Nursing HomeMedicaid Top Rated

Grand Terrace Rehabilitation and Healthcare

Strong Medicare quality ratings. Still worth an in-person visit before deciding.

812 W. Houston Ave., Mcallen, TX 78501|93 beds|Licensed & Active

5/5

Medicare

Inspection

Quality

Staffing

Google rating

5.0/5

based on 2 Google reviews

(956) 682-6331 Directions

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What this means for your family

Choosing Grand Terrace Rehabilitation and Healthcare means your loved one is in a facility that ranks well on Medicare quality measures. While no facility is perfect, the clinical data here is encouraging.

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.41hrs

55%

Registered nurses for medical care

Total Nursing

3.25hrs

79%

All nurses + aides combined

Staff Turnover

33%

Lower is better (< 30% = good)

RN Turnover

18%

Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating

5/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

⚖️

Residents who lost too much weight

↓ Lower is better

This Facility15.6%

Worse than Avg

Here

15.6%

5.3%

3.2%

Hidalgo

3.6%

😔

Residents with depression symptoms

↓ Lower is better

This Facility0.0%

Better than Avg

Here

0.0%

12.1%

2.5%

Hidalgo

1.0%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better

This Facility6.3%

Better than Avg

Here

6.3%

15.3%

14.9%

Hidalgo

10.5%

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better

This Facility12.2%

Mixed vs Avgs

Here

12.2%

19.5%

18.4%

Hidalgo

11.6%

💉

Residents vaccinated for pneumonia

↑ Higher is better

This Facility100.0%

Better than Avg

Here

100.0%

93.4%

96.9%

Hidalgo

98.3%

🛏️

Residents needing more daily help over time

↓ Lower is better

This Facility10.4%

Better than Avg

Here

10.4%

14.4%

16.1%

Hidalgo

11.6%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility98.9%

Better than Avg

Here

98.9%

79.7%

88.0%

Hidalgo

90.8%

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility100.0%

Better than Avg

Here

100.0%

81.8%

89.2%

Hidalgo

94.9%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility0.9%

Better than Avg

Here

0.9%

1.6%

1.5%

Hidalgo

3.7%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

6deficiencies

Near state avg (9.1)

5 complaint-triggered

This facility shows a concerning pattern of complaint-triggered deficiencies, with families filing reports that led to 5 of 12 total violations. The most recurring issues involve care planning, medication management, and general care quality. Recent complaints in late 2024 and 2025 identified problems with medication labeling and care planning that had previously appeared in earlier surveys, suggesting these core care areas may need ongoing attention despite reported corrections.

Feb 19, 2026Routine3 findings

0552Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

0605Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Dec 8, 2025Complaint1 finding

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Dec 4, 2025Complaint1 finding

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

Nov 19, 2025Complaint1 finding

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Nov 20, 2024Complaint1 finding

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Nov 8, 2024Complaint1 finding

0921Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Fannin County Hospital Authority

Organization Type

for profit

Management Company

MCALLEN CARE ASSOCIATES, INC

Administrator

NEFI GUZMAN

Chain Affiliation

Chain Name

The Ensign Group

Chain Size

338 facilities nationwide

Chain avg rating: 2.9/5 · Rank 8 of 84 (Best)

Ownership & Management

Owners

Fannin County Hospital Authority

Owner · Organization

100%

Key personnel

Guzman, NefiContracted Managing EmployeeSanderson, ClarkOfficer / DirectorMcallen Care Associates, INC.ManagerBurnam, SoonManagerGuzman, NefiManager

Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

(956) 682-6331

renewals@ensignservices.net

812 W. Houston Ave.

Mcallen, TX 78501

Get Directions View on Google Maps

References & Resources

Medicare Care Compare

Official Medicare quality ratings, inspections & staffing data

Google Maps

Photos, directions & neighborhood info

Google Reviews

2 reviews from families & visitors

Medicare data downloads

Original nursing home datasets

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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