Nursing HomeMedicaid Medicare 5-star

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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Public Medicare Flags to Review

These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.

Low staffing rating (2/5 stars)

No Medicare penalties on record · Staff turnover reported at 26%

Source: Medicare data

What this means for your family

Grand Terrace Rehabilitation and Healthcare has a strong overall Medicare rating. Review the component ratings and current source records before deciding.

Staffing

Staffing Hours

per resident/day · Medicare public data

RN Hours

0.38hrs

50%

Registered nurses for medical care

Total Nursing

3.55hrs

87%

All nurses + aides combined

Staff Turnover

26%

Lower is better (< 30% = good)

RN Turnover

25%

Lower is better (< 30% = good)

Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.

Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.

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 with depression symptoms

↓ Lower is better

This Facility0.0%

Better than Avg

Here

0.0%

12.8%

2.4%

Hidalgo

0.8%

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

Residents who lost too much weight

↓ Lower is better

This Facility13.6%

Worse than Avg

Here

13.6%

5.2%

3.0%

Hidalgo

3.1%

Residents whose walking got worse

↓ Lower is better

This Facility4.6%

Better than Avg

Here

4.6%

14.1%

14.0%

Hidalgo

9.7%

Residents needing more daily help over time

↓ Lower is better

This Facility7.3%

Better than Avg

Here

7.3%

13.9%

15.8%

Hidalgo

11.1%

Residents on anti-anxiety or sleep medication

↓ Lower is better

This Facility11.8%

Better than Avg

Here

11.8%

19.5%

18.0%

Hidalgo

11.7%

Residents vaccinated for pneumonia

↑ Higher is better

This Facility100.0%

Better than Avg

Here

100.0%

93.5%

96.5%

Hidalgo

97.8%

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%

79.8%

88.0%

Hidalgo

90.8%

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility100.0%

Better than Avg

Here

100.0%

82.0%

88.9%

Hidalgo

94.0%

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility0.8%

Better than Avg

Here

0.8%

1.6%

1.5%

Hidalgo

3.6%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

Detailed Medicare record · up to 3-year lookback

14findings in history

Latest survey: 7 · near TX avg (9.1)

6 complaint-triggered findings

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.

May 8, 2026Complaint1 finding

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

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.

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

346 facilities nationwide

Chain avg rating: 2.9/5 · Rank 1 of 84 (Highest rating)

Ownership & Management

Owners

Fannin County Hospital Authority

Owner · Organization

100%

Key personnel

Alam, KhursheedManaging Control - Governing BodyGuzman, NefiManaging Control - Governing BodyBurnam, SoonOfficer / DirectorKeetch, ChadOfficer / DirectorSanderson, ClarkOfficer / Director

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. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. 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.