Mid Valley Nursing & Rehabilitation
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 110 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)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (13 vs median 8.0)
Below average in Texas · Critically understaffed (RN) · Below chain average · $16,611 in fines
What this means for your family
This facility is an excellent choice for patients focused on intensive physical or occupational rehabilitation. However, families should closely monitor night-shift care and ensure that communication regarding medication and doctor visits remains consistent, as some reviewers have noted lapses in service during those hours.
Google Reviews
Google Reviews
110 reviews on Google“Families looking for rehabilitation services will find highly praised physical and occupational therapy programs that have led to significant recovery milestones. While many reviewers celebrate the compassionate and attentive nursing staff, there are serious, recurring allegations regarding neglect, poor communication, and unprofessional behavior during night shifts.”
Quality Themes
Tap a score for detailsStrengths
- Excellent rehabilitation and therapy services
- Compassionate and attentive nursing staff
- Clean and well-maintained facility
- Welcoming and professional administration
Concerns
- Unprofessional behavior and rudeness from night shift staff (mentioned by 2 reviewers)
- Issues with responsiveness to call lights and patient needs (mentioned by 2 reviewers)
- Poor communication regarding patient status and appointments (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 113 analyzed
How They Respond to Reviews
The owner relies heavily on a set of pre-written templates containing mission statements and brand slogans like 'best-in-class' and 'Making Lives Better.' While they personalize the responses by including the reviewer's name, the core content is largely repetitive and copy-pasted.
Questions for Your Tour
- 1I noticed the administration is very active in responding to feedback; how does the leadership team ensure that family concerns are communicated effectively to the nursing staff?
- 2Since many families praise the rehabilitation and therapy services here, could you tell me more about how the therapy plan is customized for a resident's recovery?
- 3How does the facility ensure that call lights are answered promptly throughout the night, especially during shift changes?
- 4What is the protocol for notifying family members if there is a change in a resident's medical status or if an appointment is rescheduled?
- 5What kind of daily activities or social programs are available to keep residents engaged and connected with one another?
- 6In the event of a medical emergency during the overnight hours, what is the immediate process for contacting both the physician and the family?
Personalized based on this facility's data
Key Review Excerpts
“The rehab employees r wonderful also. My husband went in on a Wednesday afternoon in a wheelchair n could hardly walk n by the next day he was already walking with a cane. Sounds unbelievable but it’s true.”
“The night shift here is beyond horrible!!! They never fail to disappoint plenty of mistake they let slip through the cracks and are always fighting and talking back to patients extremely rude and unprofessional!”
“The housekeeping staff/laundry and their supervisor are amazing!!”
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
14
measures
2
measures
1
measures
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
Residents on antipsychotic medication
Residents vaccinated for the flu
Residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility shows serious concerns with 18 of 30 deficiencies triggered by family complaints, including recent abuse protection failures in December 2024. The most recurring problems involve care planning, medication management, and resident rights violations. While the facility corrects issues when cited, the high volume of complaint-driven investigations suggests ongoing quality problems that families have felt compelled to report to authorities.
Jan 13, 2026Complaint2
Resident Rights Deficiencies
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Dec 31, 2025Complaint3
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
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.
Apr 11, 2025Complaint1
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.
Mar 7, 2025Complaint2
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.
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.
Feb 5, 2025Complaint1
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.
Feb 5, 2025Routine4
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Federal Penalties
Fine
Dec 23, 2024
$8,281
Fine
Dec 23, 2024
$8,330
Ownership & Operations
Who Operates This Facility
Uvalde County Hospital Authority
for profit
TOUCHSTONE STRATEGIES MERCEDES, LLC
MARCOS A CAVAZOS
Chain Affiliation
Touchstone Communities
25 facilities nationwide
Chain avg rating: 2.8/5 · Rank 19 of 27
Ownership & Management
Owners
Uvalde County Hospital Authority
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
110 reviews from families & visitors
Official Website
Visit midvalleynursingrehab.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
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