Nursing home · SNF / NF

Weslaco Nursing and Rehabilitation Center

Federal · CMSActive CMS certificationCCN 676037Non-profit CMS overall

422 E 18th St, Weslaco, TX 78596 · Operated by Starr County Hospital District · Chain Wellsential Health

Source: CMS Provider Data Catalog, release Oct 1, 2026 · provenance

$25 Full Intelligence Report

Certified beds

120

Avg residents / day

117

Inspections

Citations

Harm-level

Fines

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 120 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 117.4 CMS, MDS-derived
CMS Certification Number: 676037
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Oct 5, 2004
Ownership type: Non profit - Corporation
Operator (legal business name): Starr County Hospital District
CMS chain: Wellsential Health 67 facilities
Phone: (956) 973-8451
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

latest Jul 28, 2026

Citations

33 health · 0 fire

Harm or worse

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D26	E6	F·
Minimal	A·	B1	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

Payment denials

Latest

—

Date	Domain	Survey types	Citations	Most severe	Open
Jul 28, 2026	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Jul 28, 2026	Health	Health Complaint, Health Standard	11	Potential harm	—	Open →
Apr 24, 2026	Health	Health Complaint	2	Potential harm	—	Open →
Nov 19, 2025	Health	Health Complaint	2	Potential harm	—	Open →
May 14, 2025	Fire safety	Fire Safety Standard	0	No citations	—	Open →
May 14, 2025	Health	Health Complaint, Health Standard	6	Potential harm	—	Open →
Mar 31, 2025	Health	Health Complaint	2	Potential harm	—	Open →
Mar 14, 2024	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Mar 14, 2024	Health	Health Complaint, Health Standard	10	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D26	E6	F·
Minimal	A·	B1	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jul 28, 2026	F-0583	Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Jul 29, 2026
Jul 28, 2026	F-0605	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jul 29, 2026
Jul 28, 2026	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 29, 2026
Jul 28, 2026	F-0659	Provide care by qualified persons according to each resident's written plan of care. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 29, 2026
Jul 28, 2026	F-0694	Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jul 29, 2026
Jul 28, 2026	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 29, 2026
Jul 28, 2026	F-0761	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jul 29, 2026
Jul 28, 2026	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Jul 29, 2026
Jul 28, 2026	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 29, 2026
Jul 28, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Jul 29, 2026	Complaint
Jul 28, 2026	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	B · Minimal Pattern	Corrected Jul 29, 2026
Apr 24, 2026	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 25, 2026	Complaint
Apr 24, 2026	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 25, 2026	Complaint
Nov 19, 2025	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 20, 2025	Complaint
Nov 19, 2025	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Nov 20, 2025	Complaint
May 14, 2025	F-0578	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 15, 2025
May 14, 2025	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 15, 2025
May 14, 2025	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 15, 2025
May 14, 2025	F-0757	Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected May 15, 2025	Complaint
May 14, 2025	F-0761	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected May 15, 2025
May 14, 2025	F-0925	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 15, 2025
Mar 31, 2025	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Apr 4, 2025	Complaint
Mar 31, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Apr 4, 2025	Complaint
Mar 14, 2024	F-0578	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 15, 2024
Mar 14, 2024	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 15, 2024
Mar 14, 2024	F-0655	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 15, 2024
Mar 14, 2024	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 15, 2024
Mar 14, 2024	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 15, 2024
Mar 14, 2024	F-0756	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Mar 15, 2024
Mar 14, 2024	F-0758	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Mar 15, 2024	Complaint
Mar 14, 2024	F-0761	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Mar 15, 2024
Mar 14, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Mar 15, 2024
Mar 14, 2024	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 15, 2024

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Operating entity

Starr County Hospital District

CMS legal business name of the certified provider. Operates 7 facilities.

VerifiedLinked by exact legal name

CMS chain

Wellsential Health

67 facilities in 1 states. CMS chain ID 670.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.8

Ownership disclosures

Disclosures

Organizations

Individuals

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Starr County Hospital District	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Apr 1, 2017
Regency Ihs of Weslaco LLC	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Apr 1, 2017
Csv Rhea Management Holdco, LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Apr 1, 2017
Dwd Tx Holdings LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Apr 1, 2017
Jack and Nancy Dwyer Workforce Development Center Inc	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Apr 1, 2017
Reg Bridge Opco LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Apr 1, 2017
Reg Hg Opco LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Apr 1, 2017
Reg Operator Holdco LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Apr 1, 2017
Regency Integrated Health Services LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Apr 1, 2017
Regency Texas Holdings LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Apr 1, 2017

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Starr County Hospital District	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Apr 1, 2017
Regency Ihs of Weslaco LLC	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Apr 1, 2017
Csv Rhea Management Holdco, LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Apr 1, 2017
Dwd Tx Holdings LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Apr 1, 2017
Jack and Nancy Dwyer Workforce Development Center Inc	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Apr 1, 2017
Reg Bridge Opco LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Apr 1, 2017
Reg Hg Opco LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Apr 1, 2017
Reg Operator Holdco LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Apr 1, 2017
Regency Integrated Health Services LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Apr 1, 2017
Regency Texas Holdings LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Apr 1, 2017
Daniel Baird	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Apr 13, 2021
Barbara Clapp	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jun 1, 2021
Daren Cortese	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Aug 10, 2021
Patricia Gibson	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Aug 1, 2021
Adrian Guerra	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	May 1, 2016
Elliot Mandelbaum	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jan 1, 2025
Thalia Munoz	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jan 1, 1982
Elisa Pena	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	May 1, 2022
Arcadio Salinas	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Sep 17, 2024
Regency Ihs of Weslaco LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2017
Regency Integrated Health Services LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2017
Starr County Hospital District	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2017
Donovan Dekowski	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2017
Leslie Stratton-Grosch	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 22, 2024
Thalia Munoz	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 1, 1982
422 East 18th Street LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2017
Regency Ihs Clinical Consulting, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2025
Regency Ihs of Weslaco LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 15, 2025
Regency Ihs Rehab LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2025
Regency Integrated Health Services LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 15, 2025
Starr County Hospital District	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 15, 2025
Jose Bejarano	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2025
Donovan Dekowski	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2017
Marissa Serna	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2025
Leslie Stratton-Grosch	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Aug 22, 2024
Lorena Ureste	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2025

Other facilities operated by Starr County Hospital District

All 6 →

Facility	Beds	Last inspection	Citations (window)	Fines
Windsor Nursing and Rehabilitation Center of Mcall 900 S 12th St, Mcallen, TX 78501 CCN 455662	110	Dec 3, 2025	211 harm	$24k
Windsor Nursing and Rehabilitation Center of Harli 820 Camelot Dr, Harlingen, TX 78550 CCN 455822	154	Aug 12, 2026	28	—
Windsor Nursing and Rehabilitation Center of Raymo 1700 S Expressway 77, Raymondville, TX 78580 CCN 675475	120	Apr 30, 2026	32	—
Rio Grande City Nursing and Rehabilitation Center 2530 Central Palm Dr, Rio Grande City, TX 78582 CCN 676119	110	Jun 11, 2026	181 harm	$14k
Windsor Atrium 1814 Atrium Place Dr, Harlingen, TX 78550 CCN 676125	120	May 8, 2026	403 IJ	$23k
Windsor Arbor View 218 Baltic Ave, Edinburg, TX 78539 CCN 676206	120	Jul 31, 2026	241 IJ	$8,281

Same chain in Texas

All 66 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Laredo West Nursing and Rehabilitation Center 1200 E Lane St, Laredo, TX 78043 CCN 455528	188	Jul 28, 2026	583 IJ	$50k
Windsor Nursing and Rehabilitation Center of Morga 2322 Morgan Ave, Corpus Christi, TX 78405 CCN 455575Abuse icon	176	Jul 16, 2026	371 IJ4 harm	$19k
Heritage Park Rehabilitation and Skilled Nursing C 2806 Real St, Austin, TX 78722 CCN 455599	197	Feb 20, 2026	523 IJ2 harm1 open	$56k
Windsor Nursing and Rehabilitation Center of Mcall 900 S 12th St, Mcallen, TX 78501 CCN 455662	110	Dec 3, 2025	211 harm	$24k
Longview Hill Nursing and Rehabilitation Center 3201 N Fourth St, Longview, TX 75605 CCN 455684	198	Mar 18, 2026	683 IJ1 harm	$225k
Monument Hill Nursing and Rehabilitation Center 120 State Loop 92, La Grange, TX 78945 CCN 455715	104	Aug 6, 2026	311 IJ	$8,281
Spindletop Hill Nursing and Rehabilitation Center 1020 S 23rd St, Beaumont, TX 77707 CCN 455757	148	Aug 5, 2026	443 IJ	$83k
Town and Country Nursing and Rehabilitation Center 625 N Main St, Boerne, TX 78006 CCN 455796	126	Jul 31, 2026	763 IJ	$151k

Coordinates as published by CMS.

Address: 422 E 18th St, Weslaco, TX 78596
ZIP: 78596
County: Hidalgo County FIPS 48215
State: Texas
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Valley Grande Manor 1212 S Bridge, Weslaco, TX 78596 CCN 455621Abuse icon	0.9 km	147	Aug 25, 2026	724 IJ2 harm	$89k
Windsor Nursing and Rehabilitation Center of Wesla 721 S Airport Dr, Weslaco, TX 78596 CCN 675363	1.8 km	120	Aug 27, 2026	362 IJ2 open	$23k
Mid Valley Nursing & Rehabilitation 601 N Mile 2 West, Mercedes, TX 78570 CCN 676414	11.3 km	123	Jul 29, 2026	374 IJ	$17k
Veranda Rehabilitation and Healthcare 4301 South Expressway 83, Harlingen, TX 78550 CCN 455925	13.2 km	100	Aug 19, 2026	231 IJ	$8,021
The Heights of Alamo 1214 S. Alamo Road, Alamo, TX 78516 CCN 676441	14.3 km	130	Aug 5, 2026	241 harm7 open	$8,414
San Juan Nursing Home, Inc. 300 N Nebraska Ave., San Juan, TX 78589 CCN 455484	17.8 km	114	Jun 18, 2026	18	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	676037	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	676037	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 676037

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction

Loading facility…

Weslaco Nursing and Rehabilitation Center

Federal certification

State license

Penalties

Owners of record

All disclosed roles

Other facilities operated by Starr County Hospital District

Same chain in Texas

Nearby nursing homes

Weslaco Nursing and Rehabilitation Center

Federal certification

State license

Penalties

Owners of record

All disclosed roles

Other facilities operated by Starr County Hospital District

Same chain in Texas

Nearby nursing homes