ElderGrade
B

78/100

Above average

Grand Terrace Rehabilitation And Healthcare

812 W Houston Ave, Mcallen, TX 78501

CMS 5/5 stars #2 of 22 in Hidalgo County (956) 682-6331
Certified beds
93
Occupancy
88%
Ownership
For-profit
Accepts
Medicare + Medicaid

How this grade was calculated

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

Inspection safety

30/30

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

Staffing

8/30

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

  • 2.91 total nurse hours per resident per day (national median 3.77)
  • 0.38 RN hours per resident per day
  • Weekend staffing drops 14% against weekdays

Staff stability

15/15

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

  • 26% 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 day 3.55 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.38 hrs
National average 0.69 hrs Below average

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

Weekend nurse hours 3.05 hrs
National average 3.42 hrs Below average

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

Nursing staff turnover 25.80%
National average 45.80% Better than average

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

Recent inspection findings

All 14 citations

Last standard health inspection: February 19, 2026 (6 months ago).

D May 8, 2026 F0558 From a complaint

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

No actual harm, potential for more than minimal harm

D Feb 19, 2026 F0552

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

No actual harm, potential for more than minimal harm

D Feb 19, 2026 F0605

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

No actual harm, potential for more than minimal harm

D Feb 19, 2026 F0656

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

No actual harm, potential for more than minimal harm

D Dec 8, 2025 F0684 From a complaint

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

No actual harm, potential for more than minimal harm

D Dec 4, 2025 F0761 From a complaint

Pharmacy Service Deficiencies

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...

No actual harm, potential for more than minimal harm

D Nov 19, 2025 F0761 From a complaint

Pharmacy Service Deficiencies

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...

No actual harm, potential for more than minimal harm

D Nov 20, 2024 F0656 From a complaint

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of THE ENSIGN GROUP, which operates 346 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
ALAM, KHURSHEED Individual MANAGING CONTROL - GOVERNING BODY
GUZMAN, NEFI Individual MANAGING CONTROL - GOVERNING BODY
BURNAM, SOON Individual CORPORATE OFFICER
KEETCH, CHAD Individual CORPORATE OFFICER
SANDERSON, CLARK Individual CORPORATE OFFICER
MCALLEN CARE ASSOCIATES, INC. Organization OPERATIONAL/MANAGERIAL CONTROL
ALAM, KHURSHEED Individual OPERATIONAL/MANAGERIAL CONTROL
GUZMAN, NEFI Individual OPERATIONAL/MANAGERIAL CONTROL
CARETRUST GP LLC Organization ADP OF THE SNF
CARETRUST REIT INC Organization ADP OF THE SNF
CTR PARTNERSHIP LP Organization ADP OF THE SNF
ENSIGN SERVICES INC Organization ADP OF THE SNF

What families say

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Common questions about Grand Terrace Rehabilitation And Healthcare

What is the ElderGrade for Grand Terrace Rehabilitation And Healthcare? +

Grand Terrace Rehabilitation And Healthcare holds an ElderGrade of B (78 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 Grand Terrace Rehabilitation And Healthcare? +

Residents receive an average of 3.55 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Grand Terrace Rehabilitation And Healthcare been cited for harming residents? +

No. None of the 14 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Grand Terrace Rehabilitation And Healthcare accept Medicaid? +

Yes, Grand Terrace Rehabilitation And Healthcare 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.