Medina Valley Health and Rehabilitation Center

    913 US-90, Castroville, TX 78009
    • Assisted Living
    • Memory Care
    • Skilled Nursing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    3.34·(41)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.5
    • Staff

      3.5
    • Meals

      3.3
    • Amenities

      2.0
    • Value

      2.0

    Pros

    • Dedicated, compassionate nursing and CNA staff
    • Standout individual caregivers recognized for exceptional attention
    • Engaging activity program (bingo, games, performances, outings)
    • Positive dining experience and attentive dietary team
    • Rehabilitation and therapy services with documented progress
    • Clean, well-maintained facility appearance and odor-free common areas
    • Secure entry with visitor identity checks and restricted access
    • Private rooms available
    • Approachable front-desk and admissions personnel
    • Visible management efforts and recent quality-improvement initiatives
    • Family-like atmosphere and resident-focused social interactions

    Cons

    • Inconsistent clinical-care quality across shifts
    • Staffing shortages and uneven staff availability
    • Medication-management and administration controls gaps
    • Delays in responding to resident needs and nurse-call responsiveness
    • Gaps in pressure-injury prevention and incontinence-care timeliness
    • Poor family and interdepartmental communication and discharge planning
    • Variability in leadership responsiveness and follow-through
    • Security/visitor-control inconsistencies despite formal entry checks
    • Environmental comfort and room-assignment shortcomings (temperature, noise, safety equipment)
    • Inconsistent therapy scheduling and rehabilitation availability
    • Allegations of theft and financial mishandling

    Summary of reviews

    The reviews for Medina Valley Health and Rehabilitation Center present a polarized picture: many families and residents praise individual caregivers, certain clinical teams, and facility amenities, while others describe significant operational shortcomings. Positive comments consistently highlight compassionate front-line staff, a robust activities program, well-rated dining, and a generally clean facility. Conversely, a set of recurring operational themes — especially around staffing, medication handling, and communication — underpin the more critical feedback.

    Care quality appears uneven. Several families described nurses and CNAs who provide attentive, individualized care and named specific staff members for going above and beyond. At the same time, other accounts describe delayed responses to calls, missed or mishandled medications, insufficient support for higher-acuity residents, and gaps in pressure-injury prevention and timely incontinence care. Rehabilitation and therapy services are noted as effective in many cases, assisting residents toward functional gains, but availability and consistency of therapy scheduling were also raised as concerns.

    Staff and management impressions are similarly mixed. Reviewers frequently commend hardworking, compassionate caregivers and an approachable front desk; multiple comments single out individual nurses and aides for exceptional attention. However, staffing shortages and uneven coverage were cited as contributors to delays and inconsistent care. Management responsiveness is described as improving by some families—with mentions of recent leadership changes and quality-improvement efforts—while others report slow or inadequate communication from administration and unresolved follow-up on serious issues.

    Dining and activities are relative strengths. The dining experience is characterized as positive by numerous reviewers, with an attentive dietary team. The activity program is active and varied, including games, performances, exercise, and social events that families find meaningful for resident engagement. The facility also benefits from secure-entry procedures and private-room options, contributing to a sense of safety and dignity for many residents.

    Facility environment and safety show contrast across reports. Many reviewers describe a clean, well-kept building with fresh-looking common areas; others describe environmental comfort issues such as room temperature, noisy roommates, and occasional lapses in basic safety equipment (for example, bed rails or spill-proof drinking containers). There are also serious operational concerns: medication-management controls, communication and discharge-planning processes, and timely response to clinical needs were repeatedly cited. Additionally, a small number of reviews include allegations of theft and concerns about financial handling during sensitive transitions, which prospective families should treat as a significant point for verification.

    For prospective residents and family decision-makers: the facility demonstrates clear strengths in staff commitment, activities, dining, and rehab capability, but it also exhibits variability in staffing levels, clinical consistency, medication controls, and administrative communication. When evaluating the center, consider in-person observation across different shifts, ask for staffing ratios and medication-safety protocols, review discharge and financial policies in writing, verify therapy schedules, and request documentation about recent management changes and corrective actions. These steps can help determine whether the facility’s strengths align with the prospective resident’s clinical needs and expectations.

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    Medicare Ratings

    4·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Medina Valley Health and Rehabilitation Center is located at 913 US-90, Castroville, TX, 78009.

    About Medina Valley Health and Rehabilitation Center

    Medina Valley Health and Rehabilitation Center is a nursing home that gives long-term care, memory care, and post-acute rehabilitation, and sometimes it feels like a place where the staff really watches out for the residents because they know folks come here needing help with daily things like bathing, eating, and getting around, and you'll see that the nurses and therapists are always there helping with medication, wound care, and even helping someone stand back on their own two feet after an injury like a broken hip. There's occupational, physical, and speech therapy offered by trained therapists who know how to help people dress, eat, speak, and even swallow if that's gotten hard, and they all seem careful about using the latest therapy tools, especially for speech issues, and it makes a difference when people are trying to get back some independence. There's a registered dietitian and nutrition specialist who plans balanced meals, and if you're diabetic or have another special diet, they pay attention, so everyone gets fed right, and you see folks gather in the shared dining room where meals and social time go together.

    Staff here handle everything from basic hygiene to medication management, and sometimes that means helping people in their final days with hospice care or just offering a break to family caregivers through respite care, so it covers a range of needs. You notice the building is clean and smells fresh, and the team puts effort into making comfortable spaces, safe for moving around, with places for social activities and events, so nobody feels left out. The staff's known in the community for caring, volunteer work, and for being there for the long haul, and the place even earned a "Great Place to Work™" certification, which says something about the environment and how people treat each other. Medina Valley has shared spaces, communal dining, and organized programs, all trying to keep residents engaged and active, and you'll see a focus on patient comfort, right down to wound care and mobility support. Families can take a video tour to see for themselves. This center is well-established and works hard to maintain good hygiene and a positive, neighborly feeling, while always keeping a close eye on each resident's medical and personal needs.

    People often ask...

    Medina Valley Health and Rehabilitation Center offers assisted living, memory care, and skilled nursing.

    There are 15 photos of Medina Valley Health and Rehabilitation Center on Mirador.

    The full address for this community is 913 US-90, Castroville, TX 78009.

    No, Medina Valley Health and Rehabilitation Center does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Texas, the Health & Human Services Commission licenses assisted living and long-term care facilities, conducting health and life-safety visits and complaint investigations.

    License number001cv00000RsTxQAAV
    StatusActive
    Facility typeNursing Facility (snf/nf)
    License classLicensed
    Capacity116 residents
    LicenseeMEDINA COUNTY HOSPITAL DISTRICT
    Care servedSnf/nf
    View the official license record

    Inspection Reports

    2

    Reports

    18

    Citations

    0

    Complaints

    0

    Years

    27 Feb 2026Inspection
    Identified multiple deficiencies related to assessments, staffing, infection control, pressure ulcers, equipment maintenance, and recordkeeping.
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    25 Feb 2026Life Safety
    Identified multiple Life Safety Code deficiencies at the health care occupancy, including ventilation, fire protection, emergency power, storage, building maintenance, extinguishers, and wiring.
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    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Medina Valley Health and Rehabilitation Center. The information above has not been verified or approved by the owner or operator. For exact information, please contact Medina Valley Health and Rehabilitation Center directly. There is no cost for this service. We are compensated by the community you select.

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