Grand Terrace Rehabilitation and Healthcare

Name: Grand Terrace Rehabilitation and Healthcare
Address: 812 W. Houston Ave., McAllen, TX, 78501, US
Telephone: 9566826331

812 W. Houston Ave., McAllen, TX 78501 · Hidalgo County · 93 certified beds · avg 82 residents/day · certified since Aug 21, 1985

Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

2.91

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (16)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jun 17, 2026	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Jun 17, 2026	C · Minimal risk, facility-wide	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · from a complaint
May 8, 2026	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint
Feb 19, 2026	D · Potential for harm, one-off	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand.
Feb 19, 2026	D · Potential for harm, one-off	The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function.
Feb 19, 2026	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Dec 8, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Dec 4, 2025	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint
Nov 19, 2025	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint
Nov 20, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Nov 8, 2024	D · Potential for harm, one-off	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint
Aug 31, 2023	E · Potential for harm, repeated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Aug 31, 2023	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Aug 31, 2023	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Aug 31, 2023	D · Potential for harm, one-off	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
Aug 31, 2023	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (1 → 3).

Year	Citations	Worst severity that year
2023	5	E
2024	2	D
2025	3	D
2026	6	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Texas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	2.91	3.46	3.95	bottom 18% in Texas; bottom 11% in the U.S.
Registered Nurse hours	0.31	0.44	0.69	bottom 31% in Texas; bottom 10% in the U.S.
Weekend total nurse staffing	2.50	3.04	3.50	bottom 16% in Texas; bottom 9% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.25	0.34	0.48	bottom 37% in Texas; bottom 21% in the U.S.
Total nursing staff turnover (%)	25.8	55.3	45.8	top 3% in Texas; top 8% in the U.S.
RN turnover (%)	25.0	54.6	42.9	top 11% in Texas; top 20% in the U.S.

Hours are per resident per day, 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 3.55, RN 0.38, weekend 3.05. Staffing rating: 2/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Fannin County Hospital Authority	Organization	5% or Greater Direct Ownership Interest	100%	12/01/2023
Alam, Khursheed	Individual	Managing Control - Governing Body	NOT APPLICABLE	05/15/2024
Alam, Khursheed	Individual	Operational/Managerial Control	NOT APPLICABLE	05/15/2024
Alam, Khursheed	Individual	ADP of the SNF	NOT APPLICABLE	05/15/2024
Burnam, Soon	Individual	Corporate Officer	NOT APPLICABLE	12/01/2023
Caretrust GP LLC	Organization	ADP of the SNF	NOT APPLICABLE	12/01/2023
Caretrust Reit INC	Organization	ADP of the SNF	NOT APPLICABLE	12/01/2023
Ctr Partnership LP	Organization	ADP of the SNF	NOT APPLICABLE	12/01/2023
Ensign Services INC	Organization	ADP of the SNF	NOT APPLICABLE	12/01/2009
Guzman, Nefi	Individual	Managing Control - Governing Body	NOT APPLICABLE	12/01/2023
Guzman, Nefi	Individual	Operational/Managerial Control	NOT APPLICABLE	12/01/2023
Guzman, Nefi	Individual	ADP of the SNF	NOT APPLICABLE	12/01/2023
Keetch, Chad	Individual	Corporate Officer	NOT APPLICABLE	03/01/2011
McAllen Care Associates, INC.	Organization	Operational/Managerial Control	NOT APPLICABLE	12/01/2023
McAllen Care Associates, INC.	Organization	ADP of the SNF	NOT APPLICABLE	09/29/2025
Rio Grande Health Holdings LLC	Organization	ADP of the SNF	NOT APPLICABLE	12/01/2023
Sanderson, Clark	Individual	Corporate Officer	NOT APPLICABLE	12/01/2023

Questions to ask on your visit

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

"Can you show me an example care plan, and how are families included when it's created and updated?"
"Where do you post your daily staffing numbers, and can I see today's?"
"Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
"How do you explain health changes and treatment options to residents and their families?"
"What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Windsor Nursing and Rehabilitation Center of McAll	0.3 mi	McAllen, TX	★★★☆☆	4/5
McAllen Nursing Center	1.2 mi	McAllen, TX	★★☆☆☆	2/5
Alfredo Gonzalez Texas State Veterans Home	1.3 mi	McAllen, TX	★★☆☆☆	2/5	abuse
McAllen Transitional Care Center	1.4 mi	McAllen, TX	★★★★☆	3/5
Windsor Las Palmas Nursing and Rehabilitation Cent	1.5 mi	McAllen, TX	★★★★★	5/5
Village Healthcare and Rehabilitation	2.3 mi	McAllen, TX	★★★☆☆	2/5	abuse
Briarcliff Nursing and Rehabilitation Center	3.3 mi	McAllen, TX	★☆☆☆☆	2/5	abuse
Colonial Manor Advanced Rehab & Healthcare	4.0 mi	Pharr, TX	★☆☆☆☆	2/5
San Juan Nursing Home, INC.	4.6 mi	San Juan, TX	★★★★☆	4/5
Edinburg Nursing and Rehabilitation Center	4.9 mi	Edinburg, TX	★★☆☆☆	3/5

Compare this facility with the 3 closest →

All facilities in McAllen →

Facility data as of CMS processing date 2026-08-01. CCN 455586.

The Care File

Visit checklist — Grand Terrace Rehabilitation and Healthcare

812 W. Houston Ave., McAllen, TX 78501 · 9566826331

Health inspection rating 5/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "Where do you post your daily staffing numbers, and can I see today's?"
☐ "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
☐ "How do you explain health changes and treatment options to residents and their families?"
☐ "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 455586 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)