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Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 123 Google reviews
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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.
Staff turnover reported at 28%
This facility has areas of concern that warrant careful consideration. Registered Nurse hours are 71% of the EveryPlace reference benchmark; ask how RN coverage is allocated across shifts. The latest standard survey recorded 13 findings, above the TX average of 9.1. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
Green Valley Healthcare and Rehabilitation Center is a facility where families frequently praise the compassionate nature of the nursing and therapy teams, particularly for rehab patients. However, there are serious, recurring allegations of medical neglect, including failure to monitor catheters, unaddressed falls, and inadequate response to call lights. While some residents find the environment clean and welcoming, others report significant issues with cleanliness and staff responsiveness during off-hours.
Quality Themes
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Concerns
Rating Trends
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Distribution · 131 analyzed
The owner uses highly repetitive, template-based responses that almost exclusively direct dissatisfied reviewers to a single contact person. While they acknowledge the reviewer by name when possible, they fail to address the specific allegations of neglect or medical error.
Personalized based on this facility's data
Key Review Excerpts
“The staff members (Nurses, PT staff, Aides and Administrative office staff) have all been kind and accommodating 9 out of 10 times (those are really good odds). I feel "taken care of" here.”
“Our family member died because of this facility’s neglect. She developed multiple bacterial infections and went into septic shock because they didn’t even bother to flush her catheter.”
“I would give negative stars if I could. DO NOT SEND YOUR LOVED ONES HERE! they are beyond neglectful. They will leave your loved ones unattended in their rooms, sitting in their soil, talk to them like dirt, ignore them.”
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.
Resident outcomes compared with national, state, and local averages · 17 measures
12
measures
5
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose bladder or bowel control got worse
Residents on antipsychotic medication
Residents whose walking got worse
Residents on anti-anxiety or sleep medication
Residents needing more daily help over time
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
Green Valley Healthcare shows a concerning pattern with 22 complaint-triggered deficiencies, indicating families have reported problems requiring federal investigation. Recurring issues include specialized medical care (respiratory care, feeding tubes, wound care), resident safety and accident prevention, and infection control. While all deficiencies show correction dates, problems persist across multiple years in the same care areas, suggesting ongoing challenges with maintaining consistent quality standards.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
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.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Smoke Deficiencies
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Federal Penalties
Fine
Sep 5, 2025
$17,345
Fine
Sep 4, 2024
$24,093
Fine
Oct 31, 2023
$55,487
Eastland Memorial Hospital District
for profit
NEXION HEALTH AT NORTH RICHLAND HILLS, INC
TREVOR LUCAS
Nexion Health
53 facilities nationwide
Chain avg rating: 2.9/5 · Rank 18 of 26
Owners
Eastland Memorial Hospital District
Owner · Organization
Key personnel
Contact this facility directly and verify the details that matter most to your family.
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123 reviews from families & visitors
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