All 3 Medicare-certified nursing homes in Weslaco,
side by side on the things that separate them: how many nursing hours each resident gets, how much of the
staff leaves each year, and what inspectors found on their last visit.
Weslaco Nursing and Rehabilitation runs lean on direct care: 3.30 nurse hours per resident day, about 14 percent under the national average, and weekends dip roughly 11 percent below its own weekday staffing. That thin coverage is the main reason the federal staffing rating sits at 1 out of 5, even though the same data shows turnover at 23.8 percent, well below the national 45.8 percent, meaning the aides and nurses who are there tend to stay. Inspections tell a steadier story: 26 deficiencies on record, none at the harm level, though two are abuse-related, and the most recent visit was May 2025. Ask about weekend coverage and how those abuse citations were resolved.
Windsor Nursing and Rehabilitation Center of Weslaco is run by a hospital district, and its nurses put in 2.41 hours of care per resident each day. That's about 37 percent under the national average of 3.86, and weekends run roughly 11 percent thinner than weekdays. Staff turnover sits at 40 percent, a bit better than the 45.8 percent national figure, though 26 deficiencies on the current record, two of them at the harm or jeopardy level, suggest the short staffing has real consequences. Two fines total $31,541, and the last inspection was in May 2025. The 4/5 quality measure score reflects good clinical documentation, but quality measures don't capture whether enough hands are present.
Valley Grande Manor runs on 2.94 nursing hours per resident per day, roughly a quarter below the national average of 3.86. Weekends are thinner still, about 10% under the home's own weekday coverage, and 68.8% of staff left over the past year against a national rate near 46%, so the people providing care keep changing. Inspectors have logged 49 deficiencies, six involving actual harm or jeopardy, eleven tied to abuse, with four fines totaling $88,679; the most recent inspection was July 2025. This is a 147-bed for-profit home owned by an individual, and the pattern in these numbers, low staffing, high turnover, repeat serious findings, is what families should weigh before deciding.