Best Nursing Homes in Hidalgo County, TX

Why trust this guide? Our editorial team analyzed 5 nursing homes in Hidalgo County, TX using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in TX
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We analyzed These are the facilities in Hidalgo County, TX our team has analyzed — not a count of every nursing home provider in Hidalgo County, TX.
5 homes
Other senior care options in Hidalgo County:

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Avg Overall CMS Rating: 2.8/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Hidalgo County, TX. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average: 3.2/ 5
Avg Staffing Rating: 2.2/ 5The average Staffing Rating across all CMS-certified nursing homes in Hidalgo County, TX. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average: 3.4/ 5
Avg Health Insp. Rating: 2.6/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Hidalgo County, TX. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
National Average: 3.0/ 5

Compare Nursing Homes around Hidalgo County

Info below is compiled from CMS reports & the TX Health & Human Services Commission (HHSC), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Texas average is: 71.6% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Grand Terrace Rehabilitation and Healthcare
NH
SNF
Mcallen
93
Facility 93
TX AVG 78
Rank #387 / 980
87.7%
Facility 87.7%
TX AVG 71.2%
Rank #29 / 163
+23%
2.91
Facility 2.91
TX AVG 3.63
Rank #193 / 234
+6%-20%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 237
9
Facility 9
TX AVG 25.9
Rank #17 / 234
1.8
Facility 1.8
TX AVG 3.7
Rank #10 / 234
-82-
76
Facility 76
TX AVG 42
Rank #57 / 1,345
Mcallen Care Associates, Inc$8.0M*Fiscal year ending 11/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.$4.1M*Fiscal year ending 11/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.51%*Fiscal year ending 11/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.455586
Village Healthcare and Rehabilitation
NH
SNF
Mcallen (Trevino Colonia)
114
Facility 114
TX AVG 78
Rank #272 / 980
81.4%
Facility 81.4%
TX AVG 71.2%
Rank #48 / 163
+14%
2.92
Facility 2.92
TX AVG 3.63
Rank #193 / 234
-62%-19%
$29.0k
Facility $29.0k
TX AVG $81.8k
Rank #134 / 237
16
Facility 16
TX AVG 25.9
Rank #59 / 234
2.0
Facility 2.0
TX AVG 3.7
Rank #22 / 234
393-
66
Facility 66
TX AVG 42
Rank #185 / 1,345
Mcallen Community Healthcare, Inc
$12.2MFiscal year ending 12/2023
Facility $12.2MFiscal year ending 12/2023
TX AVG $9.4M
Rank #37 / 218
$6.2MFiscal year ending 12/2023
Facility $6.2MFiscal year ending 12/2023
TX AVG $5.4M
Rank #55 / 218
50.8%Fiscal year ending 12/2023
Facility 50.8%Fiscal year ending 12/2023
TX AVG 71.6%
Rank #146 / 199
675689
Mission Valley Nursing and Transitional Care
NH
MC
RC
SNF
Mission
120
Facility 120
TX AVG 78
Rank #192 / 980
96.2%
Facility 96.2%
TX AVG 71.2%
Rank #6 / 163
+35%
3.13
Facility 3.13
TX AVG 3.63
Rank #161 / 234
-3%-14%
$26.7k
Facility $26.7k
TX AVG $81.8k
Rank #130 / 237
17
Facility 17
TX AVG 25.9
Rank #72 / 234
2.8
Facility 2.8
TX AVG 3.7
Rank #77 / 234
3115-
11
Facility 11
TX AVG 42
Rank #1,215 / 1,345
Miss Ion Valley Nursing And Transitional Care LLC
$12.4MFiscal year ending 09/2023
Facility $12.4MFiscal year ending 09/2023
TX AVG $9.4M
Rank #33 / 218
$5.3MFiscal year ending 09/2023
Facility $5.3MFiscal year ending 09/2023
TX AVG $5.4M
Rank #90 / 218
42.6%Fiscal year ending 09/2023
Facility 42.6%Fiscal year ending 09/2023
TX AVG 71.6%
Rank #176 / 199
676446
Alfredo Gonzalez Texas State Veterans Home
NH
MC
RC
SNF
Mcallen
160
Facility 160
TX AVG 78
Rank #40 / 980
96.7%
Facility 96.7%
TX AVG 71.2%
Rank #4 / 163
+36%
4.09
Facility 4.09
TX AVG 3.63
Rank #47 / 234
-23%+13%
$35.6k
Facility $35.6k
TX AVG $81.8k
Rank #148 / 237
16
Facility 16
TX AVG 25.9
Rank #59 / 234
3.2
Facility 3.2
TX AVG 3.7
Rank #117 / 234
1155A+
6
Facility 6
TX AVG 42
Rank #1,286 / 1,345
Sears Methodist Retirement System, Inc
$16.7MFiscal year ending 08/2024
Facility $16.7MFiscal year ending 08/2024
TX AVG $9.4M
Rank #15 / 218
$6.5MFiscal year ending 08/2024
Facility $6.5MFiscal year ending 08/2024
TX AVG $5.4M
Rank #50 / 218
39%Fiscal year ending 08/2024
Facility 39%Fiscal year ending 08/2024
TX AVG 71.6%
Rank #189 / 199
676063
Hidalgo Nursing and Rehabilitation Center
NH
HOS
MC
PC
RC
SNF
Edinburg
126
Facility 126
TX AVG 78
Rank #148 / 980
77.8%
Facility 77.8%
TX AVG 71.2%
Rank #62 / 163
+9%
2.56
Facility 2.56
TX AVG 3.63
Rank #229 / 234
-53%-30%
$7.6k
Facility $7.6k
TX AVG $81.8k
Rank #66 / 237
17
Facility 17
TX AVG 25.9
Rank #72 / 234
2.8
Facility 2.8
TX AVG 3.7
Rank #77 / 234
198-
29
Facility 29
TX AVG 42
Rank #942 / 1,345
Regency Ihs Of Hidalgo LLC
$9.7MFiscal year ending 06/2024
Facility $9.7MFiscal year ending 06/2024
TX AVG $9.4M
Rank #79 / 218
$5.8MFiscal year ending 06/2024
Facility $5.8MFiscal year ending 06/2024
TX AVG $5.4M
Rank #67 / 218
60.3%Fiscal year ending 06/2024
Facility 60.3%Fiscal year ending 06/2024
TX AVG 71.6%
Rank #92 / 199
676346

Rank badges are statewide: each community is ranked against every TX community we track that reports that metric, not just the 5 analyzed for Hidalgo County.

Overview of Grand Terrace Rehabilitation and Healthcare

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.

Contact Grand Terrace Rehabilitation and Healthcare

Overview of Village Healthcare and Rehabilitation

Set in the serene residential area of North Ware Road, McAllen, TX, is the astounding senior living community of Village Healthcare and Rehabilitation offering skilled nursing and in-house therapy. The community features a wide range of care options including physical, occupational, and speech therapy, to ensure seniors’ needs and aspirations are well-attended. Moreover, residents let go of their worries with a team of reliable and highly skilled professionals supporting them in every step of the way.

Maintain an active and well-engaged lifestyle with a jam-packed calendar of well-thought-of activities that highlight residents’ interests and strengths. With a holistic approach to care, the community strives to enhance seniors’ quality of life. Village Healthcare and Rehabilitation fosters a peaceful and friendly environment for seniors to feel a sense of belonging within its premises.

Contact Village Healthcare and Rehabilitation

Overview of Mission Valley Nursing and Transitional Care

Go on a healing journey with the outstanding senior living community of Mission Valley Nursing and Transitional Care located in the serene neighborhood of North Laurent Street, Victoria, TX, that offers skilled nursing, therapy services, rehabilitation, hospice services, and home health services. The community respects seniors’ privacy and boundaries, featuring cozy and purposely designed private and semi-private rooms to optimize comfort and security. With a team of kind and specially trained professionals, seniors let go of their worries and create meaningful moments.

Meet new friends and amuse yourself with fun recreational activities and enjoyable programs. Utilize the community’s incredible amenities and pamper yourself to lighten your mood. Mission Valley Nursing and Transitional Care strives to provide a haven for seniors to optimize their independence while receiving the utmost attention for their ever-changing needs.

Contact Mission Valley Nursing and Transitional Care

Overview of Alfredo Gonzalez Texas State Veterans Home

Welcoming seniors warmly in the idyllic grounds of East Yuma Avenue, McAllen, TX, Alfredo Gonzales Texas State Veterans Home is a one-of-a-kind senior living community providing dementia support, skilled nursing, short-term care, long-term care, rehabilitation, and respite care. As a Veteran-centered community, Alfredo Gonzales Texas State Veterans Home ensures their needs and aspirations are well-cared for with care plans that best match them. The community goes above and beyond to provide accessible care and support for veterans to live with ease.

With round-the-clock assistance from a kind and well-trained team, veterans and their spouses receive the utmost attention they deserve. Dedicated to enhancing veterans’ well-being, the community also features physical, speech, and occupational therapy. Alfredo Gonzales Texas State Veterans Home strives to provide a safe place for seniors to spend their healing journey without worries.

Contact Alfredo Gonzalez Texas State Veterans Home

Overview of Hidalgo Nursing and Rehabilitation Center

Tucked in the harmonious grounds of Sugar Road, Edinburg, TX, Hidalgo Nursing and Rehabilitation Center is an extraordinary senior living community offering skilled nursing, rehabilitation, hospice services, and home health services. As a non-profit community, Hidalgo Nursing and Rehabilitation Center is dedicated to providing accessible and top-tier care and assistance. With private and semi-private accommodations, seniors experience unparalleled comfort and convenience.

Pursue your interests and relive passions through enjoyable recreational activities and fun events. With an onsite beauty salon, residents can keep looking good to feel good. The community goes above and beyond to ensure residents are well-cared for. Hidalgo Nursing and Rehabilitation Center is a safe place for seniors to start their healing journey.

Contact Hidalgo Nursing and Rehabilitation Center

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
No paid rankings Facilities cannot pay to influence placement.
How we're paid: If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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Frequently Asked Questions about Nursing Homes in Hidalgo County, TX

What's the difference between assisted living and a nursing home in Texas?

Assisted living in Texas is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does Texas Medicaid cover nursing home care?

Yes — Texas Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.

What is nursing home care?

Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.

How many nursing homes are listed on this page?

This page features 5 nursing homes in Hidalgo County, TX. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in Hidalgo County, TX?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Hidalgo County, TX, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting nursing homes in Hidalgo County, TX?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.