Texas average 7.4
Last Health inspection on Nov 2024

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Enticing seniors with a relaxing environment, Grand Terrace Rehabilitation and Healthcare is an outstanding senior living community located in the serene neighborhood of West Houston Avenue, McAllen, TX, that offers skilled nursing and in-house therapy. With its dedication to seniors’ well-being, the community strives to provide the highest quality of care and support around the clock. Grand Terrace Rehabilitation and Healthcare ensures the utmost comfort and healing of residents with a team of compassionate and highly trained professionals.
Pursue the lifestyle of your dreams while receiving the right assistance for your ever-changing needs. With a wide array of care options offered in the community, residents can ease their minds and do the things they love. Grand Terrace Rehabilitation and Healthcare promotes a lively and inviting environment for seniors to easily adapt into the community and have a smooth healing journey.
Occupancy lower than 85% suggests more openings may be available.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
22% of new residents, usually for short-term rehab.
51% of new residents, often for short stays.
27% of new residents, often for long-term daily care.
Grand Terrace Rehabilitation and Healthcare is administrated by Nefi Guzman.
Key information about the people who lead and staff this community.
Building Type: Single-story
Transportation Services
Fitness and Recreation
Ways to qualify for care at this community, including accepted programs.
This facility is certified for eligible Medicaid services.
This facility is certified for eligible Medicare services.
In Texas, the Health and Human Services Commission (HHSC) is the primary regulatory body that conducts unannounced inspections and publishes quality reports for all long-term care homes.
The data displayed corresponds to the last 5 years.
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Texas average: 32 deficiencies
Penalties or interventions imposed by state regulators when facilities do not comply with quality, safety, or regulatory standards.
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Texas average: 1 enforcement action
The most recent inspection on December 8, 2025, identified deficiencies related to staff not requesting required assistance during incontinent care for a resident needing two-person help. Earlier inspections showed a pattern of medication storage issues, care planning omissions, and maintenance concerns, with several complaint investigations substantiating these findings. Main themes included failures in care plan development and implementation, medication security, and adherence to care protocols for residents requiring assistance. Complaint investigations were mostly substantiated, highlighting communication gaps and oversight in following care plans, but no fines or enforcement actions were listed in the available reports. The facility’s inspection history shows recurring issues with care planning and medication management, with no clear trend of improvement or worsening over time.
Texas average 7.4
Last Health inspection on Nov 2024
Texas average 25.9
Texas average 3.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
6 of 9 citations resulted from standard inspections; 2 of 9 resulted from complaint investigations; and 1 of 9 came from combined inspections (standard and complaint).
Texas average: 2
Texas average: 0.4
Grand Terrace Rehabilitation and Healthcare is located in McAllen, Texas.
Here are the financial assistance programs available to residents in Texas.
27.0 miles from city center
Estimated distance in miles from McAllen's city center to Grand Terrace Rehabilitation and Healthcare's address, calculated via Google Maps.
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Manages medical care and health needs.
No contractors work on this role.
Assists with medical care and medications.
No contractors work on this role.
Helps with daily care and mobility.
No contractors work on this role.
Total hours from contractors
45 contractor hours this quarter
| Certified Nursing Assistant | 36 | 0 | 36 | 11,645 | 91 | 100% | 7.3 |
| Licensed Practical Nurse | 13 | 0 | 13 | 3,551 | 91 | 100% | 8.7 |
| Registered Nurse | 12 | 0 | 12 | 3,455 | 91 | 100% | 8.1 |
| Medication Aide/Technician | 7 | 0 | 7 | 2,474 | 91 | 100% | 7.7 |
| Qualified Activities Professional | 7 | 0 | 7 | 2,281 | 91 | 100% | 9.3 |
| Speech Language Pathologist | 8 | 0 | 8 | 2,039 | 65 | 71% | 7.6 |
| Physical Therapy Aide | 7 | 0 | 7 | 1,677 | 65 | 71% | 6.7 |
| RN Director of Nursing | 5 | 0 | 5 | 1,517 | 65 | 71% | 8.9 |
| Qualified Social Worker | 7 | 0 | 7 | 1,323 | 65 | 71% | 6.9 |
| Dental Services Staff | 3 | 0 | 3 | 1,007 | 64 | 70% | 8 |
| Physical Therapy Assistant | 2 | 0 | 2 | 769 | 65 | 71% | 6.8 |
| Nurse Practitioner | 1 | 0 | 1 | 560 | 63 | 69% | 8.9 |
| Dietitian | 1 | 0 | 1 | 516 | 60 | 66% | 8.6 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 497 | 64 | 70% | 5.9 |
| Therapeutic Recreation Specialist | 1 | 0 | 1 | 459 | 60 | 66% | 7.6 |
| Other Dietary Services Staff | 3 | 0 | 3 | 452 | 58 | 64% | 7.6 |
| Administrator | 1 | 0 | 1 | 432 | 54 | 59% | 8 |
| Nurse Aide in Training | 1 | 0 | 1 | 425 | 59 | 65% | 7.2 |
| Clinical Nurse Specialist | 6 | 0 | 6 | 391 | 46 | 51% | 7.4 |
| Medical Director | 0 | 1 | 1 | 45 | 33 | 36% | 1.4 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
| Grand Terrace Rehabilitation and Healthcare |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Mcallen | 93 | 77.3% | +22% | 2.79 | +28% | -23% | 0 | 9 | 1.8 | - | 81 | 76 | Mcallen Care Associates, Inc. | $12.2M | $4.4M | 36.5% | 455586 | ||||
| Alfredo Gonzalez Texas State Veterans Home |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Mcallen (East Yuma Avenue) | 160 | 95.3% | +50% | 3.73 | +4% | +3% | 1 | 16 | 3.2 | 1 | 152 | 6 | Sears Methodist Retirement System, Inc. | $19.9M | $5.8M | 29.3% | 676063 | ||||
| Hidalgo Nursing and Rehabilitation Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Edinburg | 126 | 61.0% | -4% | 2.74 | -7% | -24% | 1 | 17 | 2.8 | 1 | 97 | 29 | Regency Ihs Of Hidalgo Llc | $15.0M | $5.3M | 35.4% | 676346 | ||||
| Mission Valley Nursing and Transitional Care |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Mission | 120 | 96.7% | +52% | 3.33 | -3% | -8% | 0 | 17 | 2.8 | 3 | 116 | 11 | Mission Valley Nursing And Transitional Care Llc | $14.4M | $4.8M | 33.2% | 676446 | ||||
| Village Healthcare and Rehabilitation |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Mcallen (Trevino Colonia) | 114 | 76.8% | +21% | 3.31 | -16% | -9% | 2 | 16 | 2.0 | 3 | 95 | 66 | Mcallen Community Healthcare, Inc. | $17.3M | $5.5M | 32% | 675689 |
Historical financial and operational data for Grand Terrace Rehabilitation and Healthcare based on CMS SNF Cost Reports.
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The legal owner and operator of Grand Terrace Rehabilitation and Healthcare is Fannin County Hospital Authority.
Grand Terrace Rehabilitation and Healthcare has a walk score of 76. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to TX state health department records, Grand Terrace Rehabilitation and Healthcare's license number is 311781.
According to TX state health department records, Grand Terrace Rehabilitation and Healthcare's license expires on January 12, 2026.
Nefi Guzman is the administrator of Grand Terrace Rehabilitation and Healthcare.
Grand Terrace Rehabilitation and Healthcare has 93 beds.
(956) 682-6331 will put you in contact with the team at Grand Terrace Rehabilitation and Healthcare.

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