Medina Valley Health & Rehabilitation Center
913 Hwy 90 W, Castroville, TX 78009
Based on 2026 CMS Data
Official Government Ratings
Health Inspections
Frequency & severity of deficiencies
Staffing Levels
Nurse hours per resident per day
Quality Measures
Clinical outcomes & care quality
Resident Council Active
Active councils indicate resident empowerment and facility transparency.
Vetting This Facility? Get Answers They Don't Volunteer
Free guide: the exact questions to ask Medina Valley Health & Rehabilitation Center, how to pull the public records (ownership, inspections, penalties), and how to request the info that isn't online — like the medical director.
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Care Quality Indicators
Lower is better
Lower is better
Lower is better
Lower is better
How Medina Valley Health & Rehabilitation Center Compares
Medina Valley Health & Rehabilitation Center is a 116-bed for-profit nursing facility in Castroville, Texas. It holds an overall CMS rating of 3 out of 5 stars, above the Texas average of 2.6 stars. Its strongest area is health inspections (4 stars), while staffing (1 star) is its weakest. Its rate of long-stay antipsychotic medication use (4.3%) is below the Texas average of 9.6%, a favorable sign for resident care. With 116 certified beds, it maintains moderate occupancy at roughly 77% occupied.
By the numbers vs. Texas average
- Long-stay antipsychotic medication use: 4.3% — better than the Texas average of 9.6% (55% lower).
- Falls with major injury: 3.2% — about the same as the Texas average of 3.3%.
- High-risk pressure ulcers: 2.0% — better than the Texas average of 3.8% (47% lower).
- Short-stay rehospitalization: 19.6% — better than the Texas average of 25.7%.
Comparisons use CMS Care Compare data (updated September 9, 2026) measured against Texas averages across 1177 facilities tracked by ElderVoice.
Questions to Ask Medina Valley Health & Rehabilitation Center
Use these facility-specific questions when calling admissions, touring the building, or comparing Medina Valley Health & Rehabilitation Center with other nursing homes in Castroville.
How is Medina Valley Health & Rehabilitation Center addressing its staffing levels rating?
CMS currently rates this category 1 out of 5 stars, so ask what specific improvements are underway and when the next survey update is expected.
What practices help Medina Valley Health & Rehabilitation Center keep long-stay antipsychotic medication use below the state average?
Long-stay antipsychotic medication use is 4.3% here versus 9.6% across Texas. Lower is generally better for this CMS measure.
What practices help Medina Valley Health & Rehabilitation Center keep high-risk pressure ulcers below the state average?
High-risk pressure ulcers is 2.0% here versus 3.8% across Texas. Lower is generally better for this CMS measure.
How can a new family connect with existing councils at Medina Valley Health & Rehabilitation Center?
Active resident or family councils can provide useful context about daily life, responsiveness, and recurring concerns.
What would the first 30 days look like for a new resident at Medina Valley Health & Rehabilitation Center?
Ask who builds the care plan, how medication changes are communicated, how often families receive updates, and who to call after hours.
The Senior Community Around Castroville
Castroville sits in Bexar County, where adults 65 and older make up about 12.1% of the population — a share of seniors in line with Texas as a whole (12.5% statewide). The area's median household income is consistent with state averages.
- Residents 65+
- 239,416 (12.1%)
- Median age
- 33.8 years
- Median household income
- $58,288
- Median home value
- $171,200
Demographics for Bexar County from the U.S. Census Bureau, American Community Survey (ACS) 5-year estimates. Provided as local context for families comparing care options near Castroville.
Facility Details
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