Deficiency Index

Val Verde Nursing and Rehabilitation Center

Del Rio, Texas · CCN 675395

24 surveys since 2011. The first finding at harm level was recorded in 2022.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
124
Surveys
24
Harm or worse
4
Immediate jeopardy
3
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy3

Findings at the most serious level CMS records.

Beyond CMS’s monthly file16/24

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
76
Ownership
Government - Hospital district
Chain
WELLSENTIAL HEALTH
County
Val Verde · rural
Medicare-certified since
1994

CMS ratings

Overall
2
Health inspection
2
Staffing
2
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

Weighted by harm level, against 49 government-run facilities of 66–99 beds in Texas.

Last survey on record

Aug 12, 2026

89 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.243.24
Registered-nurse hours per resident day0.43—
Annual nurse turnover31.1%54.3%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$138,908 across 1 penalty

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ12.5%K12.5%L—
Actual harmG—H—I—
No harm, potential for more than minimalD2152.5%E1332.5%F—
No harm, potential for minimalA—B—C410.0%
CMS’s current file: 40 of the 124 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6563×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F7553×

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  • F7613×

    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.

  • F8423×

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  • F6092×

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

In the surveyor’s words

From the most serious findings on record at Val Verde Nursing and Rehabilitation Center, in the surveyor’s own words.

  • Immediate jeopardy, patternF684Oct 1, 2023

    Based on observation, interview, and record review, the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for 1 of 6 residents who required wound prevention, treatment, and monitoring for 1 of 6 residents (Resident #1) in that: The facility failed to ensure Resident #1 received wound care and treatment as ordered by a physician. -Resident #1's right great toe was not monitored daily for changes once per day as ordered by a physician. -Resident #1's right heel was not monitored daily for changes once per day as ordered by a physician. […]

  • Immediate jeopardy, patternF686Oct 1, 2023

    Based on the comprehensive assessment of a resident, the facility failed to ensure that a resident with pressure ulcers received necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new ulcers from developing for 1 of 6 residents (Resident #1) reviewed for pressure sores, in that: The facility failed to ensure Resident #1 received wound care and treatment as ordered by a physician. -Resident #1's right great toe was not monitored daily for changes once per day as ordered by a physician. -Resident #1's right heel was not monitored daily for changes once per day as ordered by a physician. […]

  • Immediate jeopardy, isolatedF684Apr 8, 2023

    Based on interviews and record reviews the facility failed to have nursing staff with the appropriate competencies and skills sets to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident, as determined by resident assessments and individual plans of care and considering the number, acuity and diagnoses of the facility's resident population for 2 of 32 residents (Resident #14 and #140) reviewed for infections / infestations, in that: 1. […]

  • Actual harm, isolatedF689Mar 25, 2022

    Based on interviews and record review, the facility failed to ensure resident's received adequate supervision to prevent accidents for 2 of 5 residents (Residents #4 and #5) reviewed for accidents, in that: The facility failed to properly supervise Resident #5 who wandered into Resident #4's personal room, which resulted in Resident #4 striking Resident #5 resulting in injury and transfer to hospital of Resident #5. This deficient practice could place residents at risk for physical or psychological harm, hospitalization , and serious injury. […]

  • No harm, potential for more than minimal, patternF680Aug 12, 2026

    Based on interview and record review the facility failed to ensure the activities program was directed by a qualified professional who was a qualified therapeutic recreation specialist or an activities professional who was licensed or registered by the State for 1 of 1 facility reviewed for qualifications of activity professionals. The facility failed to have a qualified Activities Professional direct their activities program. This deficient practice could place residents at risk of not receiving approaches that were individualized to match the skills, abilities, and interests/preferences of each resident for activities. […]

Read 24 findings in full →The most serious and the most recent: 24 of 124 on record.

Every survey on record

FindingsAt actual harm or above

  • Aug 12, 2026Standard10 findings
  • Feb 3, 2026Complaint2 findings
  • Dec 3, 2025Complaint2 findings
  • Jun 6, 2025Standard7 findings
  • May 10, 2024Standard3 findings
  • Nov 17, 2023Complaint1 finding
  • Oct 1, 2023Complaint5 findings · 2 harm
  • Apr 8, 2023Standard11 findings · 1 harm
Show the 16 earlier surveys
  • Dec 9, 2022Complaint1 finding
  • Mar 25, 2022Complaint1 finding · 1 harm
  • Feb 11, 2022Standard6 findings
  • Jan 21, 2022Complaint1 finding
  • Jan 7, 2022Complaint1 finding
  • Apr 17, 2020Complaint2 findings
  • Oct 18, 2019Standard4 findings
  • Oct 19, 2018Standard and complaint11 findings
  • Apr 11, 2018Complaint1 finding
  • Oct 19, 2017Standard5 findings
  • Oct 13, 2016Standard1 finding
  • Aug 20, 2015Standard11 findings
  • Jun 13, 2014Standard9 findings
  • Jul 11, 2013—17 findings
  • May 10, 2012—5 findings
  • Apr 22, 2011—7 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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