Facility type
Nursing
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Nursing Home
Grand Terrace Rehabilitation and Healthcare
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.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
93
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
77.3%
Residents per day (avg)
81
Occupancy rate
77.3%
Residents per day (avg)
81
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
22% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
51% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
27% of new residents, often for long-term daily care.
Typical stay
9 months
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$12.2M
Profit
$1.4M
Privately-owned community
Operated by a business corporation.
Home revenue
$12,155,259.00
Profit
$1,428,559.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.4M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$6.3M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$10.7M
93-bed community
A larger shared setting that may offer more common spaces and organized community services.
34 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score: 76 / 100
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Services
About this community
License details
Issuance
January 12, 2023
Expiration
January 12, 2026
County:
HIDALGO
Additional licensing details
License number:
311781
Year opened:
3/31/1991
Ownership & operating entity
Grand Terrace Rehabilitation and Healthcare is administrated by NEFI GUZMAN.
Management company:
MCALLEN CARE ASSOCIATES, INC
Owner:
FANNIN COUNTY HOSPITAL AUTHORITY
Ownership type:
HOSPITAL DISTRICT/AUTHORITY
Type Of Units
Medicaid and Medicare
93 units
Total beds
93 units
Staffing
Key information about the people who lead and staff this community.
Leadership
Administrator email:
[email protected]
Care Services
Nursing Services
Rehabilitation Services
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Programs & Activities
Specific Programs
In-House Therapy, Skilled Nursing, Stay Active
What does this home offer?
Building Type: Single-story
Transportation Services
Fitness and Recreation
Types of Care at Grand Terrace Rehabilitation and Healthcare
Nursing Home
Skilled Nursing
Respite Care
Health Inspection History
Inspections
Total health inspections
5
Texas average 7.4
Last Health inspection on Nov 2024
Total health citations
9
Citations per inspection
1.8
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).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Texas average
Texas average: 2
Serious Health citations
0
0
100% better than Texas average
Texas average: 0.4
0 critical citations
0 serious citations
9 moderate citations
0 minor citations
Citations history (last 3 years)
Care Planning moderate citation
Nov 20, 2024
Corrected
Environmental moderate citation
Nov 08, 2024
Corrected
Infection Control moderate citation
Aug 31, 2023
Corrected
Quality of Care moderate citation
Aug 31, 2023
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.
Compare Nursing Homes around Hidalgo County
The information below is reported by the Texas Health and Human Services Commission.
Grand Terrace Rehabilitation and Healthcare
+28%
-23%
+22%
SNF
Nursing Homes 24/7 care needed
RC
Respite Care
SN
Skilled Nursing
McAllen
93
76
MCALLEN CARE ASSOCIATES, INC.
77.3%
$12,151,576.00
$4,440,191.00
36.5%
80.50
2.7882
-
9
-
+28% -23% +22%
Alfredo Gonzalez Texas State Veterans Home
+4%
+3%
+50%
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
SNF
Nursing Homes 24/7 care needed
RC
Respite Care
SN
Skilled Nursing
McAllen
160
6
SEARS METHODIST RETIREMENT SYSTEM, INC.
95.3%
$18,946,533.00
$5,826,074.00
30.8%
151.80
3.7281
1
16
1
+4% +3% +50%
Hidalgo Nursing and Rehabilitation Center
-7%
-24%
-4%
HC
Hospice Care
SNF
Nursing Homes 24/7 care needed
RC
Respite Care
Edinburg
126
29
REGENCY IHS OF HIDALGO LLC
61.0%
$13,420,447.00
$5,298,421.00
39.5%
97.30
2.7427
1
17
1
-7% -24% -4%
Mission Valley Nursing and Transitional Care
-3%
-8%
+52%
HC
Hospice Care
SNF
Nursing Homes 24/7 care needed
RC
Respite Care
SN
Skilled Nursing
Mission
120
11
MISSION VALLEY NURSING AND TRANSITIONAL CARE LLC
96.7%
$13,264,971.00
$4,794,165.00
36.1%
116.20
3.3307
-
17
3
-3% -8% +52%
Village Healthcare and Rehabilitation
-16%
-9%
+21%
SNF
Nursing Homes 24/7 care needed
RC
Respite Care
SN
Skilled Nursing
McAllen
112
66
MCALLEN COMMUNITY HEALTHCARE, INC.
76.8%
$17,249,177.00
$5,531,650.00
32.1%
95.20
3.3082
2
16
3
-16% -9% +21% 
Grand Terrace Rehabilitation and Healthcare
Type of care:
SNF
RC
SN
Community:
McAllen
Bed Count:
93
Operator:
MCALLEN CARE ASSOCIATES, INC.
CCN:
455586
Occupancy:
77.3%
Home Revenue:
$12,151,576.00
Payroll Costs:
$4,440,191.00
Payroll %:
36.5%
Avg Residents/Day:
80.50
Overall Rating:
Adj Nurse Hours:
2.7882
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
9
RN share vs State Avg:
+28%
+28%
Staffing vs State Avg:
-23%
-23%
Occupancy vs State Avg:
+22%
+22%
Alfredo Gonzalez Texas State Veterans Home
Type of care:
MC
SNF
RC
SN
Community:
McAllen
Bed Count:
160
Operator:
SEARS METHODIST RETIREMENT SYSTEM, INC.
CCN:
676063
Occupancy:
95.3%
Home Revenue:
$18,946,533.00
Payroll Costs:
$5,826,074.00
Payroll %:
30.8%
Avg Residents/Day:
151.80
Overall Rating:
Adj Nurse Hours:
3.7281
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
16
Severe Citations:
1
RN share vs State Avg:
+4%
+4%
Staffing vs State Avg:
+3%
+3%
Occupancy vs State Avg:
+50%
+50%
Hidalgo Nursing and Rehabilitation Center
Type of care:
HC
SNF
RC
Community:
Edinburg
Bed Count:
126
Operator:
REGENCY IHS OF HIDALGO LLC
CCN:
676346
Occupancy:
61.0%
Home Revenue:
$13,420,447.00
Payroll Costs:
$5,298,421.00
Payroll %:
39.5%
Avg Residents/Day:
97.30
Overall Rating:
Adj Nurse Hours:
2.7427
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
17
Severe Citations:
1
RN share vs State Avg:
-7%
-7%
Staffing vs State Avg:
-24%
-24%
Occupancy vs State Avg:
-4%
-4%
Mission Valley Nursing and Transitional Care
Type of care:
HC
SNF
RC
SN
Community:
Mission
Bed Count:
120
Operator:
MISSION VALLEY NURSING AND TRANSITIONAL CARE LLC
CCN:
676446
Occupancy:
96.7%
Home Revenue:
$13,264,971.00
Payroll Costs:
$4,794,165.00
Payroll %:
36.1%
Avg Residents/Day:
116.20
Overall Rating:
Adj Nurse Hours:
3.3307
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
17
Severe Citations:
3
RN share vs State Avg:
-3%
-3%
Staffing vs State Avg:
-8%
-8%
Occupancy vs State Avg:
+52%
+52%
Village Healthcare and Rehabilitation
Type of care:
SNF
RC
SN
Community:
McAllen
Bed Count:
112
Operator:
MCALLEN COMMUNITY HEALTHCARE, INC.
CCN:
675689
Occupancy:
76.8%
Home Revenue:
$17,249,177.00
Payroll Costs:
$5,531,650.00
Payroll %:
32.1%
Avg Residents/Day:
95.20
Overall Rating:
Adj Nurse Hours:
3.3082
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
2
Citations:
16
Severe Citations:
3
RN share vs State Avg:
-16%
-16%
Staffing vs State Avg:
-9%
-9%
Occupancy vs State Avg:
+21%
+21%
Places of interest near Grand Terrace Rehabilitation and Healthcare
27.0 miles from city center
812 W Houston Ave, McAllen, TX 78501
Calculate Travel Distance to Grand Terrace Rehabilitation and Healthcare
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
125
Total Staff
124
Employees
1
Contractors
35,515
Total Hours (Quarter)
51
Avg Staff/Day
7.7
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 12 | 8.1 | No |
| Licensed Practical Nurse | 13 | 8.7 | No |
| Certified Nursing Assistant | 36 | 7.3 | No |
Staff by Category
Administration ⓘ
2 staff
5.5hs shift avg
Nursing Staff ⓘ
74 staff
7.7hs shift avg
Physicians & Practitioners ⓘ
7 staff
8.2hs shift avg
Therapy Services ⓘ
20 staff
6.9hs shift avg
Activities & Recreation ⓘ
8 staff
8.9hs shift avg
Social Services ⓘ
7 staff
6.9hs shift avg
Dietary Services ⓘ
4 staff
8.1hs shift avg
Other Services ⓘ
3 staff
8hs shift avg
Contractor Analysis
0.1%
of total hours from contractors
45 contractor hours this quarter
Medical Director: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| 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 |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
78 residents
Residents by payment source
Medicare
20 residents (25.6%)
Medicaid
57 residents (73.1%)
Private pay or other
1 resident (1.3%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
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.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
15.1
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
15.1
75% worse than Texas average
Texas average: 8.6
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
23.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
23.8
49% worse than Texas average
Texas average: 16.0
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
23.1%
Percent of long-stay residents whose need for help with daily activities has increased
23.1%
43% worse than Texas average
Texas average: 16.2%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
30.7%
Percent of long-stay residents whose ability to move independently worsened
30.7%
89% worse than Texas average
Texas average: 16.2%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.8%
14% worse than Texas average
Texas average: 15.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.7%
Percent of long-stay residents experiencing one or more falls with major injury
2.7%
17% better than Texas average
Texas average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.2%
Percent of long-stay high risk residents with pressure ulcers
2.2%
50% better than Texas average
Texas average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Texas average
Texas average: 0.8%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
16.7%
Percent of long-stay residents who lose too much weight
16.7%
381% worse than Texas average
Texas average: 3.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Texas average
Texas average: 2.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
8.3%
Percent of long-stay residents who received an antipsychotic medication
8.3%
5% worse than Texas average
Texas average: 7.9%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Texas average
Texas average: 97.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Texas average
Texas average: 97.9%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
2.74
Number of hospitalizations per 1,000 long-stay resident days.
2.74
29% worse than Texas average
Texas average: 2.13
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.91
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.91
41% worse than Texas average
Texas average: 2.07
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
11% better than Texas average
Texas average: 90.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.1%
Percent of short-stay residents who newly received an antipsychotic medication
1.1%
28% better than Texas average
Texas average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
98.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
98.9%
12% better than Texas average
Texas average: 88.0%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
24.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
24.8%
In line with Texas average
Texas average: 25.9%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
17.1%
Percentage of short-stay residents who had an outpatient emergency department visit.
17.1%
43% worse than Texas average
Texas average: 12.0%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Texas average
Texas average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
60.9%
Percentage of residents at or above expected ability to care for themselves at discharge.
60.9%
13% better than Texas average
Texas average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
54.3%
Rate of successful return to home or community from a skilled nursing facility.
54.3%
7% better than Texas average
Texas average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Grand Terrace Rehabilitation and Healthcare based on CMS SNF Cost Reports.
Occupancy Rate
77.3%
↑ 11.9pp vs 2022
Net Income
$1,428,559
↑ ~$37K vs 2022
Total Payroll
$4,956,616
↑ ~$869K vs 2022
Profit Margin
11.8%
↓ 2.1pp vs 2022
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