Grand Terrace Rehabilitation and Healthcare

    812 W Houston Ave, McAllen, TX 78501
    • 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)
    • Transportation to doctors appointments

    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

    4.91·(511)

    Overall rating

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

      4.7
    • Staff

      4.8
    • Meals

      4.4
    • Amenities

      4.4
    • Value

      3.0

    Pros

    • Compassionate and attentive nursing and CNA care
    • Strong rehabilitation program (PT/OT/SLP) with measurable progress
    • Skilled respiratory therapy and 24/7 respiratory-therapist availability
    • Capability for tracheostomy care and bedside dialysis
    • Coordinated care with physicians and renal services
    • Knowledgeable wound-care expertise
    • Engaging activities program with dedicated activity leadership
    • Clean, well-maintained interior and pleasant common areas
    • Warm, home‑like atmosphere and hospitable staff
    • Responsive case management and service-coordinator support
    • Assistance with insurance and Medicaid/financial navigation
    • Organized therapy gym and medical-equipment logistics
    • Accommodation of dietary needs (including gluten-free)
    • Accessible family communication and visitation practices
    • Effective outpatient and respite therapy options

    Cons

    • Staffing shortages and inconsistent coverage (nights/weekends)
    • Inconsistent responsiveness to call lights and care requests
    • Equipment availability and maintenance gaps (lifts, wheelchairs)
    • Therapy scheduling inconsistencies and limited weekend therapy
    • Gaps in emergency-response protocols and family notification
    • Medication-management and documentation controls needing improvement
    • Variability in staff communication tone and resident-centeredness
    • Vulnerabilities in handling resident belongings and finances
    • Inconsistency between advertised services and delivered care
    • Inconsistent complaint resolution and accountability processes

    Summary of reviews

    Reviews for Grand Terrace Rehabilitation and Healthcare present a broadly mixed but principally positive clinical picture with several recurring operational concerns. Strengths prominently include robust rehabilitative services, specialized respiratory capability, and coordinated care for higher-acuity needs (including tracheostomy support and bedside dialysis). Many families and patients praised attentive nursing, CNAs, therapists, and a service-oriented case-management team; several reviews cite measurable functional improvement and successful discharges to home.

    Staff and direct-care quality are frequently identified as the facility's core strength. Reviewers highlight a compassionate bedside approach, effective interdisciplinary coordination (therapy, nursing, respiratory services), and responsive case workers who assist with appointments, home-health arrangements, and insurance/Medicaid navigation. Respiratory therapists, wound-care clinicians, and the therapy gym receive consistent commendation. At the same time, there is variability in staff conduct and tone: while many describe respectful, warm interactions, others describe less patient-centered communication and delays in responding to requests.

    Operational weaknesses center on staffing, equipment, and process consistency. Several reviews point to understaffing or limited coverage during nights and weekends, producing slower response times to call lights and unmet care requests. Relatedly, equipment availability and maintenance issues — for example lifts, patient-handling devices, and wheelchair shortages — were cited as impediments to safe and timely care. Therapy availability appears strong during weekdays but is described as inconsistent outside standard hours. Reviewers also raised concerns about medication-management controls and documentation, and there are allegations involving handling of resident belongings and financial instruments that suggest a need for tighter safeguards and clearer accountability.

    Dining and activities are generally reported positively. Multiple comments reference palatable, home-style meals, accommodation of special diets, and an active activities program led by engaged staff. The activities department, including named leaders, is repeatedly credited with improving residents’ days and social engagement. The interior environment is frequently described as clean, odor‑controlled, and welcoming; a few reviewers noted a dated exterior appearance or variability in upkeep across areas, suggesting unevenness between public-facing maintenance and internal presentation.

    Management and administrative performance shows contrasting elements. The business office, admissions coordinators, and several administrators and case managers receive praise for clear explanations, proactive problem‑solving, and assistance with financial/insurance matters. Conversely, there are indications of inconsistent complaint resolution and lapses in emergency response communication to families. One or two accounts include serious individual allegations regarding financial mishandling; these items warrant direct inquiry with management and, if needed, review of facility safeguards and documentation.

    For prospective residents and families: Grand Terrace offers considerable clinical capability for higher-acuity rehabilitation and respiratory care, with strong therapy outcomes and many staff praised for compassion and competence. Prior to admission, families should verify staffing patterns (particularly nights and weekends), observe emergency-response procedures and documentation practices, confirm equipment availability for specific mobility needs, discuss medication‑management and transfer protocols, and clarify the facility’s procedures for safeguarding resident belongings and financial affairs. An on-site visit to observe therapy sessions, activities programming, and mealtime service will help align expectations with the facility’s demonstrated strengths and the operational inconsistencies noted above.

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    Medicare Ratings

    5·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

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

    Location

    Grand Terrace Rehabilitation and Healthcare is located at 812 W Houston Ave, McAllen, TX, 78501.

    About Grand Terrace Rehabilitation and Healthcare

    Grand Terrace Rehabilitation and Healthcare is a skilled nursing facility with 93 certified beds that gives both short-term rehabilitation and long-term care for people needing help between hospital and home or for those who are very frail and rely on nursing care around the clock. The staff includes skilled nurses who provide 24-hour care under in-house physician direction, and the facility brings in state-of-the-art therapy services right on the premises, using both hands-on and modern approaches to help residents regain strength and mobility at their own pace, with personalized care plans created together with residents, their families, and healthcare providers. The grounds are nicely landscaped, and you'll find both private and semi-private room options, along with well-appointed accommodations and a range of amenities like housekeeping, laundry services, and nutritious meal options from satisfying menus designed to meet different dietary needs. There's a variety of activities each month aimed at keeping residents active and engaged, so people who live here can enjoy a welcoming and comfortable environment while they focus on recovery or ongoing care. Grand Terrace is managed by Mcallen Care Associates, Inc., Soon Burnam, and Nefi Guzman, all since December 2023, and is directly owned by Fannin County Hospital Authority, while also being affiliated with The Ensign Group. Staff deliver 3.40 nurse hours per resident each day, but it's important to know that reports show a nurse turnover rate of 58.4%, and there have been 12 documented inspection deficiencies, including 2 related to infection, so the facility follows set policies to make sure areas are safe, clean, and comfortable for everyone and works to create effective treatment and care plans tailored to each person's unique needs. Grand Terrace holds a 4-star overall quality care rating from Medicare.gov which can be helpful for families looking at the different options available for their loved ones' needs.

    People often ask...

    Grand Terrace Rehabilitation and Healthcare offers assisted living, memory care, and skilled nursing.

    There are 29 photos of Grand Terrace Rehabilitation and Healthcare on Mirador.

    The full address for this community is 812 W Houston Ave, McAllen, TX 78501.

    No, Grand Terrace Rehabilitation and Healthcare 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 number001cv00000RqZt8AAF
    StatusActive
    Facility typeNursing Facility (snf/nf)
    License classLicensed
    Capacity93 residents
    LicenseeFannin County Hospital Authority
    Care servedSnf/nf
    View the official license record

    Inspection Reports

    1

    Reports

    4

    Citations

    0

    Complaints

    0

    Years

    19 Feb 2026Inspection
    Investigated and identified four deficiencies related to care planning and medication management. Found incomplete care planning, lack of consent for psychoactive drugs, and use of unnecessary or psychotropic medications.
    • —Health Visit
    • —Health Visit
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    • —Health Visit

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

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