Nursing homes across Hidalgo County, Texas, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
McAllen Transitional Care Center runs on thinner nurse coverage than most homes, 3.72 hours per resident day against a national average of 3.86, and weekends drop roughly 14% below its own weekday levels, so a Saturday fall gets less eyes on it than a Tuesday one. Staff turnover sits at 32.1%, which is meaningfully better than the 45.8% national figure, and that steadiness shows in the quality measures, which score at the top of CMS's range. What holds the record back is the inspection side: 16 deficiencies, including one at the harm level and one tied to abuse, plus a fine of $8,827. The county hospital district owns it, and its last state visit was December 2024.
San Juan Nursing Home runs on more direct nursing time than most places, 4.35 hours per resident day against a national average of 3.86, roughly 13% higher. That staffing edge thins out on weekends, which run about 13% below the home's own weekday level, and turnover sits at 45.1%, essentially right on the national figure. The inspection record shows 10 deficiencies with none at the harm level and none tied to abuse, and the last survey was recent, from December 2025. The nonprofit corporate owner holds a four-star health inspection rating and a four-star quality measure rating, with staffing at three stars.
Grand Terrace runs a tight ship on the clinical side, perfect marks on both health inspections and quality measures, with 14 deficiencies on record and none of them rising to harm or jeopardy. That's a clean inspection history, and the state visited recently enough that the findings are current. The staffing picture is where it gets uneven: 3.55 nurse hours per resident day sits about 8% under the national average, and weekends drop roughly 14% below the home's own weekday coverage, so care thins out when families tend to visit. Turnover at 25.8% is well below the national 45.8%, which suggests a stable crew. Corporate-owned, and that one abuse-related deficiency is worth asking about directly.
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.
Mission Nursing & Rehabilitation Center runs lean on the floor. At 3.42 nurse hours per resident day, it sits about 11% under the national average of 3.86, and weekends drop roughly 14% below its own weekday coverage, so a 170-bed home can feel the difference when families visit Saturday and Sunday. Turnover is the bright spot: 33.3% against a national 45.8% means aides and nurses stick around longer than most. The tradeoff shows up in the record, 24 deficiencies, including one at the harm level and two tied to abuse, with a single $8,190 fine. Inspections are recent, and the for-profit LLC ownership has kept quality measures decent while staffing lags.
Windsor Arbor View runs on thinner nursing hours than most homes, 3.25 per resident day against a national average of 3.86, with weekends dropping another 13% below its own weekday levels, which is when families tend to notice. The 19 deficiencies on record, including one at the harm level and one tied to abuse, sit alongside a 41.4% turnover rate that's actually a bit better than the 45.8% national figure. The hospital district ownership is worth noting, and the last inspection was recent, in December 2025, so the record reflects current conditions rather than old ones. Quality measures score well; staffing is where the home is weakest.
Mid Valley runs on a thinner nursing crew than most homes, 3.32 hours per resident day against a national average of 3.86, and weekends dip about 10% below its own weekday coverage. That staffing shows up in the numbers: 27 deficiencies on the current record, four of them serious enough to cite harm or jeopardy, and three tied to abuse. Turnover sits near the national mark at 45%, and the hospital district ownership doesn't change what families experience day to day. The quality measure score looks strong, but it's the staffing and inspection record that tells you whether help arrives when someone needs it.
Mission Valley runs on a non-profit model with remarkably steady staff for the area, 18.3% turnover against a national average near 46% means the people caring for residents tend to stay. But steady isn't the same as sufficient. At 3.45 nurse hours per resident day, this home sits about 11% under the national average, and weekends dip another 11% below its own weekday numbers, so coverage thins exactly when families tend to visit. The inspection record is the harder read: 18 deficiencies, three serious enough to involve harm or jeopardy, one tied to abuse, and a $26,685 fine. Quality measures score well, but that reflects resident outcomes, not the supervision behind them.
Windsor Nursing and Rehabilitation Center of Edinburg runs on noticeably thin staffing, 2.99 nurse hours per resident day against a national average of 3.86, roughly a quarter below it, and weekends dip about 13% under its own weekday levels. The 51% annual turnover means more than half the nursing staff leaves within a year, which matters when the people providing daily care keep changing. What pulls the record up is that state inspectors, most recently in August 2025, gave it 4 out of 5 stars, and its quality measures score 5 out of 5, with 16 deficiencies on file but none involving harm, jeopardy, or abuse. So the care processes look sound on paper while the day-to-day workforce that delivers them is stretched and unstable.
The Heights of Alamo runs lean on direct care: 3.18 nurse hours per resident day against a national average of 3.86, with weekends dropping about 15% below its own weekday coverage. That thin weekend staffing matters most when residents need help and fewer hands are on the floor. Turnover sits at 38.9%, better than the 45.8% national figure, so the crew that is there tends to stay. Inspections in June 2025 produced a 4-star health rating and 5-star quality measures, but the record carries 12 deficiencies, including one at harm level and two tied to abuse, plus an $8,414 fine. Corporate-owned and for-profit, this is a home where care quality scores well while daily staffing is the weak point.
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.
Edinburg Nursing And Rehabilitation Center runs on 2.81 nurse hours per resident per day, roughly 27% under the national average, and weekends drop about 10% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover at 35.8% is better than the 45.8% national figure, which suggests some continuity, but 32 deficiencies sit on the current record, including 5 tied to abuse and 2 serious enough to put residents in harm's way. Two fines totaling $21,472 followed. It's hospital-district owned and inspected recently, in April 2025, with quality measures scoring well above its staffing. The gap between those two numbers is the whole story.
McAllen Nursing Center runs on 2.90 nurse hours per resident day, roughly a quarter below the national average, and weekend coverage drops about 10% below its own weekday level. The 2/5 inspection rating reflects 28 deficiencies on the current record, three of them at harm or jeopardy level, plus two abuse-related citations, and the state has fined the home twice, totaling $17,459. Staff turnover at 40.7% is actually a little better than the national 45.8%, though that is the one number here that leans your way. The limited liability company operating it last faced inspection in April 2025, so the record is recent.
Windsor Nursing and Rehabilitation Center of Mcallen sits in a tough spot: its inspectors clearly found a well-run building, with a 4/5 health inspection rating and a recent December 2025 survey, but the daily staffing tells a different story. At 3.04 nurse hours per resident day, it runs about 21% under the national average, weekends drop another 12% below its own weekday levels, and half the staff turns over each year, worse than the 45.8% national figure. That thin coverage shows up in 18 deficiencies, including one at the harm level and three tied to abuse, plus a $24,083 fine. Good care when watched, but not enough hands the rest of the time.
Windsor Las Palmas runs a five-star health inspection record with no deficiencies at the harm level and nothing abuse-related, which is genuinely the hard part of this business. The tradeoff shows up in staffing: 3.22 nurse hours per resident day against a national average of 3.86, and weekends run about 10 percent thinner than weekdays. Turnover sits at 40.3 percent, a bit better than the 45.8 percent norm, so the workforce is comparatively stable even if it's spread thin. One fine totaling $38,393 is on record, and the last inspection was in March 2025. Good care when inspectors look, leaner coverage the rest of the time.
Las Alturas De Penitas runs lean on nursing hours, 3.31 per resident day against a national average of 3.86, and weekends dip about 11% below its own weekday levels, so coverage loosens exactly when families tend to visit. The inspection record is the bigger concern: 17 deficiencies, five of them at harm or jeopardy level and three tied to abuse, with four fines totaling $166,236. Turnover at 35.1% actually beats the national 45.8%, and the quality measure score is strong, but a 2/5 inspection rating and 2/5 staffing rating carry more weight for daily safety. The most recent inspection was May 2026, so the record is current, not stale.
Colonial Manor runs on 3.42 nurse hours per resident per day, roughly 11% under the national average, and weekends dip another 7% below its own weekday numbers, so the thinnest coverage lands when families tend to visit. The inspection record is the harder problem: 43 deficiencies, six serious enough to reach harm or jeopardy, six tied to abuse, and four fines totaling $87,564, all from a for-profit LLC operating 123 beds. Staff turnover at 39.2% actually beats the national 45.8%, which tells you the building can hold workers, the trouble is how few of them there are and what inspectors keep finding.
Village Healthcare And Rehabilitation runs 114 certified beds in Mcallen under corporate for-profit ownership, and the staffing numbers are the main thing to know. At 3.49 nurse hours per resident day, it sits about 10% under the national average of 3.86, and weekends run roughly 15% lighter than its own weekdays, so coverage thins out exactly when families tend to visit. Turnover at 33.3% is actually better than the 45.8% national figure, which is a real point in its favor. The inspection record is the harder part: 16 deficiencies, three at harm or jeopardy level and one abuse-related, plus two fines totaling $28,970. The most recent inspection was April 2025. Ask about weekend staffing and that abuse citation directly.
The Alfredo Gonzalez Texas State Veterans Home in McAllen runs on a stable workforce, 28.5% turnover is well below the national 45.8%, and that consistency shows up in its staffing score. But 3.58 nurse hours per resident day sits about 7% under the national average, and weekends drop roughly 15% below the home's own weekday coverage, so care thins out when families tend to visit.
The bigger concern is the inspection record: a 2-out-of-5 health inspection rating, 30 deficiencies including 3 at harm or jeopardy level and 5 abuse-related, plus two fines totaling $35,600. State-run ownership brings accountability, but this home's last survey in January 2026 flagged real problems.
Hidalgo Nursing and Rehabilitation Center runs on thinner nursing coverage than most homes, 3.32 hours per resident day against a national average of 3.86, and weekends dip about 11% below its own weekday levels, which is when families often visit and notice. The 25 deficiencies on its current record include one at the harm level and four tied to abuse, and the health inspection rating sits low. Staff turnover at 41.6% is slightly better than the national 45.8%, and its quality measure score is strong, but a government-hospital-district owner doesn't change the math: the daily staffing number is what your family will actually feel.