Nursing home · SNF / NF

Mid Valley Nursing & Rehabilitation

Federal · CMSActive CMS certificationCCN 676414Government CMS overall

601 N Mile 2 West, Mercedes, TX 78570 · Operated by Uvalde County Hospital Authority · Chain Touchstone Communities

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

$25 Full Intelligence Report

Certified beds

123

Avg residents / day

Inspections

Citations

Harm-level

Fines

$17k

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 123 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: 84.6 CMS, MDS-derived
CMS Certification Number: 676414
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jan 10, 2017
Ownership type: Government - Hospital district
Operator (legal business name): Uvalde County Hospital Authority
CMS chain: Touchstone Communities 25 facilities
Phone: (956) 294-1689
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

latest Jul 29, 2026

Citations

32 health · 5 fire

Harm or worse

4 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J4	K·	L·
Actual harm	G·	H·	I·
Potential harm	D26	E7	F·
Minimal	A·	B·	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

$16,611

Payment denials

Latest

Dec 23, 2024

Date	Domain	Survey types	Citations	Most severe	Open
Jul 29, 2026	Health	Health Complaint	4	Potential harm	—	Open →
Jun 10, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Apr 9, 2026	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Apr 9, 2026	Health	Health Standard	5	Potential harm	—	Open →
Jan 13, 2026	Health	Health Complaint	2	Potential harm	—	Open →
Dec 31, 2025	Health	Health Complaint	3	Potential harm	—	Open →
Apr 11, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Mar 7, 2025	Health	Health Complaint	2	Potential harm	—	Open →
Feb 5, 2025	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Feb 5, 2025	Health	Health Complaint, Health Standard	5	Potential harm	—	Open →
Dec 23, 2024	Health	Health Complaint	6	Immediate jeopardy	—	Open →
Apr 16, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Nov 16, 2023	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Nov 16, 2023	Health	Health Standard	1	Potential harm	—	Open →
Oct 31, 2023	Health	Health Complaint	1	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.

Date	Type	Amount	Payment denial	Record
Dec 23, 2024	Civil money penalty (fine)	$8,330	—	676414\|Fine\|113470
Dec 23, 2024	Civil money penalty (fine)	$8,281	—	676414\|Fine\|113469

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J4	K·	L·
Actual harm	G·	H·	I·
Potential harm	D26	E7	F·
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jul 29, 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 Aug 20, 2026	Complaint
Jul 29, 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 Aug 20, 2026	Complaint
Jul 29, 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 Aug 20, 2026	Complaint
Jul 29, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Aug 20, 2026	Complaint
Jun 10, 2026	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Jun 26, 2026	Complaint
Apr 9, 2026	K-0331	Construct fire resistant interior walls. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 11, 2026
Apr 9, 2026	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected May 11, 2026
Apr 9, 2026	K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 11, 2026
Apr 9, 2026	K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected May 11, 2026
Apr 9, 2026	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected May 1, 2026
Apr 9, 2026	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected May 1, 2026
Apr 9, 2026	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected May 1, 2026
Apr 9, 2026	F-0813	Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected May 1, 2026
Apr 9, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected May 1, 2026
Jan 13, 2026	F-0573	Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Feb 9, 2026	Complaint
Jan 13, 2026	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 9, 2026	Complaint
Dec 31, 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 Jan 16, 2026	Complaint
Dec 31, 2025	F-0694	Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 16, 2026	Complaint
Dec 31, 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 Jan 16, 2026	Complaint
Apr 11, 2025	F-0690	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 1, 2025	Complaint
Mar 7, 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 Apr 3, 2025	Complaint
Mar 7, 2025	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 Apr 3, 2025	Complaint
Feb 5, 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 Feb 28, 2025
Feb 5, 2025	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 Feb 28, 2025
Feb 5, 2025	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 Feb 28, 2025
Feb 5, 2025	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	E · Potential harm Pattern	Corrected Feb 28, 2025	Complaint
Feb 5, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Feb 28, 2025
Dec 23, 2024	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	J · Immediate jeopardy Isolated	Corrected Dec 24, 2024	Complaint
Dec 23, 2024	F-0607	Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	J · Immediate jeopardy Isolated	Corrected Dec 24, 2024	Complaint
Dec 23, 2024	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	J · Immediate jeopardy Isolated	Past non-compliance Mar 21, 2024	Complaint
Dec 23, 2024	F-0690	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care	J · Immediate jeopardy Isolated	Corrected Dec 24, 2024	Complaint
Dec 23, 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 Dec 24, 2024	Complaint
Dec 23, 2024	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 Dec 24, 2024	Complaint
Apr 16, 2024	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected May 9, 2024	Complaint
Nov 16, 2023	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Nov 16, 2023
Nov 16, 2023	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 Nov 17, 2023
Oct 31, 2023	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Nov 2, 2023	Complaint

“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

Uvalde County Hospital Authority

CMS legal business name of the certified provider. Operates 38 facilities.

VerifiedLinked by exact legal name

CMS chain

Touchstone Communities

25 facilities in 1 states. CMS chain ID 521.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.8

Ownership disclosures

Disclosures

Organizations

Individuals

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
Touchstone Strategies Mercedes LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2019
Leslie Campbell	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2020
Marcos Carazos	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jul 20, 2020
Leticia Carrasco	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 19, 2020
Lynnea Castillo	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2019
Cynthia Gilcrease	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2019
Bryon Sehlke	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2019
Darrell Zurovec	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2019
Adam Apolinar	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Aug 1, 2015
Capital Funding Group, Inc	Organization	Mortgage / security interest	5% OR GREATER MORTGAGE INTEREST	not provided	Apr 1, 2019
International Bank of Commerce	Organization	Mortgage / security interest	5% OR GREATER SECURITY INTEREST	not provided	Apr 28, 2021
Aegis Therapies, Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2019
Alamo Advisors LP	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2019
Carvajal Pharmacy Ltc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2019
Plante & Moran PLLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2019
The Bryon and Rena Sehlke Living Trust	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2019
Touchstone Communities Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2019
Touchstone Realty - Mercedes LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2019
Touchstone Strategies Mercedes LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Aug 26, 2025
Trident Health Services Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2019
Leslie Campbell	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2020
Marcos Carazos	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jul 20, 2020
Leticia Carrasco	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Oct 19, 2020
Lynnea Castillo	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2019
Ernest Fellbaum	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2019
Cynthia Gilcrease	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2019
Andrew Levine	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2019
Bryon Sehlke	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2019
Stanley Studer	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2019
Darrell Zurovec	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2019

Other facilities operated by Uvalde County Hospital Authority

All 37 →

Facility	Beds	Last inspection	Citations (window)	Fines
Rosewood Heights 5700 E Central Texas Expwy, Killeen, TX 76543 CCN 455503	64	Apr 17, 2026	193 IJ2 harm	$37k
Laredo West Nursing and Rehabilitation Center 1200 E Lane St, Laredo, TX 78043 CCN 455528	188	Jul 28, 2026	583 IJ	$50k
Memorial Medical Nursing and Rehabilitation 307 W Cypress St, San Antonio, TX 78212 CCN 455597	135	Aug 5, 2026	872 IJ11 open	$35k
Hilltop Village Nursing and Rehabilitation 1400 Hilltop Rd, Kerrville, TX 78028 CCN 455628	150	Aug 20, 2026	601 IJ	—
Silver Creek Nursing and Rehabilitation 9014 Timber Path, San Antonio, TX 78250 CCN 455652	120	Jul 2, 2025	28	—
Kirkwood Manor 2590 Loop 337 N, New Braunfels, TX 78130 CCN 455732	162	Jun 17, 2026	691 IJ	$29k
Avir at San Knoll 5757 N. Knoll, San Antonio, TX 78240 CCN 455804	120	Jul 24, 2026	711 IJ	$28k
San Antonio North Nursing and Rehabilitation 501 Ogden, San Antonio, TX 78212 CCN 455817	118	Aug 6, 2026	762 IJ	$17k

Same chain in Texas

All 24 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Rosewood Heights 5700 E Central Texas Expwy, Killeen, TX 76543 CCN 455503	64	Apr 17, 2026	193 IJ2 harm	$37k
La Frontera Nursing & Rehabilitation 7001 Mcpherson Rd., Laredo, TX 78041 CCN 675030	186	Aug 14, 2026	272 IJ	$32k
West Oaks Nursing & Rehabilitation 3625 Green Crest Dr, Houston, TX 77082 CCN 675454	136	Jul 29, 2026	261 harm	—
Hill Country Heights 810 Industrial Ave, Copperas Cove, TX 76522 CCN 675536	96	May 21, 2026	241 IJ	$12k
Del Rio Nursing and Rehabilitation Center 301 W. Martin Street, Del Rio, TX 78840 CCN 675677Abuse icon	60	Aug 6, 2026	411 IJ1 harm	$22k
The Heights at Medical Center 3935 Medical Drive, San Antonio, TX 78229 CCN 675890	134	Aug 15, 2025	633 IJ	$22k
Harker Heights Nursing & Rehabilitation 415 Indian Oaks Dr, Harker Heights, TX 76548 CCN 675909	199	Aug 26, 2026	613 IJ	$65k
Country Care Manor 2736 Fm 775, La Vernia, TX 78121 CCN 675947	91	Dec 17, 2025	16	$22k

Coordinates as published by CMS.

Address: 601 N Mile 2 West, Mercedes, TX 78570
ZIP: 78570
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
Veranda Rehabilitation and Healthcare 4301 South Expressway 83, Harlingen, TX 78550 CCN 455925	3.2 km	100	Aug 19, 2026	231 IJ	$8,021
Windsor Nursing and Rehabilitation Center of Wesla 721 S Airport Dr, Weslaco, TX 78596 CCN 675363	9.8 km	120	Aug 27, 2026	362 IJ2 open	$23k
Valley Grande Manor 1212 S Bridge, Weslaco, TX 78596 CCN 455621Abuse icon	10.7 km	147	Aug 25, 2026	724 IJ2 harm	$89k
Weslaco Nursing and Rehabilitation Center 422 E 18th St, Weslaco, TX 78596 CCN 676037	11.3 km	120	Jul 28, 2026	33	—
Windsor Atrium 1814 Atrium Place Dr, Harlingen, TX 78550 CCN 676125	19.2 km	120	May 8, 2026	403 IJ	$23k
Harlingen Nursing and Rehabilitation Center 3810 Hale Ave, Harlingen, TX 78550 CCN 675606	19.8 km	120	Aug 19, 2026	222 IJ	$6,016

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	676414	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	676414	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 676414

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

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Mid Valley Nursing & Rehabilitation

Federal certification

State license

Penalties

All disclosed roles

Other facilities operated by Uvalde County Hospital Authority

Same chain in Texas

Nearby nursing homes

Mid Valley Nursing & Rehabilitation

Federal certification

State license

Penalties

All disclosed roles

Other facilities operated by Uvalde County Hospital Authority

Same chain in Texas

Nearby nursing homes