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B

71/100

Above average

Devine Health & Rehabilitation

104 Enterprise Avenue, Devine, TX 78016

CMS 5/5 stars #1 of 3 in Medina County (830) 663-4451
Certified beds
96
Occupancy
40%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion, each one comes straight from a federal inspection or enforcement file.

  • Nursing staff turnover of 86%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

Our read on Devine Health & Rehabilitation

Devine Health & Rehabilitation runs on thin staffing relative to what most Texas homes provide, 3.33 nurse hours per resident per day against a national average of 3.86. The bigger concern is who's left to cover those hours: annual turnover of 86.2% means most of the nursing staff from a year ago is gone, and weekend coverage dips even further below the weekday level. A five-star inspection record with 11 deficiencies and nothing at the harm level shows this isn't a dangerous building. It's a home that passes review but struggles to keep enough consistent hands on deck, and that gap between inspection results and staffing is what holds it back.

Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.

Inspection30/30Staffing16/30Stability0/15Outcomes15/15Enforcement10/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • →No citations recorded in the last 3 years

Staffing

16/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • →3.43 total nurse hours per resident per day (national median 3.77)
  • →0.64 RN hours per resident per day
  • →Weekend staffing holds steady

Staff stability

0/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • →86% of nursing staff left in the last year

Resident outcomes

15/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • →5 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • →No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day3.33 hrs
National average 3.86 hrsBelow average
Registered nurse (RN) hours0.64 hrs
National average 0.69 hrsBelow average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours3.25 hrs
National average 3.42 hrsBelow average

The shift most families visit, and the one thinned first.

Nursing staff turnover86.20%
National average 45.80%Below average

The share of nursing staff who left over the last year.

Recent inspection findings

Last standard health inspection: February 27, 2026 (8 months ago). No citations were recorded.

No health-inspection citations on record for this facility in the current CMS release.

Who owns this home

Full record

Part of CREATIVE SOLUTIONS IN HEALTHCARE, which operates 149 homes. Staffing budgets are usually set at chain level, not in the building.

What families say

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Common questions about Devine Health & Rehabilitation

What is the ElderGrade for Devine Health & Rehabilitation? +

Devine Health & Rehabilitation holds an ElderGrade of B (71 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Devine Health & Rehabilitation? +

Residents receive an average of 3.33 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Devine Health & Rehabilitation been cited for harming residents? +

No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Devine Health & Rehabilitation accept Medicaid? +

Yes, Devine Health & Rehabilitation is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.