All 8 Medicare-certified nursing homes in Mcallen,
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.
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.
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.
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.
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.
Briarcliff runs on about 3.25 nurse hours per resident per day, roughly 16% under the national average, and the weekend gap is real, weekends come in around 12% below what the building staffs on weekdays. Turnover sits at 53% against a national 45.8%, so nearly half the nursing staff leaves each year. The inspection record shows 46 deficiencies, including 5 at the harm or jeopardy level and 7 tied to abuse, with four fines totaling $63,129. The last inspection was May 2026. Ownership is a nonprofit corporation, and with 194 beds, there's plenty of room for the numbers to move. Right now, though, they aren't moving in the right direction.