Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 90 Google reviews

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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
This facility has areas of concern that warrant careful consideration. Registered Nurse hours are 46% of the EveryPlace reference benchmark; ask how RN coverage is allocated across shifts. The latest standard survey recorded 11 findings, above the TX average of 9.1. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
Families can expect high-quality rehabilitation and physical therapy services, with many reviewers praising the therapy team's ability to help patients regain mobility. While the facility is frequently commended for its compassionate nursing and attentive staff, there are serious, isolated reports of cleanliness issues, including pests and hygiene concerns. Most long-term experiences are positive, though some recent reviews highlight significant lapses in nursing responsiveness and medication management.
Quality Themes
Tap a score for detailsStrengths
Concerns
Rating Trends
Tap a year to see what changed
Distribution · 91 analyzed
The owner provides highly personalized responses to positive reviews, often naming specific staff members mentioned by the reviewer. For negative reviews, the response shifts to a standardized, professional template that acknowledges the concern and invites further private discussion.
Personalized based on this facility's data
Key Review Excerpts
“This is a shout out to Maggie the Office Manager. She navigated with me a complicated situation where my Aunt's health insurance claim was repeatedly denied. Maggie and I teamed up to get the necessary docs (that the insurance provider did not initially give us) and finally got the insurance provider to accept the claim.”
“The physical therapy, occupational therapy, and speech therapy departments did a fabulous job. I made great progress under their care. However, the nursing, physicians, and the facility left much to be desired. The place is in need of deep cleaning.”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
14
measures
1
measures
2
measures
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 whose bladder or bowel control got worse
Residents on anti-anxiety or sleep medication
Residents whose walking got worse
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
Detailed Medicare record · up to 3-year lookback
Families have filed complaints triggering seven deficiencies, indicating ongoing concerns about this facility's care quality. The most recurring issues involve medical records management, medication safety, and accident prevention, with medical records problems appearing across multiple surveys from 2023 to 2025. While the facility has correction dates for all deficiencies, the persistent pattern of similar problems, particularly around medication management and safety oversight, suggests systemic challenges that families should carefully consider.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Resident Assessment and Care Planning Deficiencies
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Quality of Life and Care Deficiencies
Ensure the activities program is directed by a qualified professional.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
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.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Federal Penalties
Fine
May 29, 2026
$23,520
Fine
Mar 12, 2024
$8,021
Val Verde County Hospital District
for profit
REGENCY IHS OF ORCHARD PARK LLC
CASANDRA GARCIA
Wellsential Health
68 facilities nationwide
Chain avg rating: 2.8/5 · Rank 23 of 67
Owners
Val Verde County Hospital District
Owner · Organization
Regency Ihs of Orchard Park LLC
Owner · Organization
Csv Rhea Management Holdco, LLC
Owner (parent company) · Organization
Dwd TX Holdings LLC
Owner (parent company) · Organization
Jack and Nancy Dwyer Workforce Development Center INC
Owner (parent company) · Organization
Reg Leased Opco LLC
Owner (parent company) · Organization
Reg Operator Holdco LLC
Owner (parent company) · Organization
Regency Integrated Health Services LLC
Owner (parent company) · Organization
Regency Texas Holdings LLC
Owner (parent company) · Organization
Key personnel
Contact this facility directly and verify the details that matter most to your family.
Medicare Care Compare
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Google Reviews
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Official Website
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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. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. 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.
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