For profit - Individual · 147 certified beds · CMS number 455621
Valley Grande Manor, Weslaco, TX
CMS records 57 health deficiencies at Valley Grande Manor in Weslaco, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jul 25, 2025. The highest severity cited is K (immediate jeopardy to resident health or safety). 4 citations were at the immediate jeopardy level, 2 of them recorded as past non-compliance (fixed before the inspection). CMS lists 4 fines totaling $88,679 in the last three years.
- 57deficiencies, 3 cycles (TX median 25)
- 30in the latest cycle (TX median 8)
- Khighest severity · Immediate jeopardy
- $88,679fines, last 3 years
- 1CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Valley Grande Manor as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Valley Grande Manor may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (30 deficiencies)
Standard inspection Jul 25, 2025. CMS counts 30 health deficiencies and 10 fire safety deficiencies in this cycle.
Jul 9, 2026 · Complaint inspection
1 deficiency, highest D
F561 · Making everyday choices
Requirement cited (CMS): Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 5, 2026
Jul 2, 2026 · Complaint inspection
6 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 Aug 3, 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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 3, 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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 3, 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 Aug 3, 2026
F655 · Baseline care plan within 48 hours
Requirement cited (CMS): Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 3, 2026
F552 · Being informed about health and treatment
Requirement cited (CMS): Ensure that residents are fully informed and understand their health status, care and treatments.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 3, 2026
Jun 11, 2026 · Complaint inspection
1 deficiency, highest D
F584 · Safe, clean, homelike surroundings
Requirement cited (CMS): Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 12, 2026
Mar 23, 2026 · Complaint 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 Mar 24, 2026
F711 · Physician review at each visit
Requirement cited (CMS): Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 24, 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 Mar 24, 2026
F603 · Freedom from involuntary seclusion
Requirement cited (CMS): Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 24, 2026
F552 · Being informed about health and treatment
Requirement cited (CMS): Ensure that residents are fully informed and understand their health status, care and treatments.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 24, 2026
Jan 30, 2026 · 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 Feb 7, 2026
F605 · Limits on psychotropic drugs and chemical restraints
Requirement cited (CMS): Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 7, 2026
F602 · Protecting residents' money and belongings
Requirement cited (CMS): Protect each resident from the wrongful use of the resident's belongings or money.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 7, 2026
Nov 21, 2025 · Complaint inspection
3 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 Nov 22, 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 Nov 22, 2025
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 Nov 22, 2025
Nov 20, 2025 · Complaint inspection
1 deficiency, 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 Nov 26, 2025
Jul 25, 2025 · Standard + complaint inspection
10 deficiencies, highest K
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 1, 2025
F711 · Physician review at each visit
Requirement cited (CMS): Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 1, 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 Aug 1, 2025
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 Aug 1, 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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 1, 2025
F628 · Discharge paperwork, notices, and bed-hold information
Requirement cited (CMS): Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 1, 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 Aug 1, 2025
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
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Past non-compliance (fixed before the inspection), Jun 28, 2025
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 Aug 1, 2025
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 Aug 1, 2025
Previous cycle: 17 deficiencies (standard inspection May 17, 2024)
Standard inspection May 17, 2024. CMS counts 17 health deficiencies and 2 fire safety deficiencies in this cycle.
Jun 5, 2025 · Complaint inspection
4 deficiencies, highest G
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
- G Actual harm (not immediate jeopardy), isolated
- Status
- Correction date Jun 13, 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 Jun 13, 2025
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 Jun 13, 2025
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
- G Actual harm (not immediate jeopardy), isolated
- Status
- Correction date Jun 13, 2025
May 22, 2025 · Complaint inspection
2 deficiencies, highest D
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 May 26, 2025
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 26, 2025
Feb 21, 2025 · Complaint inspection
3 deficiencies, highest E
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 Feb 24, 2025
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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 24, 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 24, 2025
May 17, 2024 · Standard + complaint inspection
8 deficiencies, highest E
F922 · Backup water supply
Requirement cited (CMS): Have enough backup water supply for essential areas of the nursing home.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 20, 2024
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 Jun 14, 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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 18, 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 Jun 7, 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 Jun 11, 2024
F625 · Bed-hold notice
Requirement cited (CMS): Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 11, 2024
F623 · Written notice before a move
Requirement cited (CMS): Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 11, 2024
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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 5, 2024
Earlier cycle: 10 deficiencies (standard inspection Mar 3, 2023)
Standard inspection Mar 3, 2023. CMS counts 10 health deficiencies and 1 fire safety deficiency in this cycle.
Apr 30, 2024 · Complaint inspection
5 deficiencies, highest J
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), May 1, 2023
F610 · Investigating and responding to allegations
Requirement cited (CMS): Respond appropriately to all alleged violations.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 16, 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 May 16, 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 May 16, 2024
F552 · Being informed about health and treatment
Requirement cited (CMS): Ensure that residents are fully informed and understand their health status, care and treatments.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 16, 2024
Dec 21, 2023 · Complaint inspection
4 deficiencies, highest K
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 22, 2023
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 Dec 22, 2023
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Dec 22, 2023
F580 · Telling residents and families about changes
Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Dec 22, 2023
Mar 3, 2023 · Standard 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 Mar 31, 2023
Tags cited in more than one inspection
12 tags cited on more than one inspection date at Valley Grande Manor; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F656 Comprehensive person-centered care plan | 6 | Mar 23, 2026; Nov 21, 2025; Jul 25, 2025; Jun 5, 2025; Feb 21, 2025; May 17, 2024 |
| F755 Pharmacy services and a consultant pharmacist | 5 | Jul 2, 2026; May 22, 2025; May 17, 2024; Dec 21, 2023; Mar 3, 2023 |
| F842 Complete, confidential medical records | 4 | Mar 23, 2026; Nov 21, 2025; Feb 21, 2025; Dec 21, 2023 |
| F880 Infection prevention and control program | 4 | Jul 2, 2026; Nov 20, 2025; Jul 25, 2025; May 17, 2024 |
| F552 Being informed about health and treatment | 3 | Jul 2, 2026; Mar 23, 2026; Apr 30, 2024 |
| F609 Reporting suspected abuse and crimes | 3 | Jul 25, 2025; Jun 5, 2025; Apr 30, 2024 |
| F695 Respiratory and oxygen care | 3 | Jul 2, 2026; Jul 25, 2025; May 17, 2024 |
| F578 Refusing treatment and advance directives | 2 | Jul 25, 2025; May 17, 2024 |
| F600 Freedom from abuse and neglect | 2 | Jul 25, 2025 (PNC); Jun 5, 2025 |
| F607 Abuse prevention policies | 2 | Jun 5, 2025; Apr 30, 2024 |
| F693 Feeding tube use and care | 2 | Jul 25, 2025; Feb 21, 2025 |
| F711 Physician review at each visit | 2 | Mar 23, 2026; Jul 25, 2025 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Jul 25, 2025 | Fine | $14,744 |
| Jun 5, 2025 | Fine | $10,513 |
| Apr 30, 2024 | Fine | $8,021 |
| Dec 21, 2023 | Fine | $55,401 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 2.94 h (below the Texas median of 3.27 h)
- RN hours per resident per day
- 0.10 h (below the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.65 h
- Nursing staff turnover
- 68.8% (Texas median 52.1%)
- Administrators who left
- 1
- CMS overall rating
- 1 of 5
- Health inspection rating
- 1 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 2 of 5
CMS figures for Valley Grande Manor, copied as published; Texas medians are ours.
Facility details
- Address
- 1212 S Bridge, Weslaco, TX 78596
- Phone
- (956) 968-2121
- County
- Hidalgo
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Chain (CMS)
- Not part of a chain in CMS data
- Certified beds
- 147
- Average residents per day
- 105.3
- In Medicare/Medicaid since
- Feb 28, 1986
- 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 6 times)
- How are new medication orders filled, and how quickly can urgent medications arrive? (F755, cited 5 times)
- Does the home use electronic health records, and can families get access through a portal? (F842, cited 4 times)
- How do staff track and report infections among residents? (F880, cited 4 times)
Other nursing homes in Weslaco
- Weslaco Nursing and Rehabilitation Center
Weslaco · 33 deficiencies - Windsor Nursing and Rehabilitation Center of Wesla
Weslaco · 26 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.