Green Valley Healthcare and Rehabilitation Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 122 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Above-median deficiencies (10 vs median 8.0)
Below average in Texas · Below recommended RN staffing · Above average staffing · Low staff turnover (stable workforce) · Below chain average · $106,265 in fines
What this means for your family
This facility offers excellent physical therapy and specialized services like on-site dialysis, which can be a major benefit for recovery. However, you must be extremely vigilant regarding medical oversight, as multiple families have reported serious issues with catheter care, medication errors, and unresponsiveness to call lights.
Google Reviews
Google Reviews
122 reviews on Google“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
Tap a score for detailsStrengths
- Compassionate physical and occupational therapy
- Kind and attentive nursing staff
- Clean and welcoming atmosphere
- Availability of on-site Peritoneal Dialysis
Concerns
- Instances of medical neglect and failure to monitor vital health needs (mentioned by 3 reviewers)
- Slow response times to call buttons, especially on weekends/overnights (mentioned by 2 reviewers)
- Inconsistent cleanliness in some resident rooms (mentioned by 2 reviewers)
- Staff hostility or lack of professionalism during confrontations (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 129 analyzed
How They Respond to Reviews
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.
Questions for Your Tour
- 1We've heard wonderful things about the compassion of your therapy teams; how often do residents participate in physical or occupational therapy sessions?
- 2With the on-site peritoneal dialysis available, how do you coordinate specialized medical care for residents with complex health needs?
- 3Could you walk us through your protocols for monitoring vital signs and responding to call buttons, particularly during the overnight hours and on weekends?
- 4What specific steps is the facility taking to ensure medication management is consistently accurate and that all health needs are closely monitored?
- 5How does the facility manage cleaning schedules for individual resident rooms to ensure a consistently high standard of cleanliness?
- 6What kind of daily activities or social outings are organized to keep residents engaged and connected with one another?
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.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
12
measures
3
measures
2
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 on anti-anxiety or sleep medication
Residents vaccinated for the flu
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
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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.
Sep 5, 2025Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Apr 17, 2025Routine6
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.
Apr 17, 2025Complaint6
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.
Jan 30, 2025Complaint3
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.
Sep 26, 2024Complaint2
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.
Sep 4, 2024Complaint3
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Administration Deficiencies
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Federal Penalties
Fine
Sep 5, 2025
$17,345
Fine
Sep 4, 2024
$24,093
Fine
Oct 31, 2023
$55,487
Ownership & Operations
Who Operates This Facility
Eastland Memorial Hospital District
for profit
NEXION HEALTH AT NORTH RICHLAND HILLS, INC
TREVOR LUCAS
Chain Affiliation
Nexion Health
52 facilities nationwide
Chain avg rating: 2.9/5 · Rank 18 of 26
Ownership & Management
Owners
Eastland Memorial Hospital District
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
122 reviews from families & visitors
Official Website
Visit nexion-health.com
Medicare data downloads
Original nursing home datasets
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