facility.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 15, 2025
Previous cycle: 5 deficiencies (standard inspection Sep 19, 2024)
Standard inspection Sep 19, 2024. CMS counts 5 health deficiencies and 4 fire safety deficiencies in this cycle.
May 8, 2025 · Complaint inspection
3 deficiencies, highest G
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- G Actual harm (not immediate jeopardy), isolated
- Status
- Past non-compliance (fixed before the inspection), Mar 9, 2025
F657 · Care plan timing and team review
Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Severity
- G Actual harm (not immediate jeopardy), isolated
- Status
- Correction date May 9, 2025
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 9, 2025
Sep 19, 2024 · Standard inspection
2 deficiencies, highest D
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 20, 2024
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 20, 2024
Earlier cycle: 7 deficiencies (standard inspection Aug 16, 2023)
Standard inspection Aug 16, 2023. CMS counts 7 health deficiencies and 3 fire safety deficiencies in this cycle.
Jul 11, 2024 · Complaint inspection
2 deficiencies, highest E
F732 · Daily posting of nurse staffing
Requirement cited (CMS): Post nurse staffing information every day.
- Severity
- C No actual harm, potential for minimal harm, widespread
- Status
- Correction date Jul 12, 2024
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 12, 2024
Aug 16, 2023 · Standard inspection
5 deficiencies, highest E
F921 · Safe, functional, sanitary building
Requirement cited (CMS): Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 29, 2023
F808 · Physician-ordered therapeutic diets
Requirement cited (CMS): Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 29, 2023
F760 · No significant medication errors
Requirement cited (CMS): Ensure that residents are free from significant medication errors.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 29, 2023
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 29, 2023
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 29, 2023
Tags cited in more than one inspection
4 tags cited on more than one inspection date at La Vida Serena Nursing and Rehabilitation; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F641 Accurate resident assessments | 2 | Sep 19, 2024; Jul 11, 2024 |
| F656 Comprehensive person-centered care plan | 2 | Dec 12, 2025; Aug 16, 2023 |
| F689 Accident prevention and supervision | 2 | Dec 12, 2025; May 8, 2025 (PNC) |
| F921 Safe, functional, sanitary building | 2 | Dec 12, 2025; Aug 16, 2023 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| May 8, 2025 | Fine | $8,404 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 2.87 h (below the Texas median of 3.27 h)
- RN hours per resident per day
- 0.25 h (below the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.57 h
- Nursing staff turnover
- not reported
- Administrators who left
- 2
- CMS overall rating
- 3 of 5
- Health inspection rating
- 4 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 3 of 5
CMS figures for La Vida Serena Nursing and Rehabilitation, copied as published; Texas medians are ours.
Facility details
- Address
- 711 Kings Way, Del Rio, TX 78840
- Phone
- (830) 774-0698
- County
- Val Verde
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Chain (CMS)
- Creative Solutions in Healthcare
- Certified beds
- 120
- Average residents per day
- 68.4
- In Medicare/Medicaid since
- May 1, 1999
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How does the home check that resident assessments match what staff actually observe? (F641, cited 2 times)
- How are a resident's goals and preferences written into the care plan? (F656, cited 2 times)
- How does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 2 times)
- How are maintenance requests from residents and families handled? (F921, cited 2 times)
Other nursing homes in Del Rio and the same chain
- Val Verde Nursing and Rehabilitation Center
Del Rio · 29 deficiencies - Del Rio Nursing and Rehabilitation Center
Del Rio · 28 deficiencies - Franklin Heights Nursing & Rehabilitation
El Paso · 76 deficiencies - St. Teresa Nursing & Rehab Center
El Paso · 75 deficiencies - Mountain View Health & Rehabilitation
El Paso · 72 deficiencies - Pleasant Springs Healthcare Center
Mount Pleasant · 66 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.