Nursing HomeMedicaid Investigative

Hidalgo Nursing and Rehabilitation Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

4503 S Sugar Rd, Edinburg, TX 78539|126 beds|Licensed & Active

2/5

Medicare

Inspection

Quality

Staffing

Google rating

4.6/5

based on 201 Google reviews

(956) 386-1112 Directions Website

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6/ 10

high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

Abuse citation on record
Low overall rating (2/5 stars)
Low staffing rating (1/5 stars)
High RN turnover (62%)

Below average in Texas · Below recommended RN staffing · Above average staffing · Below chain average · $7,582 in fines · Abuse citation

Source: Medicare data

What this means for your family

This facility is an excellent choice for patients focused on intensive physical or occupational therapy, as their rehab team is frequently cited as top-tier. However, families should closely monitor medication administration and hygiene, as there have been documented instances of delays in care and medication errors.

Google Reviews

201 reviews on Google

“Hidalgo Nursing and Rehabilitation Center is highly regarded for its exceptional physical therapy and rehabilitation programs, with many families reporting significant recovery progress. While the nursing and CNA staff frequently receive praise for being compassionate and attentive, there are serious, documented concerns regarding medication management errors and occasional lapses in hygiene and responsiveness.”

Quality Themes

Tap a score for details

Strengths

Exceptional physical and occupational therapy
Compassionate and dedicated nursing/CNA staff
Clean and well-maintained facility
Welcoming and professional administrative staff

Concerns

Medication management errors and delays (mentioned by 3 reviewers)
Staffing shortages leading to slow response times (mentioned by 3 reviewers)
Unprofessional behavior from certain administrative/social work staff (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

Distribution · 204 analyzed

180

⚡21 reviews posted between Oct 16, 2025 – Oct 17, 2025 · 21 were 5-star

How They Respond to Reviews

100%response rate

Good

The owner provides personalized responses that frequently mention the reviewer by name and acknowledge specific details when provided in the text. While many responses use a consistent professional tone and closing, they successfully mirror the sentiment of the individual reviews.

Questions for Your Tour

1I noticed the administration is very responsive to feedback online; how does the leadership team involve families in the process of addressing facility concerns?
2We've heard wonderful things about the physical and occupational therapy programs here; can you tell us more about how these services are integrated into a resident's daily routine?
3What specific protocols are in place to ensure medication is administered accurately and on time for every resident?
4With the current staffing levels, what steps are being taken to ensure that call lights are answered promptly and residents aren't waiting long for assistance?
5Could you describe the dining experience and how the facility is working to improve the variety and quality of the meal service?
6How does the nursing team handle medical emergencies or sudden changes in a resident's health during the night shift?

Personalized based on this facility's data

Key Review Excerpts

“Within 2 weeks the team of physical therapists helped my mom walk again and control her blood and her breathing. I am extremely grateful to this location.”

Rehab patient's family · 2025★★★★★

“The nurses, CNAs, therapists, administrators, and staff at Abrí have been excellent for my uncle who is still there. I highly recommend this place for your loved one.”

Long-term resident's family · 2022★★★★★

“My mother was sent here to live out the last month she had left of her life... Her time here was nothing but constant pain and suffering. The nurses lack compassion and empathy.”

End-of-life care family member · 2025★☆☆☆☆

Source: 201 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.36hrs

48%

Registered nurses for medical care

Total Nursing

3.19hrs

78%

All nurses + aides combined

Staff Turnover

40%

Lower is better (< 30% = good)

RN Turnover

44%

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 with depression symptoms

↓ Lower is better

This Facility0.4%

Better than Avg

Here

0.4%

12.1%

2.5%

Hidalgo

0.9%

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

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better

This Facility10.0%

Better than Avg

Here

10.0%

19.5%

18.4%

Hidalgo

11.7%

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility11.6%

Mixed vs Avgs

Here

11.6%

19.4%

14.2%

Hidalgo

9.3%

💉

Residents vaccinated for pneumonia

↑ Higher is better

This Facility100.0%

Better than Avg

Here

100.0%

93.4%

96.9%

Hidalgo

98.3%

🚶

Residents whose walking got worse

↓ Lower is better

This Facility15.3%

Worse than Avg

Here

15.3%

14.9%

Hidalgo

10.1%

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility13.1%

Mixed vs Avgs

Here

13.1%

15.4%

9.4%

Hidalgo

15.3%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility98.3%

Better than Avg

Here

98.3%

79.7%

88.0%

Hidalgo

90.9%

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility98.3%

Better than Avg

Here

98.3%

81.8%

89.2%

Hidalgo

95.0%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility0.3%

Better than Avg

Here

0.3%

1.6%

1.5%

Hidalgo

3.8%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

4deficiencies

1penalties

Well below state avg (9.1)

15 complaint-triggered

$7,582 in fines

This facility has significant concerns with 19 deficiencies across 7 surveys, with most (15) triggered by family complaints. Key recurring problems include care planning issues, protection from abuse and neglect, and respiratory care safety. While the facility reports corrections for all deficiencies, the pattern of ongoing complaints suggests persistent quality issues that families should carefully investigate before placement.

Jan 29, 2026Complaint1 finding

0602Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

Nov 19, 2025Complaint1 finding

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Feb 12, 2025Routine1 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.

Feb 12, 2025Complaint1 finding

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Jan 16, 2025Complaint1 finding

0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Nov 17, 2023Routine1 finding

0553Potential for harm · PatternCorrected

Resident Rights Deficiencies

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Federal Penalties

Fine

Nov 3, 2023

$7,582

Ownership & Operations

Who Operates This Facility

Owner / Operator

Uvalde County Hospital Authority

Organization Type

for profit

Management Company

TOUCHSTONE STRATEGIES HARKER HEIGHTS, LLC

Administrator

SENOVIO GARZA

Chain Affiliation

Chain Name

Wellsential Health

Chain Size

68 facilities nationwide

Chain avg rating: 2.8/5 · Rank 46 of 67

Ownership & Management

Owners

Uvalde County Hospital Authority

Owner · Organization

100%

Regency Ihs of Hidalgo LLC

Owner · Organization

Garza, Senovio

Owner

Martinez, Celeste

Owner

Melendez, Ivan

Owner

Munoz, Naptaly

Owner

Csv Rhea Management Holdco, LLC