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The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
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.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered nurse hours per resident per day.
Nurse aide hours per resident per day.
Total number of nurse staff hours per resident per day on weekends.
Physical therapist staff hours per resident per day.
Registered nurse hours per resident per day on weekends.
Offers a balance of services and community atmosphere.
That suggests steady demand, but availability may be limited.
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
9% of new residents, usually for short-term rehab.
87% of new residents, often for short stays.
3% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Alfredo Gonzalez Texas State Veterans Home is administrated by Diana Zarate.
Key information about the people who lead and staff this community.
Building Type: Single-story
Fitness and Recreation
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.
1 visits/inspections triggered by complaints
4 routine inspections
5 with issues
1 without issues
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Texas average: 32 deficiencies
Texas average 7.4
Last Health inspection on May 2025
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.
7 of 16 citations resulted from standard inspections; 7 of 16 resulted from complaint investigations; and 2 of 16 came from combined inspections (standard and complaint).
1
50% better than Texas average
Texas average: 2
0
100% better than Texas average
Texas average: 0.4
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
May 16, 2025
Corrected
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Feb 21, 2025
Corrected
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Feb 21, 2025
Corrected
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Feb 21, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
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).
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.
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).
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.
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).
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.
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).
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.
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).
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.
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.
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).
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.
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).
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).
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.
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).
27.6 miles from city center
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
23% worse than Texas average
Texas average ratio: 1.51:1
6% worse than Texas average
Texas average: 8.1 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hours
No contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
No contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
This role is partially covered by contractors.
Total hours from contractors
4,880 contractor hours this quarter
| Certified Nursing Assistant | 84 | 1 | 85 | 27,513 | 91 | 100% | 7.4 |
| Licensed Practical Nurse | 33 | 0 | 33 | 11,814 | 91 | 100% | 7.7 |
| Medication Aide/Technician | 9 | 0 | 9 | 3,104 | 91 | 100% | 11.8 |
| Clinical Nurse Specialist | 8 | 0 | 8 | 2,826 | 73 | 80% | 8 |
| Registered Nurse | 14 | 0 | 14 | 2,182 | 91 | 100% | 7.9 |
| Speech Language Pathologist | 0 | 9 | 9 | 2,055 | 80 | 88% | 6.3 |
| RN Director of Nursing | 4 | 0 | 4 | 1,366 | 82 | 90% | 7.5 |
| Physical Therapy Aide | 0 | 5 | 5 | 929 | 78 | 86% | 6.6 |
| Mental Health Service Worker | 2 | 0 | 2 | 822 | 69 | 76% | 7.7 |
| Dietitian | 1 | 0 | 1 | 522 | 63 | 69% | 8.3 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 506 | 66 | 73% | 7.7 |
| Administrator | 1 | 0 | 1 | 502 | 62 | 68% | 8.1 |
| Physical Therapy Assistant | 0 | 1 | 1 | 485 | 63 | 69% | 7.7 |
| Nurse Practitioner | 1 | 0 | 1 | 460 | 60 | 66% | 7.7 |
| Qualified Social Worker | 0 | 1 | 1 | 403 | 63 | 69% | 6.4 |
| Nurse Aide in Training | 2 | 0 | 2 | 365 | 44 | 48% | 7.1 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 10 | 1 | 1% | 10 |
| Occupational Therapy Aide | 0 | 1 | 1 | 10 | 1 | 1% | 10 |
| Medical Director | 0 | 1 | 1 | 5 | 1 | 1% | 5 |
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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.6
In line with Texas average
Texas average: 8.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.8
In line with Texas average
Texas average: 16.0
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
13.7%
15% better than Texas average
Texas average: 16.2%
Percent of long-stay residents whose ability to move independently worsened
20.3%
25% worse than Texas average
Texas average: 16.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
16.5%
5% worse than Texas average
Texas average: 15.7%
Percent of long-stay residents experiencing one or more falls with major injury
4.1%
26% worse than Texas average
Texas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
2.1%
54% better than Texas average
Texas average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Texas average
Texas average: 0.8%
Percent of long-stay residents who lose too much weight
2.9%
18% better than Texas average
Texas average: 3.5%
Percent of long-stay residents who have depressive symptoms
0.2%
92% better than Texas average
Texas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
5.7%
27% better than Texas average
Texas average: 7.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.2%
In line with Texas average
Texas average: 97.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Texas average
Texas average: 97.9%
Number of hospitalizations per 1,000 long-stay resident days.
1.70
20% better than Texas average
Texas average: 2.13
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.96
5% better than Texas average
Texas average: 2.07
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
91.8%
In line with Texas average
Texas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
9.7%
570% worse than Texas average
Texas average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.6%
7% better than Texas average
Texas average: 88.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
38.4%
48% worse than Texas average
Texas average: 25.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
15.8%
32% worse than Texas average
Texas average: 12.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Texas average
Texas average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
51.9%
In line with Texas average
Texas average: 53.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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 (Data as of Jan 2026)
84% lower than Texas average
Texas average: $80K
60% fewer fines than Texas average
Texas average: 2.5
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Texas average
Texas average: 0.2
Penalties are imposed by CMS for violations of federal nursing home regulations.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 17, 2023
Last updated: Jan 2026
Historical financial and operational data for Alfredo Gonzalez Texas State Veterans Home based on CMS SNF Cost Reports.
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