Government - Hospital district · 120 certified beds · CMS number 676495
Starr County Nursing and Transitional Care, Rio Grande City, TX
CMS records 27 health deficiencies at Starr County Nursing and Transitional Care in Rio Grande City, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jan 13, 2026. The highest severity cited is E (no actual harm, potential for more than minimal harm). CMS lists no fines or payment denials in the last three years.
- 27deficiencies, 3 cycles (TX median 25)
- 9in the latest cycle (TX median 8)
- Ehighest severity · Potential for harm
- $0fines, last 3 years
- 4CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Starr County Nursing and Transitional Care as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Starr County Nursing and Transitional Care may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (9 deficiencies)
Standard inspection Jan 13, 2026. CMS counts 9 health deficiencies and 1 fire safety deficiency in this cycle.
Jan 13, 2026 · Standard inspection
5 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 Jan 15, 2026
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 Jan 15, 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 Jan 15, 2026
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 Jan 15, 2026
F686 · Pressure ulcer prevention and care
Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 15, 2026
Dec 8, 2025 · Complaint inspection
4 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 Dec 9, 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 9, 2025
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 Dec 9, 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 Dec 9, 2025
Previous cycle: 8 deficiencies (standard inspection Oct 17, 2024)
Standard inspection Oct 17, 2024. CMS counts 8 health deficiencies and 0 fire safety deficiencies in this cycle.
Oct 17, 2024 · Standard inspection
6 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 Oct 25, 2024
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 Oct 25, 2024
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 Oct 25, 2024
F693 · Feeding tube use and care
Requirement cited (CMS): Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 25, 2024
F645 · Pre-admission screening for mental disorder or intellectual disability
Requirement cited (CMS): PASARR screening for Mental disorders or Intellectual Disabilities
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 25, 2024
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 25, 2024
Sep 26, 2024 · Complaint inspection
2 deficiencies, highest D
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 Oct 4, 2024
F607 · Abuse prevention policies
Requirement cited (CMS): Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 4, 2024
Earlier cycle: 10 deficiencies (standard inspection Jul 21, 2023)
Standard inspection Jul 21, 2023. CMS counts 10 health deficiencies and 1 fire safety deficiency in this cycle.
Jul 18, 2024 · Complaint inspection
3 deficiencies, highest D
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 Jul 19, 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 Aug 9, 2024
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 19, 2024
Jun 12, 2024 · Complaint inspection
2 deficiencies, highest D
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 Jun 19, 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 Jun 19, 2024
Apr 3, 2024 · 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 Apr 12, 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 Apr 12, 2024
Jul 21, 2023 · Standard inspection
3 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 Jul 22, 2023
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 Jul 22, 2023
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 22, 2023
Tags cited in more than one inspection
7 tags cited on more than one inspection date at Starr County Nursing and Transitional Care; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F695 Respiratory and oxygen care | 3 | Jan 13, 2026; Dec 8, 2025; Oct 17, 2024 |
| F842 Complete, confidential medical records | 3 | Jan 13, 2026; Dec 8, 2025; Jul 21, 2023 |
| F880 Infection prevention and control program | 3 | Dec 8, 2025; Oct 17, 2024; Jul 21, 2023 |
| F558 Accommodating individual needs and preferences | 2 | Oct 17, 2024; Jul 18, 2024 |
| F609 Reporting suspected abuse and crimes | 2 | Sep 26, 2024; Jun 12, 2024 |
| F641 Accurate resident assessments | 2 | Jul 18, 2024; Apr 3, 2024 |
| F656 Comprehensive person-centered care plan | 2 | Jul 18, 2024; Jun 12, 2024 |
Fines and payment denials
CMS lists no fines or payment denials for this nursing home in the last three years.
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 2.99 h (below the Texas median of 3.27 h)
- RN hours per resident per day
- 0.47 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.65 h
- Nursing staff turnover
- 42.7% (Texas median 52.1%)
- Administrators who left
- 0
- CMS overall rating
- 4 of 5
- Health inspection rating
- 4 of 5
- Staffing rating
- 2 of 5
- Quality measure rating
- 4 of 5
CMS figures for Starr County Nursing and Transitional Care, copied as published; Texas medians are ours.
Facility details
- Address
- 5260 Brand St, Rio Grande City, TX 78582
- Phone
- (888) 707-8277
- County
- Starr
- Accepts
- Medicare and Medicaid
- Ownership
- Government - Hospital district
- Chain (CMS)
- Wellsential Health
- Certified beds
- 120
- Average residents per day
- 101.4
- In Medicare/Medicaid since
- Oct 29, 2020
- 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 oxygen equipment and breathing treatments managed and checked? (F695, cited 3 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)
- How does the home adapt rooms and routines for residents with limited mobility, vision, or hearing? (F558, cited 2 times)
Other nursing homes in Rio Grande City and the same chain
- Rio Grande City Nursing and Rehabilitation Center
Rio Grande City · 18 deficiencies - Longview Hill Nursing and Rehabilitation Center
Longview · 60 deficiencies - Guadalupe Valley Nursing and Rehabilitation Center
Seguin · 52 deficiencies - Town and Country Nursing and Rehabilitation Center
Boerne · 51 deficiencies - Heritage Park Rehabilitation and Skilled Nursing C
Austin · 49 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.