McAllen Senior AdvisorGrand Terrace Rehabilitation and Healthcare is a 93-bed nursing home at 812 W. Houston Ave., McAllen, certified for Medicare and Medicaid and licensed by the Texas Health and Human Services Commission as nursing facility #311781; CMS rates Grand Terrace Rehabilitation and Healthcare 5 out of 5 stars overall in Care Compare data dated October 1, 2026.
How does CMS rate Grand Terrace Rehabilitation and Healthcare in McAllen, Texas?
CMS rates Grand Terrace Rehabilitation and Healthcare 5 out of 5 stars overall, with 5 stars for health inspections, 2 for staffing and 5 for quality measures.
| Measure | Value |
|---|---|
| CMS overall rating | 5 of 5 |
| Health inspections (CMS) | 5 of 5 |
| Staffing (CMS) | 2 of 5 |
| Quality measures (CMS) | 5 of 5 |
| Long-stay / short-stay quality (CMS) | 5 / 5 |
| Certification (CMS) | Medicare and Medicaid |
| Certified beds; average daily census | 93; 82.8 |
| Ownership (CMS) | For profit - Corporation |
| Chain (CMS) | THE ENSIGN GROUP, 347 homes |
| Medicare/Medicaid participation since | August 21, 1985 |
| HHSC nursing facility license | #311781, 93 licensed beds |
| Alzheimer's beds (HHSC directory) | 0 |
| Licensee (HHSC) | Fannin County Hospital Authority |
About 83 residents live there on an average day, 89% of certified beds, above the 78% median for certified homes in Hidalgo County.
How many deficiencies does CMS show for Grand Terrace Rehabilitation and Healthcare?
The most recent standard health inspection in CMS's data is dated February 19, 2026 and produced 9 health deficiencies, 3 from the routine survey and 6 from complaint visits.
The cycle before that (standard survey November 20, 2024) had 2 deficiencies. The median latest-cycle count across certified homes in Hidalgo County is 11, which puts Grand Terrace Rehabilitation and Healthcare at or under the local middle.
CMS shows no fines and 0 payment denials in its three-year penalty window.
How many nursing hours do residents of Grand Terrace Rehabilitation and Healthcare receive?
Grand Terrace Rehabilitation and Healthcare reports 3.69 nurse staffing hours per resident day, above the Hidalgo County median of 3.30, including 0.42 hours from registered nurses (above the Hidalgo County median of 0.35).
Nurse aides account for 2.45 hours per resident day. Weekend total nurse staffing is 3.13 hours per resident day. Nursing staff turnover is 30.7%, below the Hidalgo County median of 38.5%; RN turnover is 27.3%. CMS counts 0 administrator departures in its measurement period.
Is Grand Terrace Rehabilitation and Healthcare certified for Medicaid long-term stays?
CMS lists Grand Terrace Rehabilitation and Healthcare as certified for Medicare and Medicaid, so it can bill Medicare for qualifying short-term skilled stays and Texas Medicaid for long-term residents who qualify financially and medically.
A rehab admission after a hospital stay usually starts under Medicare Part A, which covers up to 100 days with a daily copay after day 20. When skilled care ends, the bill shifts to private funds, insurance or Medicaid. A Texas Medicaid resident keeps a $75 monthly personal needs allowance; the rest of their income goes toward the cost of care.
What are the alternatives near Grand Terrace Rehabilitation and Healthcare in McAllen?
The closest other certified nursing home is Windsor Nursing and Rehabilitation Center of McAllen in McAllen (0.3 mi, CMS 3 of 5), and the nearest acute-care hospital is Rio Grande Regional Hospital, about 2.6 miles away.
| Facility or agency | Miles (straight line) | Licensed capacity | CMS overall rating | Latest CMS health inspection | Health deficiencies (latest cycle) |
|---|---|---|---|---|---|
| Windsor Nursing and Rehabilitation Center of McAllen 900 S 12th St, 78501 | 0.3 | 110 | 3 of 5 | December 3, 2025 | 4 |
| Avir at McAllen 600 N Cynthia St, 78501 | 1.2 | 122 | 3 of 5 | June 24, 2026 | 8 |
| Alfredo Gonzalez Texas State Veterans Home 301 E Yuma Ave, 78503 | 1.3 | 160 | 2 of 5 | January 7, 2026 | 16 |
| McAllen Transitional Care Center 2109 South K Street, 78503 | 1.4 | 100 | 4 of 5 | March 11, 2026 | 12 |
| Windsor Las Palmas Nursing and Rehabilitation Center 1301 E Quebec Ave, 78503 | 1.5 | 120 | 5 of 5 | May 7, 2026 | 6 |
Which questions does Grand Terrace Rehabilitation and Healthcare's CMS record raise?
Use the public numbers to steer the visit. First, ask for the full statement of deficiencies from February 19, 2026, even though the count (9) is not high.
- Turnover is at or below the local median; ask which charge nurses and aides have been there longest.
- With occupancy near 89%, ask which halls have openings and why.
- CMS shows a both council; ask when it meets and how families raise concerns.
- Ask whether nurses and aides on every shift speak Spanish, and how care conferences are held for Spanish-speaking families.
- Ask who the attending physicians are and how often they see long-term residents.
