Hidalgo Nursing and Rehabilitation Center is a 126-bed nursing home at 4503 S Sugar Rd, Edinburg, certified for Medicare and Medicaid and licensed by the Texas Health and Human Services Commission as nursing facility #308645; CMS rates Hidalgo Nursing and Rehabilitation Center 1 out of 5 stars overall in Care Compare data dated October 1, 2026.
How does CMS rate Hidalgo Nursing and Rehabilitation Center in Edinburg, Texas?
CMS rates Hidalgo Nursing and Rehabilitation Center 1 out of 5 stars overall, with 2 stars for health inspections, 1 for staffing and 4 for quality measures.
| Measure | Value |
|---|---|
| CMS overall rating | 1 of 5 |
| Health inspections (CMS) | 2 of 5 |
| Staffing (CMS) | 1 of 5 |
| Quality measures (CMS) | 4 of 5 |
| Long-stay / short-stay quality (CMS) | 5 / 4 |
| Certification (CMS) | Medicare and Medicaid |
| Certified beds; average daily census | 126; 98.6 |
| Ownership (CMS) | Government - Hospital district |
| Chain (CMS) | WELLSENTIAL HEALTH, 67 homes |
| Medicare/Medicaid participation since | November 9, 2013 |
| HHSC nursing facility license | #308645, 126 licensed beds |
| Alzheimer's beds (HHSC directory) | 0 |
| Licensee (HHSC) | Uvalde County Hospital Authority |
About 99 residents live there on an average day, 78% of certified beds, roughly matching the 78% median for certified homes in Hidalgo County.
What did Hidalgo Nursing and Rehabilitation Center's latest health inspection find?
Surveyors' latest standard health inspection of Hidalgo Nursing and Rehabilitation Center was on April 14, 2026; CMS records 10 health deficiencies in that cycle (6 standard, 4 complaint).
An earlier cycle, surveyed February 12, 2025, recorded 14 deficiencies. Against a county median of 11 deficiencies, the latest count is typical or better.
Within CMS's three-year penalty window it shows 1 fine totaling $7,582 and 0 payment denials.
The abuse icon appears on this home's CMS profile, which means a citation for abuse in the last year, or for potential abuse in each of the last two years.
What do staffing and turnover look like at Hidalgo Nursing and Rehabilitation Center?
Residents at Hidalgo Nursing and Rehabilitation Center get about 3.50 hours of nursing staff time per day in CMS's payroll data, above the Hidalgo County median of 3.30; registered nurses supply 0.47 of those hours.
Nurse aides account for 2.14 hours per resident day. Weekend total nurse staffing is 3.13 hours per resident day. Nursing staff turnover is 42.9%, above the Hidalgo County median of 38.5%; RN turnover is 46.2%. CMS counts 0 administrator departures in its measurement period.
Does Hidalgo Nursing and Rehabilitation Center accept Medicare and Texas Medicaid?
CMS lists Hidalgo Nursing and Rehabilitation Center 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.
Ask the business office which payer a bed is filled under; a Medicare rehab bed and a long-term Medicaid bed can be on different halls. 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 Hidalgo Nursing and Rehabilitation Center in Edinburg?
The closest other certified nursing home is Edinburg Nursing and Rehabilitation Center in Edinburg (0.6 mi, CMS 2 of 5), and the nearest acute-care hospital is South Texas Health System, about 1.2 miles away.
| Facility or agency | Miles (straight line) | Licensed capacity | CMS overall rating | Latest CMS health inspection | Health deficiencies (latest cycle) |
|---|---|---|---|---|---|
| Edinburg Nursing and Rehabilitation Center 5215 S Sugar Rd, 78539 | 0.6 | 120 | 2 of 5 | May 19, 2026 | 16 |
| Avir at Pharr 1100 W. Minnesota Rd., 78577 | 1.5 | 123 | 2 of 5 | June 25, 2026 | 17 |
| Windsor Nursing and Rehabilitation Center of Edinburg 1505 S Closner Blvd, 78539 | 2.1 | 96 | 4 of 5 | August 28, 2025 | 11 |
| Windsor Arbor View 218 Baltic Ave, 78539 | 2.8 | 120 | 4 of 5 | December 17, 2025 | 11 |
| Avir at McAllen 600 N Cynthia St, 78501 | 4.3 | 122 | 3 of 5 | June 24, 2026 | 8 |
What should families ask before choosing Hidalgo Nursing and Rehabilitation Center?
Use the public numbers to steer the visit. First, ask for the full statement of deficiencies from April 14, 2026, even though the count (10) is not high.
- Turnover of 42.9% is above the local median; ask what share of aides on nights and weekends are agency staff.
- Ask what led to the $7,582 in CMS fines and whether the problem has been closed out.
- With occupancy near 78%, ask which halls have openings and why.
- CMS shows a resident 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.
