Weslaco Nursing and Rehabilitation Center

Name: Weslaco Nursing and Rehabilitation Center
Address: 422 E 18TH ST, Weslaco, TX, 78596, US
Telephone: 9569738451

422 E 18th St, Weslaco, TX 78596 · Hidalgo County · 120 certified beds · avg 113 residents/day · certified since Oct 5, 2004

Part of chain: WELLSENTIAL HEALTH (67 facilities, chain avg rating 2.7★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

2.92

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.

All citations in the current public record (26)

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 24, 2026	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint
Apr 24, 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
Nov 19, 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
Nov 19, 2025	D · Potential for harm, one-off	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. · from a complaint
May 14, 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.
May 14, 2025	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
May 14, 2025	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.
May 14, 2025	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · from a complaint
May 14, 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.
May 14, 2025	D · Potential for harm, one-off	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests.
Mar 31, 2025	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
Mar 31, 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. · from a complaint
Mar 14, 2024	E · Potential for harm, repeated	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Mar 14, 2024	E · Potential for harm, repeated	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · from a complaint
Mar 14, 2024	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Mar 14, 2024	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.
Mar 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.
Mar 14, 2024	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.
Mar 14, 2024	D · Potential for harm, one-off	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.
Mar 14, 2024	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.
Mar 14, 2024	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.
Mar 14, 2024	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.
Jan 6, 2023	E · Potential for harm, repeated	The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman.
Jan 6, 2023	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jan 6, 2023	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.
Jan 6, 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.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (10 → 6).

Year	Citations	Worst severity that year
2023	4	E
2024	10	E
2025	10	D
2026	2	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)	2.92	3.46	3.95	bottom 19% in Texas; bottom 11% in the U.S.
Registered Nurse hours	0.15	0.44	0.69	bottom 3% in Texas; bottom 1% in the U.S.
Weekend total nurse staffing	2.60	3.04	3.50	bottom 22% in Texas; bottom 12% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.14	0.34	0.48	bottom 7% in Texas; bottom 4% in the U.S.
Total nursing staff turnover (%)	23.8	55.3	45.8	top 1% in Texas; top 6% in the U.S.
RN turnover (%)	0.0	54.6	42.9	—

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 3.30, RN 0.17, weekend 2.94. Staffing rating: 1/5.

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

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
CSV Rhea Management Holdco, LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	04/01/2017
DWD TX Holdings LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	04/01/2017
Jack and Nancy Dwyer Workforce Development Center INC	Organization	Indirect Ownership Interest	NOT APPLICABLE	04/01/2017
Reg Bridge Opco LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	04/01/2017
Reg HG Opco LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	04/01/2017
Reg Operator Holdco LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	04/01/2017
Regency Ihs of Weslaco LLC	Organization	Direct Ownership Interest	NOT APPLICABLE	04/01/2017
Regency Integrated Health Services LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	04/01/2017
Regency Texas Holdings LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	04/01/2017
Starr County Hospital District	Organization	5% or Greater Direct Ownership Interest	100%	04/01/2017
422 East 18th Street LLC	Organization	ADP of the SNF	NOT APPLICABLE	04/01/2017
Baird, Daniel	Individual	Managing Control - Governing Body	NOT APPLICABLE	04/13/2021
Bejarano, Jose	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2025
Clapp, Barbara	Individual	Managing Control - Governing Body	NOT APPLICABLE	06/01/2021
Cortese, Daren	Individual	Managing Control - Governing Body	NOT APPLICABLE	08/10/2021
Dekowski, Donovan	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2017
Dekowski, Donovan	Individual	ADP of the SNF	NOT APPLICABLE	04/01/2017
Gibson, Patricia	Individual	Managing Control - Governing Body	NOT APPLICABLE	08/01/2021
Guerra, Adrian	Individual	Managing Control - Governing Body	NOT APPLICABLE	05/01/2016
Mandelbaum, Elliot	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/01/2025

Questions to ask on your visit

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

"Who completes resident assessments here, and how do you check them for accuracy?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"How is pest control handled here, and when was the last treatment or inspection?"
"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
Valley Grande Manor	0.6 mi	Weslaco, TX	★☆☆☆☆	1/5	abuse
Windsor Nursing and Rehabilitation Center of Wesla	1.1 mi	Weslaco, TX	★★☆☆☆	3/5
Mid Valley Nursing & Rehabilitation	7.0 mi	Mercedes, TX	★★☆☆☆	2/5
Veranda Rehabilitation and Healthcare	8.2 mi	Harlingen, TX	★★★★★	4/5
The Heights of Alamo	8.9 mi	Alamo, TX	★★★★★	4/5
San Juan Nursing Home, INC.	11.1 mi	San Juan, TX	★★★★☆	4/5
Windsor Las Palmas Nursing and Rehabilitation Cent	14.2 mi	McAllen, TX	★★★★★	5/5
McAllen Transitional Care Center	14.3 mi	McAllen, TX	★★★★☆	3/5
Colonial Manor Advanced Rehab & Healthcare	14.5 mi	Pharr, TX	★☆☆☆☆	2/5
Edinburg Nursing and Rehabilitation Center	14.7 mi	Edinburg, TX	★★☆☆☆	3/5
Alfredo Gonzalez Texas State Veterans Home	14.8 mi	McAllen, TX	★★☆☆☆	2/5	abuse
McAllen Nursing Center	14.9 mi	McAllen, TX	★★☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Weslaco →

Facility data as of CMS processing date 2026-08-01. CCN 676037.

The Care File

Visit checklist — Weslaco Nursing and Rehabilitation Center

422 E 18th St, Weslaco, TX 78596 · 9569738451

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "How is pest control handled here, and when was the last treatment or inspection?"
☐ "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 676037 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)