Devine, TX · Medina County
★★★★★CMS 5/596 bedsFor-profitMedicaid
- Nurse hours
- 3.33 /day
- Staff turnover
- 86%
- Serious cites
- 0
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.
Castroville, TX · Medina County
★★★☆☆CMS 3/5116 bedsFor-profitMedicaid
- Nurse hours
- 2.95 /day
- Staff turnover
- 38%
- Serious cites
- 0
Medina Valley runs lean on nurses: 2.95 hours per resident per day against a national average of 3.86, and weekends drop about 19% below its own weekday staffing. That thin coverage is the main reason its staffing rating sits at the bottom of the federal scale, even though annual turnover of 37.5% is actually better than the 45.8% national figure. Inspections look stronger, a recent visit in February 2026 and no deficiencies at the harm or jeopardy level, but the record still carries 36 total deficiencies, three of them abuse-related, which matters more than the clean severity finding suggests.
Hondo, TX · Medina County
★☆☆☆☆CMS 1/575 bedsFor-profitMedicaid
- Nurse hours
- 3.41 /day
- Staff turnover
- n/a
- Serious cites
- 0
The staffing numbers at Community Care Center of Hondo are the first thing I'd want you to see: CMS gives it a single star there, against a national average that sits around three. That's the weakest possible rating, and it shows up alongside a two-star inspection history with 22 deficiencies on the current record, three serious enough to reach harm or jeopardy level, one tied to abuse. The quality measure score looks good at four stars, but that's built from resident assessment data the facility reports itself, and it doesn't offset what surveyors actually found in the building. Two fines totaling $19,096 are on file from a 75-bed for-profit home owned by an individual, last inspected in September 2025.