F

MID VALLEY NURSING & REHABILITATION

601 N MILE 2 WEST, MERCEDES, TX 78570
Score: 34 / 100

Mid Valley Nursing & Rehabilitation has received an F grade based on CMS data, with a score of 34/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Mercedes facility should carefully review its inspection history and quality metrics.

With 3.25 total nurse hours per resident per day, Mid Valley Nursing & Rehabilitation falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.

Recent CMS inspections identified 28 deficiencies at Mid Valley Nursing & Rehabilitation, including 4 classified as serious — among the most concerning citation levels. The most notable finding involved: let each resident or the resident's legal representative access or purchase copies of all the resident's records..

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 4 / 20 pts
1 ★ staffing rating
Quality Measures 15 / 15 pts
5 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.25 3.8 Below Average
Registered Nurses (RN) 0.23 0.7 Below Average
Licensed Practical Nurses (LPN) 0.99 0.7 Above Average
Certified Nursing Assistants (CNA) 2.03 2.4 Below Average
Weekend Total Nursing 2.89 3.8 Below Average
Weekend RN Hours 0.14 0.7 Below Average

🔍 Inspection & Deficiency History

28
Total Deficiencies
Jan 12, 2026
Most Recent Inspection
🟠 24 Moderate 🔴 4 Serious
View recent deficiencies (5 shown)
  • Tag 0573 Severity D
    Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
    Jan 12, 2026 · Resident Rights Deficiencies
  • Tag 0657 Severity D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    Jan 12, 2026 · Resident Assessment and Care Planning Deficiencies
  • Tag 0842 Severity D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standar
    Jan 12, 2026 · Resident Assessment and Care Planning Deficiencies
  • Tag 0578 Severity D
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and
    Dec 30, 2025 · Resident Rights Deficiencies
  • Tag 0694 Severity D
    Provide for the safe, appropriate administration of IV fluids for a resident when needed.
    Dec 30, 2025 · Quality of Life and Care Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 1.3% 4.5% Better
Falls with major injury 0.4% 3.0% Better
On antipsychotic medication 5.0% 14.5% Better
Urinary tract infections 0.0% 2.5% Better
ADL decline (daily activities) 5.4% 14.0% Better
Excessive weight loss 0.4% 7.5% Better
New/worsened incontinence 6.1% 45.0% Better

⚠️ Penalties & Fines

2 penalties recorded by CMS

Total fines: $16,611

How This Grade Was Calculated

This facility's grade of F is based on a score of 34 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 1★ → 4 pts (max 20)
  • Quality Measures Rating: 5★ → 15 pts (max 15)
  • Penalty deductions: -10 pts
  • Fine deductions: -1 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Government - Hospital district
Certified Beds
123
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Feb 4, 2025
Deficiencies (Cycle 1)
13