Valley Grande Manor
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 24 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.
- 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
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 detailsStrengths
- 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
Distribution · 27 analyzed
How They Respond to Reviews
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.”
“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"”
“Patient care comes first and foremost, patients and families are treated with respect and dignity.”
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
5
measures
8
measures
4
measures
Residents needing more daily help over time
Residents vaccinated for pneumonia
Residents whose walking got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
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
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, 2026Complaint5
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
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.
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.
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, 2026Complaint3
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
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.
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, 2025Complaint3
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
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.
Nov 20, 2025Complaint1
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jul 25, 2025Complaint1
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, 2025Routine19
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Smoke Deficiencies
Have proper openings in smoke barrier doors.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
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.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
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.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
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
Booker Hospital District
for profit
VGM VALLEY GRANDE MANOR WESLACO OPS, INC
ROBERT AVILA
Ownership & Management
Owners
Booker 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
24 reviews from families & visitors
Medicare data downloads
Original nursing home datasets
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