Government - Hospital district · 123 certified beds · CMS number 676414
Mid Valley Nursing & Rehabilitation, Mercedes, TX
CMS records 32 health deficiencies at Mid Valley Nursing & Rehabilitation in Mercedes, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Apr 9, 2026. The highest severity cited is J (immediate jeopardy to resident health or safety). 4 citations were at the immediate jeopardy level, 1 of them recorded as past non-compliance (fixed before the inspection). CMS lists 2 fines totaling $16,611 in the last three years.
- 32deficiencies, 3 cycles (TX median 25)
- 15in the latest cycle (TX median 8)
- Jhighest severity · Immediate jeopardy
- $16,611fines, last 3 years
- 2CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Mid Valley Nursing & Rehabilitation as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Mid Valley Nursing & Rehabilitation may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (15 deficiencies)
Standard inspection Apr 9, 2026. CMS counts 15 health deficiencies and 4 fire safety deficiencies in this cycle.
Jul 29, 2026 · Complaint inspection
4 deficiencies, highest D
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 20, 2026
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 Aug 20, 2026
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 20, 2026
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 Aug 20, 2026
Jun 10, 2026 · Complaint inspection
1 deficiency, highest E
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 26, 2026
Apr 9, 2026 · Standard inspection
5 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 1, 2026
F813 · Food brought in by visitors
Requirement cited (CMS): Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 1, 2026
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 May 1, 2026
F759 · Medication error rate under 5 percent
Requirement cited (CMS): Ensure medication error rates are not 5 percent or greater.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 1, 2026
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 1, 2026
Jan 13, 2026 · Complaint inspection
2 deficiencies, highest D
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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 9, 2026
F573 · Access to personal and medical records
Requirement cited (CMS): Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 9, 2026
Dec 31, 2025 · Complaint inspection
3 deficiencies, highest D
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 16, 2026
F694 · IV fluid administration
Requirement cited (CMS): Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 16, 2026
F578 · Refusing treatment and advance directives
Requirement cited (CMS): Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 16, 2026
Previous cycle: 14 deficiencies (standard inspection Feb 5, 2025)
Standard inspection Feb 5, 2025. CMS counts 14 health deficiencies and 0 fire safety deficiencies in this cycle.
Apr 11, 2025 · Complaint inspection
1 deficiency, highest D
F690 · Bladder, bowel, and catheter care
Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 1, 2025
Mar 7, 2025 · Complaint inspection
2 deficiencies, highest D
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 Apr 3, 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 Apr 3, 2025
Feb 5, 2025 · Standard + complaint inspection
5 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 28, 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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 28, 2025
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 28, 2025
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 28, 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 Feb 28, 2025
Dec 23, 2024 · Complaint inspection
6 deficiencies, highest J
F690 · Bladder, bowel, and catheter care
Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Dec 24, 2024
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
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Past non-compliance (fixed before the inspection), Mar 21, 2024
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 24, 2024
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 Dec 24, 2024
F607 · Abuse prevention policies
Requirement cited (CMS): Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Dec 24, 2024
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Dec 24, 2024
Earlier cycle: 3 deficiencies (standard inspection Nov 16, 2023)
Standard inspection Nov 16, 2023. CMS counts 3 health deficiencies and 1 fire safety deficiency in this cycle.
Apr 16, 2024 · Complaint inspection
1 deficiency, highest D
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 9, 2024
Nov 16, 2023 · Standard inspection
1 deficiency, highest D
F578 · Refusing treatment and advance directives
Requirement cited (CMS): Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 17, 2023
Oct 31, 2023 · Complaint inspection
1 deficiency, highest E
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 2, 2023
Tags cited in more than one inspection
7 tags cited on more than one inspection date at Mid Valley Nursing & Rehabilitation; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F656 Comprehensive person-centered care plan | 4 | Jul 29, 2026; Mar 7, 2025; Feb 5, 2025; Dec 23, 2024 |
| F755 Pharmacy services and a consultant pharmacist | 4 | Jun 10, 2026; Apr 9, 2026; Apr 16, 2024; Oct 31, 2023 |
| F842 Complete, confidential medical records | 3 | Jul 29, 2026; Mar 7, 2025; Feb 5, 2025 |
| F880 Infection prevention and control program | 3 | Jul 29, 2026; Apr 9, 2026; Feb 5, 2025 |
| F578 Refusing treatment and advance directives | 2 | Dec 31, 2025; Nov 16, 2023 |
| F690 Bladder, bowel, and catheter care | 2 | Apr 11, 2025; Dec 23, 2024 |
| F761 Drug labeling and secure storage | 2 | Jul 29, 2026; Dec 31, 2025 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Dec 23, 2024 | Fine | $8,281 |
| Dec 23, 2024 | Fine | $8,330 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.32 h (about the same as the Texas median of 3.27 h)
- RN hours per resident per day
- 0.23 h (below the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 3.00 h
- Nursing staff turnover
- 45.0% (Texas median 52.1%)
- Administrators who left
- 0
- CMS overall rating
- 2 of 5
- Health inspection rating
- 2 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 5 of 5
CMS figures for Mid Valley Nursing & Rehabilitation, copied as published; Texas medians are ours.
Facility details
- Address
- 601 N Mile 2 West, Mercedes, TX 78570
- Phone
- (956) 294-1689
- County
- Hidalgo
- Accepts
- Medicare and Medicaid
- Ownership
- Government - Hospital district
- Chain (CMS)
- Touchstone Communities
- Certified beds
- 123
- Average residents per day
- 78.8
- In Medicare/Medicaid since
- Jan 10, 2017
- 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 are a resident's goals and preferences written into the care plan? (F656, cited 4 times)
- How are new medication orders filled, and how quickly can urgent medications arrive? (F755, cited 4 times)
- Does the home use electronic health records, and can families get access through a portal? (F842, cited 3 times)
- How do staff track and report infections among residents? (F880, cited 3 times)
Other nursing homes in Mercedes and the same chain
- Harker Heights Nursing & Rehabilitation
Harker Heights · 51 deficiencies - The Heights of Bulverde
Spring Branch · 47 deficiencies - The Enclave
San Antonio · 46 deficiencies - The Heights at Medical Center
San Antonio · 44 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.