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2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 105th out of 289 homes in Texas for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 22m per day | ▼ 14% State avg: 26m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 56m per day | ■ Avg State avg: 57m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 11m per day | ▲ 8% State avg: 2h 1m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 57m per day | ■ Avg State avg: 2h 59m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 2m per day | ▼ 56% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 13m per day | ▼ 38% State avg: 21m per day · National avg: 29m per day |
Higher than the Texas average: 63.5%Alfredo Gonzalez Texas State Veterans Home is administrated by Diana Zarate.
Key information about the people who lead and staff this community.
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.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Texas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 18 | 6 | This facility has 200% more total citations than a typical Texas nursing home (18 vs. TX avg 6).↑ 200% worse |
|
Citations per year
Average citations per year since 2022.
| 4.5 | 1.5 | This facility has 200% more citations per year than a typical Texas nursing home (4.5 vs. TX avg 1.5).↑ 200% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
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).
50% better than Texas averageTexas average: 2
100% better than Texas averageTexas average: 0.4
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
19% fewer staff per resident than Texas average
7% worse than Texas average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 11 RN Staff are full-time employees. No contractors work on this role.
11
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursAssists with medical care and medications.
All 41 LPN Staff are full-time employees. No contractors work on this role.
41
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursHelps with daily care and mobility.
86 total: 85 full-time employees and 1 contractor.
86
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
4,730 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 85 | 1 | 86 | 28,097 | 92 | 100% | 7.4 |
| Licensed Practical Nurse | 41 | 0 | 41 | 12,319 | 92 | 100% | 7.5 |
| Medication Aide/Technician | 11 | 0 | 11 | 2,920 | 91 | 99% | 12 |
| Clinical Nurse Specialist | 8 | 0 | 8 | 2,478 | 72 | 78% | 7.8 |
| Registered Nurse | 11 | 0 | 11 | 2,454 | 92 | 100% | 8.5 |
| Speech Language Pathologist | 0 | 9 | 9 | 2,036 | 77 | 84% | 6.4 |
| RN Director of Nursing | 3 | 0 | 3 | 1,190 | 76 | 83% | 7.6 |
| Physical Therapy Aide | 0 | 7 | 7 | 941 | 76 | 83% | 6.5 |
| Mental Health Service Worker | 2 | 0 | 2 | 528 | 63 | 68% | 7.8 |
| Dietitian | 1 | 0 | 1 | 501 | 65 | 71% | 7.7 |
| Nurse Aide in Training | 3 | 0 | 3 | 497 | 40 | 43% | 9.6 |
| Administrator | 1 | 0 | 1 | 468 | 58 | 63% | 8.1 |
| Nurse Practitioner | 1 | 0 | 1 | 448 | 60 | 65% | 7.5 |
| Qualified Social Worker | 0 | 1 | 1 | 444 | 68 | 74% | 6.5 |
| Physical Therapy Assistant | 0 | 1 | 1 | 427 | 56 | 61% | 7.6 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 425 | 67 | 73% | 6.3 |
Includes penalties issued in 2023
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 averageTexas average: $80K
60% fewer fines than Texas averageTexas 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 averageTexas average: 0.2
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jul 17, 2023 · $13K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 17, 2023Last updated: Jan 2026
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 averageTexas average: 8.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.8
In line with Texas averageTexas 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 averageTexas average: 16.2%
Percent of long-stay residents whose ability to move independently worsened
20.3%
25% worse than Texas averageTexas average: 16.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
16.5%
5% worse than Texas averageTexas average: 15.7%
Percent of long-stay residents experiencing one or more falls with major injury
4.1%
26% worse than Texas averageTexas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
2.1%
54% better than Texas averageTexas average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Texas averageTexas average: 0.8%
Percent of long-stay residents who lose too much weight
2.9%
18% better than Texas averageTexas average: 3.5%
Percent of long-stay residents who have depressive symptoms
0.2%
92% better than Texas averageTexas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
5.7%
27% better than Texas averageTexas average: 7.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.2%
In line with Texas averageTexas average: 97.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Texas averageTexas average: 97.9%
Number of hospitalizations per 1,000 long-stay resident days.
1.70
20% better than Texas averageTexas average: 2.13
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.96
5% better than Texas averageTexas 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 averageTexas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
9.7%
570% worse than Texas averageTexas average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.6%
7% better than Texas averageTexas average: 88.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
38.4%
48% worse than Texas averageTexas average: 25.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
15.8%
32% worse than Texas averageTexas average: 12.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Texas averageTexas average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
51.9%
In line with Texas averageTexas average: 53.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
156Residents 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.
Historical financial and operational data for Alfredo Gonzalez Texas State Veterans Home from 2012–2024, based on CMS SNF Cost Reports.
Based on the 2024 CMS SNF Cost Report.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #50 / 297Payroll — State benchmarkedThis home is ranked 50th out of 297 homes in Texas. Shows total annual staff payroll benchmarked to the Texas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Building Type: Single-story
Fitness and Recreation
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (87% of admissions), and a typical private pay stay runs around 3 - 4 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
27.6 miles from city center
Estimated distance in miles from Mcallen's city center to Alfredo Gonzalez Texas State Veterans Home's address, calculated via Google Maps.
Add your location
Alfredo Gonzalez Texas State Veterans Home is located in McAllen, Texas.
Here are the financial assistance programs available to residents in Texas.
The information below is reported by the Texas Health and Human Services Commission.
| 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). | Mcallen | 93
Facility
93
TX AVG
80
Rank
#407 / 988 |
77.3%
Facility
77.3%
TX AVG
63.5%
Rank
#87 / 297 | +22% | 2.79
Facility
2.79
TX AVG
3.63
Rank
#272 / 289 | +6% | -23% | $0
Facility
$0
TX AVG
$81.8k
Rank
#1 / 294 | 9
Facility
9
TX AVG
25.9
Rank
#19 / 292 | 1.8
Facility
1.8
TX AVG
3.7
Rank
#12 / 292 | - | 89 | - |
76
Facility
76
TX AVG
41
Rank
#57 / 1391 | Mcallen Care Associates, Inc. | $12.2M
Facility
$12.2M
TX AVG
$8.4M
Rank
#116 / 297 | $5.0M
Facility
$5.0M
TX AVG
$3.5M
Rank
#149 / 297 | 40.8%
Facility
40.8%
TX AVG
47%
Rank
#215 / 297 | 455586 | ||||
| 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).
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. | Mission | 120
Facility
120
TX AVG
80
Rank
#210 / 988 |
96.7%
Facility
96.7%
TX AVG
63.5%
Rank
#4 / 297 | +52% | 3.33
Facility
3.33
TX AVG
3.63
Rank
#184 / 289 | -3% | -8% | $26.7k
Facility
$26.7k
TX AVG
$81.8k
Rank
#1 / 294 | 17
Facility
17
TX AVG
25.9
Rank
#89 / 292 | 2.8
Facility
2.8
TX AVG
3.7
Rank
#91 / 292 | 3 | 112 | - |
11
Facility
11
TX AVG
41
Rank
#1215 / 1391 | Mission Valley Nursing And Transitional Care LLC | $14.4M
Facility
$14.4M
TX AVG
$8.4M
Rank
#79 / 297 | $6.5M
Facility
$6.5M
TX AVG
$3.5M
Rank
#75 / 297 | 45.3%
Facility
45.3%
TX AVG
47%
Rank
#166 / 297 | 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). | Mcallen (Trevino Colonia) | 114
Facility
114
TX AVG
80
Rank
#291 / 988 |
76.8%
Facility
76.8%
TX AVG
63.5%
Rank
#89 / 297 | +21% | 3.31
Facility
3.31
TX AVG
3.63
Rank
#184 / 289 | -62% | -9% | $29.0k
Facility
$29.0k
TX AVG
$81.8k
Rank
#188 / 294 | 16
Facility
16
TX AVG
25.9
Rank
#74 / 292 | 2.0
Facility
2.0
TX AVG
3.7
Rank
#23 / 292 | 3 | 90 | - |
66
Facility
66
TX AVG
41
Rank
#185 / 1391 | Mcallen Community Healthcare, Inc. | $17.3M
Facility
$17.3M
TX AVG
$8.4M
Rank
#45 / 297 | $6.2M
Facility
$6.2M
TX AVG
$3.5M
Rank
#83 / 297 | 35.9%
Facility
35.9%
TX AVG
47%
Rank
#263 / 297 | 675689 | ||||
| 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.
NC Nursing 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 (East Yuma Avenue) | 160
Facility
160
TX AVG
80
Rank
#44 / 988 |
95.3%
Facility
95.3%
TX AVG
63.5%
Rank
#8 / 297 | +50% | 3.73
Facility
3.73
TX AVG
3.63
Rank
#105 / 289 | -23% | +3% | $35.6k
Facility
$35.6k
TX AVG
$81.8k
Rank
#102 / 294 | 16
Facility
16
TX AVG
25.9
Rank
#74 / 292 | 3.2
Facility
3.2
TX AVG
3.7
Rank
#141 / 292 | 1 | 157 | A+ |
6
Facility
6
TX AVG
41
Rank
#1286 / 1391 | Sears Methodist Retirement System, Inc. | $19.9M
Facility
$19.9M
TX AVG
$8.4M
Rank
#38 / 297 | $7.8M
Facility
$7.8M
TX AVG
$3.5M
Rank
#50 / 297 | 39.2%
Facility
39.2%
TX AVG
47%
Rank
#235 / 297 | 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.
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.
PC Palliative 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. | Edinburg | 126
Facility
126
TX AVG
80
Rank
#160 / 988 |
77.8%
Facility
77.8%
TX AVG
63.5%
Rank
#81 / 297 | +23% | 2.74
Facility
2.74
TX AVG
3.63
Rank
#277 / 289 | -53% | -24% | $7.6k
Facility
$7.6k
TX AVG
$81.8k
Rank
#80 / 294 | 17
Facility
17
TX AVG
25.9
Rank
#89 / 292 | 2.8
Facility
2.8
TX AVG
3.7
Rank
#91 / 292 | 1 | 104 | - |
29
Facility
29
TX AVG
41
Rank
#942 / 1391 | Regency Ihs Of Hidalgo LLC | $15.0M
Facility
$15.0M
TX AVG
$8.4M
Rank
#71 / 297 | $6.2M
Facility
$6.2M
TX AVG
$3.5M
Rank
#85 / 297 | 41.4%
Facility
41.4%
TX AVG
47%
Rank
#210 / 297 | 676346 |
Alfredo Gonzalez Texas State Veterans Home is in the East Yuma Avenue neighborhood of McAllen.
The legal owner and operator of Alfredo Gonzalez Texas State Veterans Home is State of Texas Veterans Land Board.
Alfredo Gonzalez Texas State Veterans Home has a walk score of 6. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to TX state health department records, Alfredo Gonzalez Texas State Veterans Home's license number is 150087.
According to TX state health department records, Alfredo Gonzalez Texas State Veterans Home's license expires on July 13, 2027.
Alfredo Gonzalez Texas State Veterans Home's occupancy is 95%.
Diana Zarate is the administrator of Alfredo Gonzalez Texas State Veterans Home.
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