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Nursing HomeMedicaid Investigative

Mid Valley Nursing & Rehabilitation

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

601 N Mile 2 West, Mercedes, TX 78570123 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.3/5

based on 110 Google reviews

5
4
3
2
1
Mid Valley Nursing & Rehabilitation Nursing Home in Mercedes, TX — Street View
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4/ 10
moderate Risk

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

Source: Medicare data

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 details
Food5.0Staff7.0Clean8.0ActivitiesN/AMedsN/AMemoryN/AComms4.0ValueN/A

Strengths

  • 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

234'16(1)'18(6)'20(6)'22(14)'24(4)'26(6)

Distribution · 113 analyzed

5
91
4
4
3
0
2
1
1
17

How They Respond to Reviews

100%response rate
Generic

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.

Rehab patient's family · 2025★★★★★

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!

Long-term resident's family · 2026☆☆☆☆

The housekeeping staff/laundry and their supervisor are amazing!!

Long-term resident's family · 2019★★★★★
Source: 110 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.23hrs
31%
Registered nurses for medical care
Total Nursing
3.21hrs
78%
All nurses + aides combined
Staff Turnover
41%
Lower is better (< 30% = good)
RN Turnover
20%
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

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

14

measures

Worse Than Avg

2

measures

Mixed Results

1

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility5.9%
Better than Avg
Here
5.9%
US
19.4%
TX
14.2%
Hidalgo
9.6%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.4%
Better than Avg
Here
0.4%
US
12.1%
TX
2.5%
Hidalgo
0.9%

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

🚶

Residents whose walking got worse

↓ Lower is better
This Facility4.0%
Better than Avg
Here
4.0%
US
15.3%
TX
14.9%
Hidalgo
10.6%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility4.7%
Better than Avg
Here
4.7%
US
15.4%
TX
9.4%
Hidalgo
15.7%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility88.6%
Worse than Avg
Here
88.6%
US
95.5%
TX
98.0%
Hidalgo
98.9%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Hidalgo
98.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility29.1%
Worse than Avg
Here
29.1%
US
79.7%
TX
88.0%
Hidalgo
94.2%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility95.9%
Better than Avg
Here
95.9%
US
81.8%
TX
89.2%
Hidalgo
95.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
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

10deficiencies
2penalties
Above state avg (9.1)
17 complaint-triggered
$16,611 in fines

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, 2026Complaint
2
0573Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

0657Potential for harm · IsolatedCorrected

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, 2025Complaint
3
0578Potential for harm · IsolatedCorrected

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.

0694Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

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.

Apr 11, 2025Complaint
1
0690Potential for harm · IsolatedCorrected

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, 2025Complaint
2
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.

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.

Feb 5, 2025Complaint
1
0842Potential for harm · PatternCorrected

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, 2025Routine
4
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.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880Potential for harm · IsolatedCorrected

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

Owner / Operator

Uvalde County Hospital Authority

Organization Type

for profit

Management Company

TOUCHSTONE STRATEGIES MERCEDES, LLC

Administrator

MARCOS A CAVAZOS

Chain Affiliation

Chain Name

Touchstone Communities

Chain Size

25 facilities nationwide

Chain avg rating: 2.8/5 · Rank 19 of 27

Ownership & Management

Owners

Uvalde County Hospital Authority

Owner · Organization

100%

Key personnel

Capital Funding Group, INC.5% or Greater Mortgage InterestInternational Bank of Commerce5% or Greater Security InterestApolinar, AdamOfficer / DirectorTouchstone Strategies Mercedes LLCManagerCampbell, LeslieManager
Source: Medicare provider data

Contact

References & Resources

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. 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.

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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