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Nursing HomeMedicaid Investigative

Valley Grande Manor

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

1212 S Bridge, Weslaco, TX 78596147 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.5/5

based on 24 Google reviews

5
4
3
2
1
Valley Grande Manor Nursing Home in Weslaco, TX — Street View
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7/ 10
critical 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 (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (23 vs median 8.0)
  • High staff turnover (51%)

Bottom 25% in Texas · Critically understaffed (RN) · Worst in BOOKER HOSPITAL DISTRICT chain · $93,865 in fines · Abuse citation

Source: Medicare data

What this means for your family

While this facility has a history of providing excellent nursing care and engaging activities, recent reviews indicate a dangerous decline in standards. Families should specifically investigate the facility's current protocols for dementia monitoring and hygiene, as recent reports of neglect and poor communication are highly concerning.

Google Reviews

Google Reviews

24 reviews on Google
Families should exercise significant caution due to recent reports of severe neglect, including hygiene issues, unmonitored dementia patients, and lack of communication regarding medical plans. While some long-term residents have benefited from attentive nursing and a friendly atmosphere in previous years, recent reviews highlight critical failures in resident safety and basic care.

Quality Themes

Tap a score for details
Food2.0Staff3.0Clean1.0Activities5.0MedsN/AMemory1.0Comms1.0ValueN/A

Strengths

  • Attentive nursing and aides in previous years
  • Engaging activity programs and outings
  • Friendly and professional staff members
  • Availability of PT, OT, and ST services

Concerns

  • Failure to monitor dementia patients and hygiene neglect
  • Lack of communication from medical staff and administration (mentioned by 2 reviewers)
  • Resident safety and physical altercations (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'16(1)'18(1)'20(3)'22(9)'24(1)'26(4)

Distribution · 27 analyzed

5
17
4
0
3
0
2
0
1
10

How They Respond to Reviews

38%response rate
Generic

The owner uses templated, boilerplate responses that often fail to address the specific grievances mentioned in negative reviews. While they acknowledge the reviewer by name, the content frequently pivots to unrelated marketing language or vague apologies about 'unprecedented challenges.'

Questions for Your Tour

  • 1How do you ensure that residents receiving memory care receive consistent monitoring and personalized attention throughout the day?
  • 2What specific steps are in place to ensure the facility remains clean and that hygiene needs are met for every resident?
  • 3Can you tell me more about the communication process between the medical staff and families, especially regarding changes in a resident's condition?
  • 4What is the protocol for managing resident safety and preventing any physical altercations or incidents within the common areas?
  • 5I've heard great things about your activity programs; could you describe some of the recent outings or engaging programs available to residents?
  • 6How do you manage the dining experience to ensure meals are both nutritious and enjoyable for the residents?

Personalized based on this facility's data


Key Review Excerpts

My father”s nursing care has been excellent! Kera, Jessica, Brittany, Victor, and Cecelia are very attentive, loving, and caring.

Long-term resident's family · 2023★★★★★

I would NEVER recommend this place to anyone... My dad was involved in an altercation with another resident and we were notified HOURS later after he got "cleaned up"

Rehab patient's family · 2020☆☆☆☆

Patient care comes first and foremost, patients and families are treated with respect and dignity.

Long-term resident's family · 2019★★★★★
Source: 24 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.10hrs
13%
Registered nurses for medical care
Total Nursing
2.88hrs
70%
All nurses + aides combined
Staff Turnover
58%
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
3/ 5
Better Than Avg

5

measures

Worse Than Avg

8

measures

Mixed Results

4

measures

Long-Stay Residents
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility29.8%
Worse than Avg
Here
29.8%
US
14.4%
TX
16.1%
Hidalgo
10.6%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility80.7%
Worse than Avg
Here
80.7%
US
93.4%
TX
96.9%
Hidalgo
99.2%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility21.9%
Worse than Avg
Here
21.9%
US
15.3%
TX
14.9%
Hidalgo
9.8%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
TX
2.5%
Hidalgo
1.0%

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

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility21.1%
Worse than Avg
Here
21.1%
US
15.4%
TX
9.4%
Hidalgo
14.9%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility22.7%
Worse than Avg
Here
22.7%
US
19.5%
TX
18.4%
Hidalgo
11.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility46.1%
Worse than Avg
Here
46.1%
US
81.8%
TX
89.2%
Hidalgo
97.5%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility66.7%
Worse than Avg
Here
66.7%
US
79.7%
TX
88.0%
Hidalgo
92.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility5.4%
Worse than Avg
Here
5.4%
US
1.6%
TX
1.5%
Hidalgo
3.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

28deficiencies
4penalties
Well above state avg (9.1)
33 complaint-triggered
$93,865 in fines

Valley Grande Manor has a concerning pattern with over half of its 60 deficiencies triggered by families filing complaints about resident care. The facility repeatedly struggles with protecting residents from abuse and neglect, care planning problems, and medication management issues. Most troubling, three recent violations from January 2026 remain uncorrected, including improper use of psychotropic medications and protection of resident belongings, suggesting persistent problems that warrant careful scrutiny during any visit.

Mar 23, 2026Complaint
5
0552Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

0603Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

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.

0711Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

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 30, 2026Complaint
3
0602Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0605Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

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.

Nov 21, 2025Complaint
3
0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

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.

Nov 20, 2025Complaint
1
0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jul 25, 2025Complaint
1
0600Immediate jeopardy · PatternResolved (past non-compliance)

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.

Jul 25, 2025Routine
19
0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0352Potential for harm · WidespreadCorrected

Smoke Deficiencies

Properly install and monitor supervisory attachments on automatic sprinkler systems.

0355Potential for harm · WidespreadCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0656Potential for harm · PatternCorrected

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.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0222Potential for harm · PatternCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0379Potential for harm · PatternCorrected

Smoke Deficiencies

Have proper openings in smoke barrier doors.

0741Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

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.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0693Potential for harm · IsolatedCorrected

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.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0711Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0374Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0521Minimal · WidespreadCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Federal Penalties

Fine

Jul 25, 2025

$14,744

Fine

Jun 5, 2025

$10,358

Fine

Apr 30, 2024

$8,021

Fine

Dec 21, 2023

$55,401

Ownership & Operations

Who Operates This Facility

Owner / Operator

Booker Hospital District

Organization Type

for profit

Management Company

VGM VALLEY GRANDE MANOR WESLACO OPS, INC

Administrator

ROBERT AVILA

Ownership & Management

Owners

Booker Hospital District

Owner · Organization

100%

Key personnel

Hoover, ShawnOfficer / DirectorVgm Valley Grande Manor Weslaco Ops INC.ManagerAsuaje, JuanManagerSchindele, WilliamManagerBilly Schindele 2020 Irrv TrAdp of the Snf
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

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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