Nursing home / skilled nursing
Medina Valley Health & Rehabilitation Center
Nursing home / skilled nursing in Castroville, Texas
| Provider details | |
|---|---|
| Address | 913 Hwy 90 W |
| City | Castroville |
| State | Texas |
| ZIP code | 78009 |
| County | Medina |
| Phone | 830-931-2900 |
| Website | https://medinavalleyrehab.com/ |
| CMS certification number (CCN) | 675974 |
| Ownership | For profit - Partnership |
| Certified beds | 116 |
| Certification | Medicare and Medicaid |
| First approved for Medicare/Medicaid | June 20, 2003 |
| Located in a hospital | N |
| Continuing care retirement community | N |
| Care types | skilled nursing, rehab services |
| Services offered | skilled nursing care, rehabilitation services, transitional care, chronic care, hospice care, respite care, wound care, physical therapy, occupational therapy, speech therapy, registered dietician services |
Medina Valley Health & Rehabilitation Center is in 913 Hwy 90 W, Castroville, TX 78009. Phone: 830-931-2900. Ownership: For profit - Partnership. CMS rates it 3 out of 5 stars overall (health inspection 4, staffing 1, quality measures 4).
Medina Valley Health and Rehabilitation Center in Castroville offers short-term rehabilitation and long-term care, with nurses on duty around the clock. Its therapists work on physical, occupational, and speech therapy to help residents rebuild strength and regain independence. The center also provides transitional care after a hospital stay, wound care, hospice care, and respite care for family caregivers. Call (830) 931-2900 to schedule a tour. CMS inspection and staffing detail: total weighted health survey score 45.000; 0 federal fines totaling $0.00; total nursing staff turnover 42.7%.
More about this provider
| Medina Valley Health and Rehabilitation Center in Castroville provides short-term rehabilitation and long-term care, with round-the-clock skilled nursing in a warm, home-like setting and care plans tailored to each resident. | |
| Services and programs | Short-term rehabilitation and long-term care, with transitional care after a hospital stay, physical, occupational, and speech therapy, chronic care with around-the-clock skilled nursing, hospice and respite care, wound care, interdisciplinary care from physicians, nurses, therapists, dietitians, and social workers, and a registered dietician |
| Who it serves | Adults recovering from serious illness, injury, or surgery, and residents needing long-term skilled nursing care |
| Visiting and contact details | Call (830) 931-2900 to schedule a tour; 913 US-90, Castroville, Texas 78009 |
| Website | https://medinavalleyrehab.com/ |
Quality measures
Source: CMS · CMS processing date: 2026-10-01
| Star ratings and staffing hours | |
|---|---|
| Overall rating | 3 of 5 |
| Health inspection rating | 4 of 5 |
| Staffing rating | 1 of 5 |
| Quality measure rating | 4 of 5 |
| Long-stay quality rating | 5 of 5 |
| Short-stay quality rating | 3 of 5 |
| RN staffing hours per resident per day | 0.46 |
| Total nurse staffing hours per resident per day | 3.00 |
Inspection results
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Rating Cycle 1 Total Health Score | 32 |
| Total Weighted Health Survey Score | 45.000 |
| Rating Cycle 2/3 Total Health Score | 84 |
| Rating Cycle 1 Health Deficiency Score | 32 |
| Rating Cycle 2/3 Health Deficiency Score | 84 |
| Rating Cycle 1 Standard Survey Health Date | 2026-02-27 |
| Rating Cycle 1 Total Number of Health Deficiencies | 7 |
| Rating Cycle 2/3 Total Number of Health Deficiencies | 21 |
| Rating Cycle 1 Number of Standard Health Deficiencies | 7 |
| Rating Cycle 1 Number of Complaint Health Deficiencies | 0 |
| Rating Cycle 2/3 Number of Complaint Health Deficiencies | 6 |
Staffing
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Nursing Case-Mix Index | 1.45147 |
| Registered Nurse turnover | 55.6 |
| Nursing Case-Mix Index Ratio | 1.02923 |
| Total nursing staff turnover | 42.7 |
| Reported LPN Staffing Hours per Resident per Day | 0.75681 |
| Reported Licensed Staffing Hours per Resident per Day | 1.21840 |
| Number of administrators who have left the nursing home | 0 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 1.78365 |
| Registered Nurse hours per resident per day on the weekend | 0.41105 |
| Total number of nurse staff hours per resident per day on the weekend | 2.40087 |
Penalties
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Number of Fines | 0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Total Amount of Fines in Dollars | 0.00 |
Ownership
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Legal Business Name | MEDINA COUNTY HOSPITAL DISTRICT |
| Provider Changed Ownership in Last 12 Months | N |
Occupancy and payer mix
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Abuse Icon | N |
| High Performing Icon | N |
| With a Resident and Family Council | Resident |
| Average Number of Residents per Day | 84.8 |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Most Recent Health Inspection More Than 2 Years Ago | N |
Who pays for nursing home / skilled nursing?
What this care costs, and who pays — Medicare, Medicaid, or the family — is covered in these guides:
Nursing home / skilled nursing guide · Paying for care
Other nursing home / skilled nursing in Medina County
- Devine Health & Rehabilitation — Devine
- Community Care Center Of Hondo — Hondo
Common questions about Medina Valley Health & Rehabilitation Center
Where is Medina Valley Health & Rehabilitation Center located?
Medina Valley Health & Rehabilitation Center is at 913 Hwy 90 W, Castroville, Texas 78009.
What care and services does Medina Valley Health & Rehabilitation Center offer?
Medina Valley Health & Rehabilitation Center offers skilled nursing, rehab services, skilled nursing care, rehabilitation services, transitional care, chronic care, hospice care, respite care.
Is Medina Valley Health & Rehabilitation Center Medicare-certified?
Yes. Medina Valley Health & Rehabilitation Center is certified for both Medicare and Medicaid.
What is Medina Valley Health & Rehabilitation Center's quality rating?
CMS gives Medina Valley Health & Rehabilitation Center an overall star rating of 3 out of 5.
How do I contact Medina Valley Health & Rehabilitation Center?
Call Medina Valley Health & Rehabilitation Center at 830-931-2900.
How much does a nursing home cost?
The national median cost of a nursing home is $9,581 a month for a semi-private room and $10,798 a month for a private room (CareScout Cost of Care Survey, 2025). Costs in Texas can be higher or lower. See our guide to nursing home costs and who pays for the full picture.
Does Medicare pay for a nursing home?
Medicare Part A pays for skilled nursing care in a certified nursing home for up to 100 days in each benefit period. You need a hospital stay of at least 3 days first. You pay $0 a day for days 1 to 20, then $217 a day for days 21 to 100 (2026). After day 100, Medicare pays $0. Medicare does not pay for long-term care that only helps with daily tasks. Medicare Advantage plans cover skilled nursing too, with their own costs and rules. A Medigap plan can pay the daily cost share toward the Original Medicare benefit.
What is the difference between a nursing home and assisted living?
A nursing home gives skilled nursing care and rehab around the clock. Assisted living gives a room, meals, and help with daily tasks like bathing and dressing. It does not give round-the-clock nursing care. People who need daily medical care often need a nursing home. People who need help but not daily medical care often pick assisted living.
Who else pays for a nursing home besides Medicare?
Medicaid pays for nursing home care for people who meet its income and asset rules. It is the main payer for long stays. The VA pays for some veterans in VA or contract nursing homes. Long-term care insurance can pay for part of the cost. Most other costs are paid out of pocket.