Medina Valley Health and Rehabilitation Center

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

    Caring staff got dad home

    I've had my dad here for years and I'm very pleased - the nurses, CNAs and therapists (Angela, Rodrick, Naomi, Abby, Taylor and many others) are caring and professional, helped him regain strength, and got him home before Christmas. The building is clean and home-like, dining and activities are engaging, administration is approachable and new management has brought clear improvements; we're grateful and would recommend this team.

    Loved one of resident
    Jul 2026

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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

    3.30·(40)

    Overall rating

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

      3.4
    • Staff

      3.5
    • Meals

      3.3
    • Amenities

      2.0
    • Value

      2.0

    Pros

    • Compassionate and attentive nursing staff
    • Dedicated certified nursing assistants (CNAs)
    • Strong therapy and rehabilitation support
    • Clean, well-maintained interior and private-room availability
    • Positive dining experience and quality meals
    • Engaging social and recreational programming
    • Responsive front-desk and entry procedures
    • Supportive administration with recent management improvements
    • Family-like, home-style atmosphere
    • Accessible social work and activities coordination

    Cons

    • Inconsistent clinical responsiveness and care continuity
    • Staffing shortages and variable staff availability
    • Medication-management errors and inconsistencies
    • Communication gaps with families and discharge-planning lapses
    • Sanitation and incontinence-care concerns
    • Environmental safety and equipment shortfalls
    • Inconsistent security and resident-belongings protection
    • Financial and billing accountability concerns
    • Limited or inconsistent therapy/rehab availability
    • Inadequate admission readiness for higher-acuity residents

    Summary of reviews

    The collected reviews present a highly mixed picture of Medina Valley Health and Rehabilitation Center, with families describing both notably positive care experiences and significant operational shortcomings. Many reviewers praised individual caregivers—particularly certain nurses and CNAs—highlighting compassionate, attentive staff and a number of employees who consistently go above and beyond for residents. Therapy and rehabilitation services were cited as a strength in several accounts, and the building itself is often described as clean, fresh-looking, and pleasant with private-room options available.

    Dining and activities are commonly noted as positive aspects: the dining room experience and meal quality receive favorable comments, and the facility offers an active programming calendar (cards, bingo, exercise, puppet and magic shows, dancing) that families appreciated. Front-desk staff and some security practices (door greeting, identity checks) were commended, and a number of reviewers observed improved responsiveness under newer management and specific administrators who are viewed as engaged and approachable.

    Counterbalancing the positives are recurrent operational concerns. Staffing levels and consistency were frequently cited as problematic, producing variability in responsiveness, assistance with personal care, and follow-through on clinical tasks. Several accounts describe medication-management issues (timing errors, supply lapses) and gaps in clinical continuity that affected care outcomes. Communication and care-coordination weaknesses are another theme: families reported difficulty obtaining timely updates, inconsistent discharge planning, and unclear handoffs between shifts or departments.

    Facility-safety and sanitation issues appear uneven across reviews. While many describe a generally clean environment, other accounts indicate sanitation and incontinence-care concerns as well as occasional environmental/equipment shortfalls (room temperature control, missing safety rails or spill-proof cups). Security and belongings protection are inconsistent in the feedback: some reviewers praised entry controls while others raised serious allegations of theft and financial misconduct and noted unsecured visitation practices. Financial and billing concerns, including high monthly costs and disputes over refunds, were also raised and, in at least one instance, were associated with regulatory attention.

    In summary, the facility shows clear strengths in staff commitment, therapy support, dining, and social programming, and families considering the center will find many caregivers who are described as compassionate and effective. At the same time, there are repeated operational weaknesses that prospective residents and families should evaluate: staffing stability, medication-safety processes, family communication and discharge planning, environmental safety features for higher-acuity residents, and financial accountability policies. Prospective families would be advised to ask specific, documented questions about staffing ratios, medication administration protocols, security and valuables policies, discharge procedures, and how the facility manages higher-acuity admissions before making a placement decision.

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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

    Map showing location of Medina Valley Health and Rehabilitation Center

    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 9 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.

    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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