Robert Nobles
May 2026
This is the best place I've ever seen they treat you like family they care for you and they don't do this for the money it's for the love of people I thank God for them.
1 / 5Quick Facts
- Total units
- 116
- Medicare rating
- 4 of 5
- Ownership
- For profit, Partnership
- Certified beds
- 116
- Inspections
- View history (54 citations)
- Veteran care
- Partners with VA hospital for veteran residents
- Respite care
- Short-term respite stays available for caregivers
- Wound care
- Specialized care for pressure injuries and diabetic ulcers
CMS Care Compare
What Families Think
Reviews for Medina Valley Health and Rehabilitation Center are sharply split: some families describe a warm, clean, family-like environment, while others report serious lapses in communication and attentiveness, especially around admissions and day-to-day care. The facility offers skilled nursing, rehabilitation therapies, and specialized services like wound care and hospice, but experiences with responsiveness and staff engagement appear inconsistent.
The Good
- Staff described as warm and welcoming
- Facility reported clean with no unpleasant odors
- Residents said to be treated like family
- Specialized wound care for pressure injuries and diabetic ulcers
- Hospice and respite care offered on-site
The Bad
- Several reviewers describe poor communication from staff and management
- One report of an unsafe, unprepared room on arrival
- One reviewer said calls and concerns went unanswered repeatedly
AI-generated from reviews and community data.
Medina Valley Health and Rehabilitation Center is a senior living community in Castroville, Texas offering Skilled Nursing / Long Term Care. Amenities include Gathering / Activity Spaces, Housekeeping and Laundry Service. Families rate it 3.2 out of 5 across 38 reviews.
About Medina Valley Health and Rehabilitation Center
Medina Valley Health and Rehabilitation Center is a skilled nursing facility in Castroville, Texas, offering short-term rehabilitation and long-term care. The center provides post-acute rehabilitation, medical and skilled nursing care for adults recovering from serious illness, injury, or surgery, as well as for those with ongoing medical conditions requiring residential care.
The facility's clinical services include physical, occupational, and speech therapy tailored to individual recovery goals; around-the-clock skilled nursing care coordinated by physicians, nurses, therapists, dietitians, and social workers; and specialized wound care addressing pressure injuries, diabetic ulcers, and surgical wounds. Hospice services with pain management and emotional support are available for residents with terminal conditions, along with respite care for family caregivers.
Medina Valley partners with the VA hospital to provide specialized care to veterans through a community nursing home agreement. The center emphasizes personalized nutrition support through its registered dietician, who develops meal plans to support healing and wellness for each resident.
The facility features comfortable rooms and a peaceful patio, with staff trained to learn resident names on arrival. The care team focuses on both medical recovery and emotional and social aspects of healing, with an emphasis on helping residents return home safely and quickly after hospitalization or regain independence through rehabilitation.
Types of Care at Medina Valley Health and Rehabilitation Center
Skilled Nursing / Long Term Care
Amenities
Room Amenities
- Emergency Call System
- Private Bathroom
- Private Rooms
- Wheelchair Accessible
Meals & Dining
- Dietary Accommodations (Gluten-Free, Low / No Sodium, No Sugar, Vegan)
Community Amenities
- 24-Hour Staff
- Chapel / Religious Services
- Gathering / Activity Spaces
- Housekeeping
- Laundry Service
- Medication Management
- On-Site Nurse (RN)
Need help deciding?
Tell us what you're looking for and we'll match you with communities that fit. Free, and you choose who contacts you.
Help Me ChooseReviews of Medina Valley Health and Rehabilitation Center
3.2overall · 38 ratings combined
3.2★ on Google (38)
More_no TV
Mar 2026
Everyone that works there are amazing they are like family they work hard care about there residents I will difently be back
Ashleymarie Richardson
Sep 2025
The staff at Medina Valley are always so welcoming & warm from the front door all the way to the nursing team. 10/10 recommend.
Georgia Sutherland
Sep 2025
I have been a resident of Castroville for 13 years. My daughter is a nurse who has been going in to Medina Valley Health and Rehab for over 8 years. I have personally visited the facility and found it to be clean, no odors, except the delicious smell of food from the cafeteria. Kelly at the front desk was friendly and helpful. The residents were clean and looked comfortable as they played cards, listened to music, and interacted with the staff. My daughter has told me repeatedly how dedicated the staff is to the residents and how they treat the residents like family. We would both highly recommend Medina Valley Health and Rehab.
Blank
Aug 2025
This place is the worst and if I could bring my aunt home I would. I never know anything about her unless hospice calls. I have made several attempts to get through to these people and it never fails they disappoint. I have spoken to the director and still nothing changes. The nurses there seem to look at this as another job and not someone family member they are caring for. There’s not one good thing I can say about this place. Do not put your loved one here
Government Inspection History
8 inspection visits in the last three years, 54 citations on file. Inspections are conducted by state agencies on behalf of the U.S. Centers for Medicare & Medicaid Services (CMS).
Feb 27, 2026Fire Safety StandardHealth Standard11 citations
Properly select, install, inspect, or maintain portable fire extinguishes.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 27, 2026
Provide and implement an infection prevention and control program.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 27, 2026
Ensure each resident receives an accurate assessment.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 27, 2026
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 20, 2026
Install an approved automatic sprinkler system.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 27, 2026
Keep all essential equipment working safely.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 27, 2026
Ensure proper usage of power strips and extension cords.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 27, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 27, 2026
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.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 27, 2026
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 27, 2026
Assure that each resident’s assessment is updated at least once every 3 months.
Severity B of L: potential for minimal harm, patternCorrected Mar 27, 2026
Nov 15, 2024Fire Safety StandardHealth Standard27 citations
Inspect, test, and maintain automatic sprinkler systems.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 18, 2024
Have simulated fire drills held at unexpected times.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 18, 2024
Have proper medical gas storage and administration areas.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 18, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 18, 2024
Properly select, install, inspect, or maintain portable fire extinguishes.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 18, 2024
Install proper backup exit lighting.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 18, 2024
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 18, 2024
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 18, 2024
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 18, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 18, 2024
Ensure each resident receives an accurate assessment.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 18, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 18, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 18, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 18, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 18, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 18, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 18, 2024
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 18, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 18, 2024
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 18, 2024
Provide and implement an infection prevention and control program.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 18, 2024
Keep all essential equipment working safely.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 17, 2024
Have properly located and lighted "Exit" signs.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 18, 2024
Have approved installation, maintenance and testing program for fire alarm systems.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 18, 2024
Have properly installed electrical wiring and gas equipment.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 18, 2024
Install an approved automatic sprinkler system.
Severity C of L: potential for minimal harm, widespreadCorrected Dec 18, 2024
Dispose of garbage and refuse properly.
Severity B of L: potential for minimal harm, patternCorrected Dec 18, 2024
Oct 30, 2024Health Complaint3 citations
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Nov 14, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Nov 14, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 11, 2023
Sep 21, 2024Health Complaint1 citation
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Oct 1, 2024
Jul 26, 2024Health Complaint1 citation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 2, 2024
Nov 15, 2023Health Complaint1 citation
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 11, 2023
Sep 22, 2023Fire Safety StandardHealth Standard10 citations
Provide and implement an infection prevention and control program.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 25, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 25, 2023
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 25, 2023
Dispose of garbage and refuse properly.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 25, 2023
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 25, 2023
Install an approved automatic sprinkler system.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 25, 2023
Inspect, test, and maintain automatic sprinkler systems.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 25, 2023
Ensure medication error rates are not 5 percent or greater.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 25, 2023
Ensure that residents are free from significant medication errors.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 25, 2023
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 25, 2023
Sep 14, 2023Infection ControlNo citations
Source: CMS Care Compare, public federal data covering certified nursing facilities, refreshed monthly. Citations range from A (least serious) to L (most serious) on the federal scope and severity scale. Most citations are corrected quickly; review the details and ask the community about anything that concerns you.
Frequently Asked Questions
What types of care does Medina Valley Health and Rehabilitation Center offer?
Medina Valley Health and Rehabilitation Center offers Skilled Nursing / Long Term Care.
Where is Medina Valley Health and Rehabilitation Center located?
Medina Valley Health and Rehabilitation Center is located at 913 Hwy 90 W in Castroville, Texas.
What do families say about Medina Valley Health and Rehabilitation Center?
Reviews for Medina Valley Health and Rehabilitation Center are sharply split: some families describe a warm, clean, family-like environment, while others report serious lapses in communication and attentiveness, especially around admissions and day-to-day care. The facility offers skilled nursing, rehabilitation therapies, and specialized services like wound care and hospice, but experiences with responsiveness and staff engagement appear inconsistent.
How did Medina Valley Health and Rehabilitation Center do on recent health and safety inspections?
Medina Valley Health and Rehabilitation Center had 8 government inspection visits in the last three years, with 54 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.
How can families visit Medina Valley Health and Rehabilitation Center?
Submit the Request Information form on this page to connect with Medina Valley Health and Rehabilitation Center and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.
Work at Medina Valley Health and Rehabilitation Center? Claim this listing to update photos, pricing, and details. It's free.
Nearby Communities
Other senior living options within 25 miles of Castroville.
Changing Seasons Retirement & Assisted Living
Castroville, Texas0 mi
4.7(35)
Assisted Living
Country Life Assisted Living
Lytle, Texas9.8 mi
4.7(22)
Assisted Living
Lytle Nursing Home
Lytle, Texas9.8 mi
3.1(9)
Skilled Nursing / Long Term Care
Landon Ridge Alamo Ranch Assisted Living & Memory Care
San Antonio, Texas10.9 mi
4.5(86)
Assisted LivingMemory Care
Hill Country Retreat by Del Webb- 55+ Retirement Community
San Antonio, Texas11.4 mi
4.3(70)
Independent Living
Lakeside Nursing and Rehabilitation Center
San Antonio, Texas12.4 mi
4.5(179)
Skilled Nursing / Long Term Care
Prefer to stay home?
Home care agencies serving Castroville bring help to the house: daily living, companionship, and respite for family caregivers.
