Mid Valley Nursing & Rehabilitation
Mercedes, Texas · CCN 676414
25 surveys since 2018. The first finding at harm level was recorded in 2024.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 81
- Surveys
- 25
- Harm or worse
- 4
- Immediate jeopardy
- 4
Findings at the most serious level CMS records. 1 of these were recorded as past non-compliance — corrected before the survey.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 123
- Ownership
- Government - Hospital district
- Chain
- TOUCHSTONE COMMUNITIES
- County
- Hidalgo
- Medicare-certified since
- 2017
CMS ratings
- Overall
- 2
- Health inspection
- 2
- Staffing
- 1
- Quality measures
- 5
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat more weighted findings than its peer group.
Weighted by harm level, against 104 government-run facilities of 100–127 beds in Texas.
Last survey on record
Jul 29, 2026
103 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.32 | 3.25 |
| Registered-nurse hours per resident day | 0.23 | — |
| Annual nurse turnover | 45.0% | 48.1% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $16,611 across 2 penalties
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J412.5% | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D2475.0% | E412.5% | F— |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6564×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F7554×
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- F8423×
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- F8803×
Provide and implement an infection prevention and control program.
- F5782×
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.
In the surveyor’s words
From the most serious findings on record at Mid Valley Nursing & Rehabilitation, in the surveyor’s own words.
- Immediate jeopardy, isolatedF600Dec 23, 2024
Based on interview and record review the facility failed to ensure the resident had the right to be free from abuse or neglect, for one of four residents (Resident #2) reviewed for neglect: LVN D and LVN R did not stop advancing the Foley catheter tubing when Resident #2 was experiencing discomfort or pain and crying /groaning out. An Immediate Jeopardy was identified on 12/20/2024. The Immediate Jeopardy template was provided to the facility on [DATE] at 08:43 PM. While the Immediate Jeopardy was removed on 12/21/2024 at 06:05 PM. […]
- Immediate jeopardy, isolatedF607Dec 23, 2024
Based on interview and record review, the facility failed to implement its written policies and procedures to prohibit and prevent abuse, neglect, and exploitation of residents and misappropriation of resident property, for 1 of 8 residents (Resident#2) reviewed for abuse and neglect, in that: The facility failed to implement their Abuse Neglect Exploitation (ANE) policy when LVN D and LVN R did not stop advancing the Foley catheter tubing when Resident #2 was experiencing pain, which resulted in hospitalization . Per region response, the facility's ANE policy was obtained. An Immediate Jeopardy was identified on [DATE]. The Immediate Jeopardy template was provided to the facility on [DATE] at 08:43 PM. […]
- Immediate jeopardy, isolatedF689Dec 23, 2024
Based on observation, interview and record review, the facility failed to ensure the resident environment remained as free of accident hazards as possible and each resident received adequate supervision to prevent accidents for 1 of 4 residents (Resident #1) reviewed for accidents and supervision, in that: The facility failed to ensure R#1 received adequate supervision to prevent her from exiting the facility undetected on 03/21/2024. The non-compliance was identified as Past Non-Compliance. The Immediate Jeopardy (IJ) began on 03/21/2024 and ended on 03/21/2024. The facility corrected the non-compliance before the investigation began. Past Non-Compliance form sent to Administrator on 12/20/2024 at 9:59 a.m. […]
- Immediate jeopardy, isolatedF690Dec 23, 2024
Based on observation, interview, and record review the facility failed to ensure that a resident with a urinary catheter received appropriate treatment and services for 1 (Resident #2) of 8 Residents reviewed for catheter care, in that: The facility failed to ensure LVN D and LVN R did not stop and notify doctor when resistance was felt during Resident #2's Foley catheter change. An Immediate Jeopardy was identified on 12/20/2024. The Immediate Jeopardy template was provided to the facility on [DATE] at 08:43 PM. While the Immediate Jeopardy was removed on 12/21/2024 at 06:05 PM. Immediate Jeopardy was lowered to isolated with no actual harm with a potential for more than minimal harm, as once Immediate Jeopardy is lowered, harm cannot exist. […]
- No harm, potential for more than minimal, patternF755Jun 10, 2026
Based on observation, interview and record review, the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of each resident for 1 of 3 residents (Residents #1), reviewed for pharmaceutical services, in that: The facility failed to ensure Resident #1's physician was notified when his blood sugar levels were over 300, per physician's orders. This failure could place residents at risk delayed medication adjustments. Findings included: Record review of Resident #1's admission record, dated 06/10/26, reflected an [AGE] year-old male with a re-admission date of 09/17/25 and an original admission date of 07/25/24. […]
Read 24 findings in full →The most serious and the most recent: 24 of 81 on record.
Every survey on record
FindingsAt actual harm or above
- Jul 29, 2026Complaint4 findings
- Jun 10, 2026Complaint1 finding
- Apr 9, 2026Standard5 findings
- Jan 13, 2026Complaint2 findings
- Dec 31, 2025Complaint3 findings
- Apr 11, 2025Complaint1 finding
- Mar 7, 2025Complaint2 findings
- Feb 5, 2025Standard and complaint5 findings
Show the 17 earlier surveys
- Dec 23, 2024Complaint6 findings · 4 harm
- Apr 16, 2024Complaint1 finding
- Nov 16, 2023Standard1 finding
- Oct 31, 2023Complaint1 finding
- Sep 26, 2022Complaint2 findings
- Aug 18, 2022Standard5 findings
- Jun 14, 2022Complaint1 finding
- Mar 30, 2022Complaint1 finding
- Mar 7, 2022Complaint2 findings
- Jun 18, 2021Standard and complaint8 findings
- Sep 25, 2020Complaint2 findings
- Aug 13, 2020Complaint1 finding
- Mar 6, 2020Standard3 findings
- Oct 29, 2019Complaint2 findings
- Mar 1, 2019Standard10 findings
- Feb 11, 2019Complaint3 findings
- Jan 11, 2018Standard9 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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