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.
| Measure | Value |
|---|---|
| CMS overall rating | 4 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 census | 120; 117.4 |
| Ownership (CMS) | Non profit - Corporation |
| Chain (CMS) | WELLSENTIAL HEALTH, 67 homes |
| Medicare/Medicaid participation since | October 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 agency | Miles (straight line) | Licensed capacity | CMS overall rating | Latest CMS health inspection | Health deficiencies (latest cycle) |
|---|---|---|---|---|---|
| Valley Grande Manor 1212 S Bridge, 78596 | 0.6 | 147 | 1 of 5 | July 25, 2025 | 30 |
| Windsor Nursing and Rehabilitation Center of Weslaco 721 S Airport Dr, 78596 | 1.1 | 120 | 2 of 5 | July 16, 2026 | 9 |
| Mid Valley Nursing & Rehabilitation 601 N Mile 2 West, 78570 | 7.0 | 123 | 1 of 5 | April 9, 2026 | 15 |
| The Heights of Alamo 1214 S. Alamo Road, 78516 | 8.9 | 130 | 5 of 5 | August 5, 2026 | 11 |
| San Juan Nursing Home 300 N Nebraska Ave., 78589 | 11.1 | 100 | 4 of 5 | December 11, 2025 | 7 |
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.
