4301 South Expressway 83, Harlingen, TX 78550 (opens Google Maps) · Cameron County · (956) 423-4959· 100 certified beds · avg 83 residents/day · certified since Jul 1, 1991 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5 · how star ratings work →
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 quality measures from resident assessments and claims.
▲ Immediate jeopardy, isolated · Apr 12, 2024 · 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 (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Dec 7, 2023 (Past Non-Compliance)
Showing the latest 3 of 18 inspection findings. Open the full record below to read every finding.
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 F-0607
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 F-0609
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 F-0684
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 9, 2026 | D · Potential for more than minimal harm, isolated | 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 · F-0607 |
| Apr 9, 2026 | D · Potential for more than minimal harm, isolated | 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 · F-0609 |
| Apr 9, 2026 | D · Potential for more than minimal harm, isolated | 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 · F-0684 |
| Feb 18, 2026 | D · Potential for more than minimal harm, isolated | The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. · from a complaint · F-0694 |
| Feb 4, 2026 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842 |
| Dec 10, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0761 |
| Jun 25, 2025 | E · Potential for more than minimal harm, pattern | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · F-0925 |
| Jun 25, 2025 | D · Potential for more than minimal harm, isolated | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint · F-0602 |
| Jun 25, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
| Jun 25, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| May 22, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. · from a complaint · F-0740 |
| May 22, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint · F-0755 |
| May 9, 2024 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842 |
| May 9, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| Apr 12, 2024 | ▲ J · Immediate jeopardy, isolated | 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 · F-0689 |
| Apr 12, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0558 |
| Mar 3, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0609 |
| Mar 3, 2023 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
Citations from standard inspections increased between the last two inspection cycles (2 → 4).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 0 | D |
| 2024 | 4 | 1 | J ▲ |
| 2025 | 7 | 0 | E |
| 2026 | 5 | 0 | 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.
How to file a complaint about care →
1 fine totaling $8,021.
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.
| Date | Type | Amount / length |
|---|---|---|
| Apr 12, 2024 | Fine | $8,021 |
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Texas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 2.96 | 3.46 | 3.95 | bottom 21% in Texas; bottom 12% in the U.S. |
| Registered Nurse hours | 0.53 | 0.44 | 0.69 | top 23% in Texas; bottom 42% in the U.S. |
| Weekend total nurse staffing | 2.38 | 3.04 | 3.50 | bottom 10% in Texas; bottom 6% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.37 | 0.34 | 0.48 | top 31% in Texas; bottom 46% in the U.S. |
| Total nursing staff turnover (%) | 39.7 | 55.3 | 45.8 | top 20% in Texas; top 35% 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 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 3.35, RN 0.60, weekend 2.69.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.35 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Veranda Rehabilitation and Healthcare. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
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 →
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Fannin County Hospital Authority | Organization | 5% or Greater Direct Ownership Interest | 100% | 04/01/2019 |
| Burnam, Soon | Individual | Corporate Officer | NOT APPLICABLE | 04/01/2019 |
| Caretrust GP LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2019 |
| Caretrust Reit INC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2019 |
| Ctr Partnership LP | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2019 |
| Ensign Services INC | Organization | ADP of the SNF | NOT APPLICABLE | 12/01/2009 |
| Expressway Health Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2019 |
| Harlingen Healthcare, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/01/2019 |
| Harlingen Healthcare, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 09/25/2025 |
| Hess, Jason | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/01/2019 |
| Hess, Jason | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2019 |
| Hess, Jason | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2019 |
| Keetch, Chad | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2011 |
| Kotta, Shridhar | Individual | Managing Control - Governing Body | NOT APPLICABLE | 03/01/2016 |
| Kotta, Shridhar | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2016 |
| Kotta, Shridhar | Individual | ADP of the SNF | NOT APPLICABLE | 03/01/2016 |
| Sanderson, Clark | Individual | Corporate Officer | NOT APPLICABLE | 04/01/2019 |
All 17 owning or managing parties CMS has on file are shown — none excluded.
CMS lists this facility under the chain The Ensign Group — 342 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.
Listed by state, then facility name — not a ranking. Showing 8 of the 341 others, continuing from this facility's own place in that list.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Mid Valley Nursing & Rehabilitation | 2.0 mi | Mercedes, TX | ★★☆☆☆ | 2/5 | |
| Windsor Nursing and Rehabilitation Center of Wesla | 7.4 mi | Weslaco, TX | ★★☆☆☆ | 3/5 | |
| Valley Grande Manor | 7.9 mi | Weslaco, TX | ★☆☆☆☆ | 1/5 | abuse |
| Weslaco Nursing and Rehabilitation Center | 8.2 mi | Weslaco, TX | ★★★★☆ | 4/5 | |
| Windsor Atrium | 10.8 mi | Harlingen, TX | ★★☆☆☆ | 2/5 | |
| Harlingen Nursing and Rehabilitation Center | 10.8 mi | Harlingen, TX | ★★★☆☆ | 2/5 | |
| Windsor Nursing and Rehabilitation Center of Harli | 11.1 mi | Harlingen, TX | ★★★★★ | 4/5 | |
| Treasure Hills Healthcare and Rehabilitation Cente | 11.4 mi | Harlingen, TX | ★★★☆☆ | 3/5 | |
| Golden Palms Rehabilitation and Retirement | 11.8 mi | Harlingen, TX | ★★★★☆ | 4/5 | |
| Sun Valley Rehabilitation and Healthcare Center | 11.8 mi | Harlingen, TX | ★★★★★ | 5/5 | |
| The Heights of Alamo | 16.9 mi | Alamo, TX | ★★★★★ | 4/5 | |
| San Juan Nursing Home, INC. | 18.9 mi | San Juan, TX | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
CMS records place this facility in Cameron, TX — 14 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 455925.
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