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Weslaco Nursing and Rehabilitation Center

Medicare/Medicaid-certified nursing home, Weslaco, Hidalgo County, Texas

4 CMS overall stars
120 certified beds
15 deficiencies, latest cycle
Quick answer

Weslaco Nursing and Rehabilitation Center is a 120-bed nursing home at 422 E 18th St, Weslaco, certified for Medicare and Medicaid and licensed by the Texas Health and Human Services Commission as nursing facility #147400; CMS rates Weslaco Nursing and Rehabilitation Center 4 out of 5 stars overall in Care Compare data dated October 1, 2026.

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Record summary

Weslaco Nursing and Rehabilitation Center is a 120-bed nursing home at 422 E 18th St, Weslaco, certified for Medicare and Medicaid and licensed by the Texas Health and Human Services Commission as nursing facility #147400; CMS rates Weslaco Nursing and Rehabilitation Center 4 out of 5 stars overall in Care Compare data dated October 1, 2026.

How many stars does Medicare give Weslaco Nursing and Rehabilitation Center?

CMS rates Weslaco Nursing and Rehabilitation Center 4 out of 5 stars overall, with 3 stars for health inspections, 2 for staffing and 5 for quality measures.

MeasureValue
CMS overall rating4 of 5
Health inspections (CMS)3 of 5
Staffing (CMS)2 of 5
Quality measures (CMS)5 of 5
Long-stay / short-stay quality (CMS)5 / 4
Certification (CMS)Medicare and Medicaid
Certified beds; average daily census120; 117.4
Ownership (CMS)Non profit - Corporation
Chain (CMS)WELLSENTIAL HEALTH, 67 homes
Medicare/Medicaid participation sinceOctober 5, 2004
HHSC nursing facility license#147400, 120 licensed beds
Alzheimer's beds (HHSC directory)0
Licensee (HHSC)Starr County Hospital District

About 117 residents live there on an average day, 98% of certified beds, above the 78% median for certified homes in Hidalgo County.

What did Weslaco Nursing and Rehabilitation Center's latest health inspection find?

CMS dates Weslaco Nursing and Rehabilitation Center's last standard inspection July 28, 2026, and the cycle carries 15 health deficiencies: 11 from the survey and 5 from complaints.

An earlier cycle, surveyed May 14, 2025, recorded 9 deficiencies. Against a county median of 11 deficiencies, the latest count is on the high side.

CMS shows no fines and 0 payment denials in its three-year penalty window.

Is Weslaco Nursing and Rehabilitation Center well staffed?

CMS's payroll-based figures credit Weslaco Nursing and Rehabilitation Center with 3.29 total nurse hours per resident per day (essentially level with the Hidalgo County median of 3.30), of which 0.20 are RN hours.

Nurse aides account for 2.14 hours per resident day. Weekend total nurse staffing is 2.90 hours per resident day. Nursing staff turnover is 23.9%, below the Hidalgo County median of 38.5%; RN turnover is 20.0%. CMS counts 0 administrator departures in its measurement period.

Is Weslaco Nursing and Rehabilitation Center certified for Medicaid long-term stays?

CMS lists Weslaco 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.

Medicare's skilled nursing benefit requires a qualifying inpatient hospital stay of at least three days and pays in full only for the first 20 days; a daily coinsurance applies from day 21 to day 100. Long-term custodial care is paid privately, by long-term care insurance, or by 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 Weslaco Nursing and Rehabilitation Center in Weslaco?

The closest other certified nursing home is Valley Grande Manor in Weslaco (0.6 mi, CMS 1 of 5), and the nearest acute-care hospital is Knapp Medical Center, about 3.1 miles away.

Facility or agencyMiles (straight line)Licensed capacityCMS overall ratingLatest CMS health inspectionHealth deficiencies (latest cycle)
Valley Grande Manor
1212 S Bridge, 78596
0.61471 of 5July 25, 202530
Windsor Nursing and Rehabilitation Center of Weslaco
721 S Airport Dr, 78596
1.11202 of 5July 16, 20269
Mid Valley Nursing & Rehabilitation
601 N Mile 2 West, 78570
7.01231 of 5April 9, 202615
The Heights of Alamo
1214 S. Alamo Road, 78516
8.91305 of 5August 5, 202611
San Juan Nursing Home
300 N Nebraska Ave., 78589
11.11004 of 5December 11, 20257

What should families ask before choosing Weslaco Nursing and Rehabilitation Center?

Start with what the record raises: ask for the plan of correction covering the 15 deficiencies from July 28, 2026 and what has been re-checked since.

  • Turnover is at or below the local median; ask which charge nurses and aides have been there longest.
  • With occupancy near 98%, ask about the wait list and whether rehab and long-term beds are separate.
  • 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.
Source: Texas Health and Human Services Commission active-license directories as of November 5, 2026 (apps.hhs.texas.gov); CMS Care Compare Provider Information, data as of October 1, 2026 (data.cms.gov). Any star rating shown is published by CMS. McAllen Senior Advisor does not rate or rank facilities.

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