Medina Valley Health & Rehabilitation Center
Nursing Home Facility
913 Hwy 90 W, Castroville, TX 78009
Medina Valley Health & Rehabilitation Center is a senior care community located in Castroville, TX. It provides nursing home care and senior living for older adults in the Castroville area. To learn more or schedule a tour, call (830) 931-2900.
With 116 beds, Medina Valley Health & Rehabilitation Center is one of the larger communities in the area, senior care communities in Medina County average about 30 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.
Federal reporting puts occupancy at about 77% of its licensed beds. That is above the Medina County average of roughly 61%.
Medicare rates this community 3 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. The individual scores differ noticeably: 1 star for staffing against 4 stars for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in February 2026 and recorded 7 deficiencies.
Residents receive about 3.0 hours of nursing care per day on average, including 0.3 hours from a registered nurse. Nursing staff turnover over the past year was about 38%.
The community is located in Medina County, TX.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 36 problems at Medina Valley Health & Rehabilitation Center. None of them caused harm to a resident. 6 came from investigating complaints by residents or families.
Findings from the most recent inspection cycle
-
Could cause more than minimal harm, a pattern
Resident Assessment and Care Planning
Ensure each resident receives an accurate assessment.
-
Could cause more than minimal harm, a pattern
Infection Control
Provide and implement an infection prevention and control program.
-
Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
Could cause more than minimal harm, one or a few residents
Nursing and Physician Services
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
-
Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
-
Could cause more than minimal harm, one or a few residents
Environmental
Keep all essential equipment working safely.
-
Minimal harm or the potential for it, a pattern
Resident Assessment and Care Planning
Assure that each resident’s assessment is updated at least once every 3 months.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Medina Valley Health & Rehabilitation Center offers nursing home care and senior living.
Facility details
- Organization type For profit - Partnership
- Beds / units 116
- Occupancy 77%
- Nursing hours per resident/day 3.0
- Annual staff turnover 38%
- Last health inspection February 2026
Resident & family reviews
No one has shared a review of Medina Valley Health & Rehabilitation Center yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.