Mission Nursing and Rehabilitation Center

Name: Mission Nursing and Rehabilitation Center
Address: 1013 S. Bryan Rd., Mission, TX, 78572, US
Telephone: 2814195520

1013 S. Bryan Rd., Mission, TX 78572 · Hidalgo County · 170 certified beds · avg 98 residents/day · certified since Jul 27, 1988

Part of chain: HMG HEALTHCARE (31 facilities, chain avg rating 3.1★)

4/5

Health inspection rating (on-site)

Serious findings on record

$8,190

Fines, last 3 years

3.09

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

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.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Oct 6, 2023 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Nov 10, 2023 (Deficient, Provider has date of correction)

All citations in the current public record (24)

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
Apr 2, 2026	E · Potential for harm, repeated	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Apr 2, 2026	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Apr 2, 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.
Apr 2, 2026	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Apr 2, 2026	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Apr 2, 2026	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.
Apr 2, 2026	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.
Jan 3, 2026	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
Jan 8, 2025	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Jan 8, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Jan 8, 2025	D · Potential for harm, one-off	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Jan 8, 2025	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Jan 8, 2025	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.
Sep 6, 2024	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint
May 28, 2024	D · Potential for harm, one-off	The facility employed staff who were not licensed, certified, or registered as required by state law. · from a complaint
May 14, 2024	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Dec 30, 2023	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint
Dec 30, 2023	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Oct 6, 2023	▲ G · Actual 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. · from a complaint
Oct 6, 2023	F · Potential for harm, facility-wide	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.
Oct 6, 2023	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Oct 6, 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.
Oct 6, 2023	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.
Oct 6, 2023	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (5 → 7).

Year	Citations	Serious (G–L)	Worst severity that year
2023	8	1	G ▲
2024	3	0	D
2025	5	0	D
2026	8	0	E

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)

1 fine totaling $8,190.

Date	Type	Amount / length
Oct 6, 2023	Fine	$8,190

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)	3.09	3.46	3.95	bottom 30% in Texas; bottom 17% in the U.S.
Registered Nurse hours	0.40	0.44	0.69	top 47% in Texas; bottom 22% in the U.S.
Weekend total nurse staffing	2.67	3.04	3.50	bottom 28% in Texas; bottom 15% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.27	0.34	0.48	bottom 43% in Texas; bottom 26% in the U.S.
Total nursing staff turnover (%)	33.3	55.3	45.8	top 9% in Texas; top 20% in the U.S.
RN turnover (%)	33.3	54.6	42.9	top 20% in Texas; top 33% 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 3.42, RN 0.44, weekend 2.96. 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: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Culp, Roland	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2021
Daspit, Laurence	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2021
HMG Park Manor of Mission, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	10/01/2021
Murrell, Edward	Individual	Corporate Officer	NOT APPLICABLE	11/01/2012
Pico, Ana	Individual	Operational/Managerial Control	NOT APPLICABLE	01/04/2021
Prince, Derek	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2021
Rollo, Jeffery	Individual	Corporate Officer	NOT APPLICABLE	11/01/2012
Rollo, Jeffery	Individual	Operational/Managerial Control	NOT APPLICABLE	11/01/2012
Stramecki, Anthony	Individual	Corporate Director	NOT APPLICABLE	11/01/2016
Stramecki, Anthony	Individual	Operational/Managerial Control	NOT APPLICABLE	11/01/2016
Vratis, Kacey	Individual	Corporate Director	NOT APPLICABLE	11/01/2020
Vratis, Kacey	Individual	Operational/Managerial Control	NOT APPLICABLE	11/01/2016
Way, George	Individual	Corporate Director	NOT APPLICABLE	01/01/2013
Way, George	Individual	Corporate Officer	NOT APPLICABLE	01/01/2013
Way, George	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2013
Winnie-Stowell Hospital District	Organization	Operational/Managerial Control	NOT APPLICABLE	10/01/2021

Questions to ask on your visit

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

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"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
Mission Valley Nursing and Transitional Care	0.1 mi	Mission, TX	★★★★☆	3/5
Village Healthcare and Rehabilitation	3.4 mi	McAllen, TX	★★★☆☆	2/5	abuse
Briarcliff Nursing and Rehabilitation Center	4.4 mi	McAllen, TX	★☆☆☆☆	2/5	abuse
Windsor Nursing and Rehabilitation Center of McAll	4.9 mi	McAllen, TX	★★★☆☆	4/5
Grand Terrace Rehabilitation and Healthcare	5.2 mi	McAllen, TX	★★★★★	5/5
Alfredo Gonzalez Texas State Veterans Home	5.8 mi	McAllen, TX	★★☆☆☆	2/5	abuse
McAllen Nursing Center	6.1 mi	McAllen, TX	★★☆☆☆	2/5
McAllen Transitional Care Center	6.4 mi	McAllen, TX	★★★★☆	3/5
Windsor Las Palmas Nursing and Rehabilitation Cent	6.5 mi	McAllen, TX	★★★★★	5/5
Colonial Manor Advanced Rehab & Healthcare	8.2 mi	Pharr, TX	★☆☆☆☆	2/5
Las Alturas de Penitas	8.6 mi	Penitas, TX	★★★☆☆	2/5
Edinburg Nursing and Rehabilitation Center	8.9 mi	Edinburg, TX	★★☆☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Mission →

Facility data as of CMS processing date 2026-08-01. CCN 455761.

The Care File

Visit checklist — Mission Nursing and Rehabilitation Center

1013 S. Bryan Rd., Mission, TX 78572 · 2814195520

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $8,190

Most serious findings on record:

▲ Oct 6, 2023 (F-0689, Actual 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.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "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 455761 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)