Medina Valley Health & Rehabilitation Center
Nursing home in Castroville, Texas, CMS certification number 675974
913 Hwy 90 W, Castroville, TX 78009 · Medina County
- CMS overall rating
- 3 of 5 stars
- Certified beds
- 116
- Certified for
- Medicare and Medicaid
- Last standard inspection
- February 27, 2026
- Deficiencies at that inspection
- 7
- Fines in 3 years
- No fines
Does Medina Valley Health & Rehabilitation Center take Medicare and Medicaid?
Yes to both. Medina Valley Health & Rehabilitation Center is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 3 of 5 |
| Health inspections | 4 of 5 |
| Staffing | 1 of 5 |
| Quality of resident care | 4 of 5 |
| Long-stay quality | 5 of 5 |
| Short-stay quality | 3 of 5 |
Nurse staffing hours and turnover
These are the hours Medina Valley Health & Rehabilitation Center reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 3.00
- Registered nurse hours
- 0.46
- Licensed practical nurse hours
- 0.76
- Nurse aide hours
- 1.78
- Weekend total hours
- 2.40
- Nursing staff turnover
- 42.7%
- Registered nurse turnover
- 55.6%
- Administrators who left
- 0
Health inspections and complaints
Inspectors last made a standard visit on February 27, 2026 and cited 7 deficiencies, plus 0 from complaint visits.
The visit before, on November 15, 2024, found 15.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS lists no fines for Medina Valley Health & Rehabilitation Center in the past 3 years.
Beds and residents
On an average day 84.8 residents live here, about 73% of its 116 certified beds.
- Certified beds
- 116
- Average residents per day
- 84.8
- Certified since
- June 20, 2003
- Resident or family council
- Resident
Who owns Medina Valley Health & Rehabilitation Center
- Legal business name
- Medina County Hospital District
- Ownership type
- For profit - Partnership
Other nursing homes near Medina Valley Health & Rehabilitation Center
- Westover Hills Rehabilitation and Healthcare9922 State Hwy. 151, San Antonio 78251
- Legend Oaks Healthcare and Rehabilitation - West S222 Bertetti Dr, San Antonio 78227
- The Mission at Blue Skies of Texas East4949 Ravenswood Drive, San Antonio 78227
- Lakeside Nursing and Rehabilitation Center8707 Lakeside Parkway, San Antonio 78245
- Las Colinas of Westover9738 Westover Hills Blvd, San Antonio 78251
Who inspects nursing homes in Texas
Texas's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Texas, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Medina Valley Health & Rehabilitation Center, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Medina Valley Health & Rehabilitation Center
What is the CMS star rating of Medina Valley Health & Rehabilitation Center?
3 out of 5 stars overall.
Does Medina Valley Health & Rehabilitation Center accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Medina Valley Health & Rehabilitation Center?
7 cited at the last standard visit.
Who owns Medina Valley Health & Rehabilitation Center?
Medina County Hospital District, for profit - partnership.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.