How to file a complaint about care →

2 fines totaling $22,143.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

What these staffing numbers mean →

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.17, RN 0.69, weekend 2.51.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.17 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

Government - Hospital district

Showing 20 of 31 parties CMS has on file for this facility; 11 are not displayed. The full list is in the CMS Ownership dataset.

Other facilities in the same chain

CMS lists this facility under the chain Touchstone Communities — 25 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

• Del Rio Nursing and Rehabilitation Center — Del Rio, TX · overall 5/5
• Harker Heights Nursing & Rehabilitation — Harker Heights, TX · overall 1/5
• Hill Country Heights — Copperas Cove, TX · overall 4/5
• La Frontera Nursing & Rehabilitation — Laredo, TX · overall 3/5
• Laredo Nursing and Rehabilitation Center — Laredo, TX · overall 1/5
• Las Alturas de Penitas — Penitas, TX · overall 3/5
• Las Alturas Nursing & Transitional Care — Laredo, TX · overall 3/5
• Mid Valley Nursing & Rehabilitation — Mercedes, TX · overall 2/5

Listed by state, then facility name — not a ranking. Showing 8 of the 24 others, continuing from this facility's own place in that list.

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

• "How do you keep residents' medical records accurate, complete, and secure?"
• "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
• "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
• "If my family member wants to keep or change their doctor, how do you handle that request?"
• "Before a resident is discharged or transferred, how do you make sure the new place can actually meet their needs?"
• "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
• "How do frontline staff report care problems, and how does your quality improvement program act on them?"
• "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"

Also worth asking anywhere

• "Your weekend nurse staffing is reported below the Texas midpoint — how does the weekend schedule differ from a weekday?"
• "Can I see the plan of correction for the findings in your most recent state inspection?"
• "CMS reports 39% total nursing staff turnover here — who on the care team has been with you longest?"
• "The ownership record on file lists 31 owning or managing parties — who makes the decisions about staffing levels?"
• "Can I visit again unannounced, at a mealtime or on a weekend?"

Compare this facility with the 3 closest →

All facilities in La Vernia →