Medina Valley Health and Rehabilitation Center

    913 US-90, Castroville, TX, 78009
    3.3 · 35 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    2.0

    Good rehab, but dangerous lapses

    I placed my dad here and had mixed feelings. I saw hardworking, kind CNAs and nurses and awesome therapists (Angela stood out, as did Naomi, Abby, Taylor and Tiffany), a clean, home-like building with good activities and rehab that helped him walk. But I also witnessed dangerous lapses: soaked beds, missed meds, miscommunication, understaffing, poor admin response, alleged theft and serious medical mismanagement that required ambulance transfers. I've seen improvement under new management, but care is inconsistent - be cautious and watchful if you consider this place.

    Pricing

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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

    3.29 · 35 reviews

    Overall rating

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

      3.4
    • Staff

      3.5
    • Meals

      3.0
    • Amenities

      2.0
    • Value

      2.0

    Pros

    • Compassionate, caring staff cited frequently
    • Several standout nurses and CNAs named (Angela, Naomi, Alice, Rodrick)
    • Administration and some managers praised (Patrice/Patricia, new management)
    • Strong security controls at entrance (door greeting, identity checks)
    • Good therapy and rehabilitation services reported
    • Engaging activities program (cards, bingo, puppet/magic shows, dancing, exercise)
    • Positive dining experience and supportive dietary team
    • Consistently clean facility and no persistent odor in many reports
    • Private rooms available
    • Home-like environment described by some families
    • Helpful front desk and social work support (Taylor, Abby, Tiffany)
    • Ongoing improvements and long-tenured, dedicated staff noted

    Cons

    • Serious reports of neglect and understaffing
    • Delayed or missed nursing attention and medication errors
    • Hygiene failures (residents unbathed, bed sores, sitting in waste)
    • Instances of unsafe clinical care (BiPAP problems, water given to NPO, suspected catheter misplacement)
    • Allegations of theft and misappropriation of resident funds/belongings
    • Poor communication and unresponsive administration in some cases
    • Inconsistent care quality with wide variation between staff/shifts
    • High cost (reported over $5,000/month) with disputed refunds after death
    • Admissions not prepared for high medical needs; unscheduled dialysis and ambulance transfers reported
    • Room/environment issues (too hot, loud roommates, no safety rails, soaked mattresses)
    • Visitation/entry protocol inconsistently followed (reports of random people allowed in)
    • Policies and documents reportedly inaccessible (kept in locked vault)
    • Perception of staff socializing or lazy behavior instead of assisting residents
    • Some reports of staff under stress and poor attitudes or dictatorial management

    Summary review

    Overall sentiment in the reviews for Medina Valley Health and Rehabilitation Center is mixed, with sharply divided experiences ranging from high praise for individual staff members and certain services to very serious allegations of neglect, medical errors, and financial misconduct. Many reviewers explicitly commend compassionate caregivers, skilled therapists, and an engaging activities and dining program; at the same time, other reviewers report dangerous clinical oversights, poor hygiene, missed medications, and systemic communication failures. These contrasting themes recur across multiple reviews and appear tied to inconsistent staffing, management transitions, and variability across shifts or teams.

    Staff and direct care quality: A recurring positive thread centers on individual caregivers who go “above and beyond.” Nurse Angela is repeatedly singled out as exemplary, along with CNAs such as Naomi and Alice and other staff (Rodrick, Abby, Taylor, Tiffany, Audrey). Families describe these employees as attentive, kind, and capable, and several accounts credit therapists with meaningful rehabilitation progress. Conversely, a large set of reviews alleges inadequate care: understaffing leading to delayed nurse responses, residents left unbathed for days, bedsores, residents sitting in their own waste, soaked mattresses, and general hygiene lapses. There is strong evidence of inconsistency — some shifts or teams appear highly competent and compassionate while others are described as negligent, inattentive, or socially disengaged.

    Clinical safety and medical management: Several reviews describe direct medical safety concerns. Reported events include a BiPAP mask applied too tightly causing airway concerns, staff giving water to a patient with NPO orders, suspected incorrect catheter placement requiring ambulance transfer, missed or early medication doses, running out of prescribed pain medication, and unscheduled dialysis. Medication handling complaints also include pills being thrown away and nurses dispensing medications at incorrect times. These allegations point to potentially serious lapses in clinical protocols and medication administration that families should regard as red flags.

    Facility, security and environment: Many reviewers praise the physical facility as clean, fresh-smelling, and well maintained, and note positive aspects such as private rooms and a welcoming dining area. The activities program (cards, bingo, puppet/magic shows, dancing, exercise) and the dietary team receive favorable comments. Several reviewers explicitly say the building is well-kept and that the dining experience is positive. Security receives mixed commentary: some note strong entry controls with door greeting and identity checks, while other reviewers claim visitation and entry protocols were not consistently followed and even allege staff involvement in thefts of resident belongings. Reports of missing items and alleged staff theft (including a claim of over $1,000) are serious and conflict with the notion of a secure environment.

    Management, communication and administration: Management perception is varied. Some reviews praise administration and describe recent improvements under new management, including responsive and approachable leaders and ongoing improvements. Specific administrators (Patrice/Patricia) are praised in some accounts. At the same time, other reviews accuse administration of poor communication, unresponsiveness to family calls, refusal of refunds after death, and policy opacity (mentions of policies kept locked in a vault). There are also claims of funds misappropriation and state involvement. These divergent perspectives suggest variability in leadership responsiveness and possibly transitional issues that affect care continuity and family confidence.

    Cost and financial concerns: At least one review explicitly cites high cost (over $5,000/month) and claims that refunds were denied after a resident’s death, alongside allegations of misappropriated funds. These financial complaints, combined with theft allegations, raise significant concerns for families about financial transparency and protections.

    Patterns and recommendations: The dominant pattern is high variability — excellent care and rehabilitation for some residents and serious neglect and medical errors for others. Positive experiences often mention particular staff members repeatedly, indicating that individual caregivers can substantially influence outcomes. Negative reports cluster around understaffing, medication and clinical safety failures, hygiene neglect, poor communication, and alleged financial misconduct.

    For prospective families or those monitoring a current resident, key practical steps emerge from these reviews: visit at different times of day and across shifts to gauge consistency; ask directly about staffing ratios, medication administration protocols, and emergency procedures; verify security and visitor policies and how they are enforced; request documentation about incident reporting and resolved complaints; confirm financial safeguards for resident belongings and funds; and seek written discharge and care plans including hospice or high-acuity accommodations if applicable. Given the mix of high praise and grave concerns, careful, ongoing oversight and clear communication with facility leadership are essential to ensure safe, consistent care.

    Location

    Map showing location of Medina Valley Health and Rehabilitation Center

    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.

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