Grand Terrace Rehabilitation and Healthcare

Q: Who is the owner of Grand Terrace Rehabilitation and Healthcare?

Grand Terrace Rehabilitation and Healthcare is legally operated by Fannin County Hospital Authority, and administered by Nefi Guzman.

Q: Is Grand Terrace Rehabilitation and Healthcare in a walkable area?

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.

Q: What is the license number of Grand Terrace Rehabilitation and Healthcare?

According to TX state health department records, Grand Terrace Rehabilitation and Healthcare's license number is 311781.

Q: When does Grand Terrace Rehabilitation and Healthcare's license expire?

According to TX state health department records, Grand Terrace Rehabilitation and Healthcare's license expires on January 12, 2026.

Q: What is the occupancy rate at Grand Terrace Rehabilitation and Healthcare?

Grand Terrace Rehabilitation and Healthcare's occupancy is 77%.

Q: Is Grand Terrace Rehabilitation and Healthcare a government-operated facility?

Grand Terrace Rehabilitation and Healthcare is a government-operated nursing facility in TX.

Q: Who is the administrator of Grand Terrace Rehabilitation and Healthcare?

Nefi Guzman is the administrator of Grand Terrace Rehabilitation and Healthcare.

CMS overall rating

812 W Houston Ave, Mcallen, TX 78501 View map

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Grand Terrace Rehabilitation and Healthcare accepts Medicaid, Medicare, and private pay.

Calculator: See prices in your area

Grand Terrace Rehabilitation and Healthcare accepts Medicaid, Medicare, and private pay.

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.

Facility Direct Line (956) 682-6331 contact-GrandTerrace@ensignservices.net

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to Texas state averages

Total nursing care / resident

2h 47m per day

This facility Texas avg (3h 38m per day)

vs Texas avg

-23%

5 of 6 metrics below state avg

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.	25m per day	▼ 5% 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.	47m per day	▼ 17% 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 3m per day	■ Avg 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 47m per day	▼ 7% 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.	3m per day	▼ 13% 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.	19m per day	▼ 10% State avg: 21m per day · National avg: 29m per day

Capacity and availability

106 days

93-bed community

A larger shared setting that may offer more common spaces and organized community services.

35 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.

About this community

Occupancy

Occupancy rate

77%

Higher than the Texas average: 63.5%

Occupied beds

72 / 93

Average occupied beds in Texas homes 75 beds

Facility TypeNursing

StatusLicensed

IssuanceJanuary 12, 2023

ExpirationJanuary 12, 2026 Expired

CountyHidalgo

License Number311781

Year Opened3/31/1991

QualificationNursing

Grand Terrace Rehabilitation and Healthcare is administered by Nefi Guzman.

Management CompanyMCALLEN CARE ASSOCIATES, INC

OwnerFannin County Hospital Authority

Ownership TypeHOSPITAL DISTRICT/AUTHORITY

Medicaid and Medicare

93 units

Total beds

93 units

Staffing

Key information about the people who lead and staff this community.

Administrator Emailrenewals@ensignservices.net

Rehabilitation Services

24-Hour Staffing

No Alzheimer's certification

Since 2022 · 4 years of data 12 citations

Inspection Scorecard 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.

Since 2022 vs. Texas state average

Overall vs. TX average

Latest Inspection December 8, 2025 Complaint Investigation

Citations Citations are formal regulatory issues recorded during state inspections.	This Facility	TX Average	vs. TX Avg
Total citations Formal regulatory issues recorded by inspectors across all inspection types.	12	6	This facility has 100% more total citations than a typical Texas nursing home (12 vs. TX avg 6).↑ 100% worse
Citations per year Average citations per year since 2022.	3	1.5	This facility has 100% more citations per year than a typical Texas nursing home (3 vs. TX avg 1.5).↑ 100% worse

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

December 8, 2025 complaint investigation found CNA failed to request two-person assistance during incontinent care, risking resident harm and revealing communication gaps about care plan requirements.
November and December 2025 inspections documented repeated medication storage violations, including unlocked medication carts and unsecured drugs at bedside, posing risk of improper access and adverse reactions.
May 1, 2024 annual inspection found no deficiencies or enforcement actions, showing a period of compliance before recent care planning and medication storage issues emerged.

Show Inspection Reports

Inspections since 2022

Total health inspections 5

Texas average 7.4

Last Health inspection on Nov 2024

Total health citations

Texas average 25.9

Citations per inspection

1.8

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).

Breakdown of citation severity (last 4 years)

Critical health citations

100% better than Texas average

Texas average: 2

Serious health citations

100% better than Texas average

Texas average: 0.4

0 critical citations Texas average: 2

0 serious citations Texas average: 0.4

9 moderate citations Texas average: 23

0 minor citations Texas average: 0.4

Citations history (last 4 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

Total staff 124

Employees 123

Contractors 1

Staff to resident ratio 1.59 : 1

8% more staff per resident than Texas average

Avg staff/day 54

Average shift 7.7 hours

5% worse than Texas average

Total staff hours (quarter) 38,308

Nursing staff breakdown

7.5 hours

8.6 hours

7.5 hours

Contractor staffing

Total hours from contractors 0% — all staff are direct employees this quarter

Staff by category


Certified Nursing Assistant	39	0	39	14,070	92	100%	7.5
Licensed Practical Nurse	16	0	16	4,943	92	100%	8.6
Medication Aide/Technician	8	0	8	2,614	92	100%	7.8
Registered Nurse	10	0	10	2,548	92	100%	7.5
Qualified Activities Professional	7	0	7	2,336	92	100%	9.1
Speech Language Pathologist	7	0	7	2,081	68	74%	7.6
Physical Therapy Aide	5	0	5	1,537	71	77%	6.7
RN Director of Nursing	4	0	4	1,506	67	73%	8.9
Qualified Social Worker	8	0	8	1,320	67	73%	6.8
Dental Services Staff	2	0	2	1,022	66	72%	8.2
Physical Therapy Assistant	2	0	2	787	63	68%	6.7
Nurse Practitioner	1	0	1	576	64	70%	9
Dietitian	1	0	1	533	61	66%	8.7
Other Dietary Services Staff	2	0	2	527	63	68%	8.4
Administrator	1	0	1	496	62	67%	8
Respiratory Therapy Technician	3	0	3	475	65	71%	7
Therapeutic Recreation Specialist	1	0	1	459	63	68%	7.3
Clinical Nurse Specialist	4	0	4	259	25	27%	8.9
Nurse Aide in Training	2	0	2	207	28	30%	7.4
Medical Director	0	1	1	14	9	10%	1.6

39 Certified Nursing Assistant

% of Days 100%

16 Licensed Practical Nurse

% of Days 100%

8 Medication Aide/Technician

% of Days 100%

10 Registered Nurse

% of Days 100%

7 Qualified Activities Professional

% of Days 100%

7 Speech Language Pathologist

% of Days 74%

5 Physical Therapy Aide

% of Days 77%

4 RN Director of Nursing

% of Days 73%

8 Qualified Social Worker

% of Days 73%

2 Dental Services Staff

% of Days 72%

2 Physical Therapy Assistant

% of Days 68%

1 Nurse Practitioner

% of Days 70%

1 Dietitian

% of Days 66%

2 Other Dietary Services Staff

% of Days 68%

1 Administrator

% of Days 67%

3 Respiratory Therapy Technician

% of Days 71%

1 Therapeutic Recreation Specialist

% of Days 68%

4 Clinical Nurse Specialist

% of Days 27%

2 Nurse Aide in Training

% of Days 30%

1 Medical Director

% of Days 10%

View All Staffing Data in Hidalgo County

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 15.1

75% worse than Texas average

Texas average: 8.6

Functional decline score 23.8

49% worse than Texas average

Texas average: 16.0

Long-stay resident measures

Average Texas avg: 4.1

Need for Help with Daily Activities Increased 23.1%

43% worse than Texas average

Texas average: 16.2%

Walking Ability Worsened 30.7%

89% worse than Texas average

Texas average: 16.2%

Low Risk Residents with Bowel/Bladder Incontinence 17.8%

14% worse than Texas average

Texas average: 15.7%

Falls with Major Injury 2.7%

17% better than Texas average

Texas average: 3.2%

High Risk Residents with Pressure Ulcers 2.2%

50% better than Texas average

Texas average: 4.4%

Urinary Tract Infection 0.0%

100% better than Texas average

Texas average: 0.8%

Lost Too Much Weight 16.7%

381% worse than Texas average

Texas average: 3.5%

Depressive Symptoms 0.0%

100% better than Texas average

Texas average: 2.9%

Antipsychotic Use 8.3%

5% worse than Texas average

Texas average: 7.9%

Pneumococcal Vaccine 100.0%

In line with Texas average

Texas average: 97.3%

Influenza Vaccine 100.0%

In line with Texas average

Texas average: 97.9%

Hospitalizations per 1,000 days 2.74

29% worse than Texas average

Texas average: 2.13

ED visits per 1,000 days 2.91

41% worse than Texas average

Texas average: 2.07

Short-stay resident measures

Average Texas avg: 3.1

Pneumococcal Vaccine 100.0%

11% better than Texas average

Texas average: 90.4%

Antipsychotic medication increase 1.1%

28% better than Texas average

Texas average: 1.4%

Influenza Vaccine 98.9%

12% better than Texas average

Texas average: 88.0%

Re-hospitalized after SNF stay 24.8%

In line with Texas average

Texas average: 25.9%

Emergency department visits 17.1%

43% worse than Texas average

Texas average: 12.0%

Falls with major injury 0.0%

100% better than Texas average

Texas average: 0.8%

Ability to care for self at discharge 60.9%

13% better than Texas average

Texas average: 53.7%

Successful return to home or community 54.3%

7% better than Texas average

Texas average: 50.6%

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

Total residents 78

Medicare

25.6% of residents

Medicaid

73.1% of residents

Private pay or other

1.3% of residents

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.

Financial Trends

Historical financial and operational data for Grand Terrace Rehabilitation and Healthcare from 2011–2023, based on CMS SNF Cost Reports.

Occupancy Rate 77.3% ↑ 11.9pp vs 2022

Net Patient Income $1.4M ↑ ~$38.2K vs 2022

Payroll Costs $5.0M ↑ ~$869.0K vs 2022

Operating Margin 15.8% ↓ 1.6pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	81.2%	80.3%	82.6%	88.6%	87.7%	88.4%	90.2%	81.8%	83.5%	70.3%	61.7%	65.5%	77.3%
Beds	93	93	93	93	93	93	93	93	93	93	93	93	93
Net Income	$919,191	$667,967	$933,642	$599,344	$200,972	$598,555	$849,410	$1,102,630	$1,060,382	$1,347,361	$1,224,164	$1,391,931	$1,428,559
Gross Revenue	$5,503,073	$5,583,619	$6,073,251	$7,126,115	$6,112,810	$7,206,748	$7,643,826	$7,027,952	$7,285,379	$6,543,296	$7,410,634	$10,047,076	$12,151,576
Operating Expenses	$4,902,333	$4,819,094	$5,187,586	$5,846,418	$5,682,453	$5,876,391	$6,208,484	$5,710,698	$5,915,388	$5,975,640	$5,309,330	$6,631,039	$7,634,277
Net Patient Income	$919,111	$667,645	$560,061	$598,382	$200,953	$593,084	$846,534	$1,111,240	$1,057,952	$1,348,308	$1,218,003	$1,391,187	$1,429,363
Net Patient Revenue	$5,821,444	$5,486,739	$5,747,647	$6,444,800	$5,883,406	$6,469,475	$7,055,018	$6,821,938	$6,973,340	$7,323,948	$6,527,333	$8,022,226	$9,063,640
Payroll Costs	$3,078,957	$3,358,094	$3,460,576	$3,792,183	$3,533,140	$3,706,478	$3,930,481	$3,584,785	$3,683,171	$3,672,340	$3,217,115	$4,087,630	$4,956,616
Operating Margin %	15.8%	12.2%	9.7%	9.3%	3.4%	9.2%	12.0%	16.3%	15.2%	18.4%	18.7%	17.3%	15.8%
Medicare %	17.2%	11.8%	14.2%	9.1%	8.0%	10.7%	10.5%	7.3%	7.6%	16.6%	6.3%	7.3%	9.0%
Medicaid %	79.4%	81.9%	79.9%	83.7%	83.5%	75.8%	79.7%	77.9%	78.1%	72.2%	84.6%	78.0%	73.4%
Private %	3.4%	6.2%	6.0%	7.2%	8.5%	13.6%	9.8%	14.7%	14.3%	11.2%	9.1%	14.7%	17.6%
Net Patient Revenue/Day	$211	$201	$205	$214	$198	$216	$230	$246	$246	$306	$312	$361	$377
Cost/Day	$178	$176	$185	$194	$191	$196	$203	$206	$209	$250	$254	$298	$318
Avg Length of Stay	144.3 days	218.7 days	291.9 days	313.4 days	270.5 days	223.8 days	154.6 days	165.4 days	139.6 days	137.5 days	140.5 days	98.3 days	106.3 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 11/2023.

Net patient revenue

$9.1M

Net patient income

$1.4M

Government Hospital District

Net patient revenue

$9.1M

Net patient income

$1.4M

Other income

$3.7K

Payroll costs

$5.0M 54.7% of net patient revenue

Other operating costs

$2.7M

Total costs

$7.6M

What does this home offer?

Building Type: Single-story

Transportation Services

Fitness and Recreation

TYPE OF STAY

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.

Most new residents arrive under private pay (51% of admissions), and a typical private pay stay runs around 1 - 2 months.

Coverage residents most often arrive under.

Medicare 22%

Private pay 51%

Medicaid 27%

Coverage residents most often leave under.

Medicare 15%

Private pay 60%

Medicaid 25%

0.5 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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Compare Nursing Homes around Hidalgo County

The information below is reported by the Texas Health and Human Services Commission.

5 facilities compared · CMS & TX Dept. of Health data


Grand Terrace Rehabilitation and Healthcare	NH	Mcallen	93 Facility 93 TX AVG 80 Rank #407 / 988	77.3% Facility 77.3% TX AVG 63.5% Rank #91 / 304	+22%	2.79 Facility 2.79 TX AVG 3.63 Rank #279 / 296	+6%	-23%	$0 Facility $0 TX AVG $81.8k Rank #1 / 301	9 Facility 9 TX AVG 25.9 Rank #19 / 299	1.8 Facility 1.8 TX AVG 3.7 Rank #12 / 299	-	89	-	76 Facility 76 TX AVG 41 Rank #57 / 1391	Mcallen Care Associates, Inc	$9.1M Facility $9.1M TX AVG $8.4M Rank #119 / 304	$5.0M Facility $5.0M TX AVG $3.5M Rank #154 / 304	54.7% Facility 54.7% TX AVG 47% Rank #220 / 304	455586
Mission Valley Nursing and Transitional Care	NH MC RC	Mission	120 Facility 120 TX AVG 80 Rank #210 / 988	96.7% Facility 96.7% TX AVG 63.5% Rank #4 / 304	+52%	3.33 Facility 3.33 TX AVG 3.63 Rank #191 / 296	-3%	-8%	$26.7k Facility $26.7k TX AVG $81.8k Rank #167 / 301	17 Facility 17 TX AVG 25.9 Rank #91 / 299	2.8 Facility 2.8 TX AVG 3.7 Rank #94 / 299	3	112	-	11 Facility 11 TX AVG 41 Rank #1215 / 1391	Miss Ion Valley Nursing And Transitional Care LLC	$12.4M Facility $12.4M TX AVG $8.4M Rank #82 / 304	$5.3M Facility $5.3M TX AVG $3.5M Rank #79 / 304	42.6% Facility 42.6% TX AVG 47% Rank #170 / 304	676446
Village Healthcare and Rehabilitation	NH	Mcallen (Trevino Colonia)	114 Facility 114 TX AVG 80 Rank #291 / 988	76.8% Facility 76.8% TX AVG 63.5% Rank #93 / 304	+21%	3.31 Facility 3.31 TX AVG 3.63 Rank #191 / 296	-62%	-9%	$29.0k Facility $29.0k TX AVG $81.8k Rank #171 / 301	16 Facility 16 TX AVG 25.9 Rank #76 / 299	2.0 Facility 2.0 TX AVG 3.7 Rank #24 / 299	3	90	-	66 Facility 66 TX AVG 41 Rank #185 / 1391	Mcallen Community Healthcare, Inc	$12.2M Facility $12.2M TX AVG $8.4M Rank #47 / 304	$6.2M Facility $6.2M TX AVG $3.5M Rank #88 / 304	50.8% Facility 50.8% TX AVG 47% Rank #269 / 304	675689
Alfredo Gonzalez Texas State Veterans Home	NH MC NC RC	Mcallen (East Yuma Avenue)	160 Facility 160 TX AVG 80 Rank #44 / 988	95.3% Facility 95.3% TX AVG 63.5% Rank #8 / 304	+50%	3.73 Facility 3.73 TX AVG 3.63 Rank #111 / 296	-23%	+3%	$35.6k Facility $35.6k TX AVG $81.8k Rank #188 / 301	16 Facility 16 TX AVG 25.9 Rank #76 / 299	3.2 Facility 3.2 TX AVG 3.7 Rank #144 / 299	1	157	A+	6 Facility 6 TX AVG 41 Rank #1286 / 1391	Sears Methodist Retirement System, Inc	$16.7M Facility $16.7M TX AVG $8.4M Rank #39 / 304	$6.5M Facility $6.5M TX AVG $3.5M Rank #52 / 304	39% Facility 39% TX AVG 47% Rank #241 / 304	676063
Hidalgo Nursing and Rehabilitation Center	NH HC MC PC RC	Edinburg	126 Facility 126 TX AVG 80 Rank #160 / 988	77.8% Facility 77.8% TX AVG 63.5% Rank #85 / 304	+23%	2.74 Facility 2.74 TX AVG 3.63 Rank #284 / 296	-53%	-24%	$7.6k Facility $7.6k TX AVG $81.8k Rank #82 / 301	17 Facility 17 TX AVG 25.9 Rank #91 / 299	2.8 Facility 2.8 TX AVG 3.7 Rank #94 / 299	1	104	-	29 Facility 29 TX AVG 41 Rank #942 / 1391	Regency Ihs Of Hidalgo LLC	$9.7M Facility $9.7M TX AVG $8.4M Rank #74 / 304	$5.8M Facility $5.8M TX AVG $3.5M Rank #90 / 304	60.3% Facility 60.3% TX AVG 47% Rank #215 / 304	676346

Nursing Home Explorer

Community Care for the Aged and Disabled (CCAD)

TX Medicaid CCAD

Age 65+ or disabled

General Texas resident, Medicaid-eligible, care need (not always nursing home level).

Income Limits (2025) ~$2,829/month 300% FBR, individual

Asset Limits $2,000 (individual), $3,000 (couple).

Large state; rural access challenges.

Benefits

Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$60/day) Home aides

Texas Community Care Services

TX CCS

Age 60+

General Texas resident, at risk of decline.

Income Limits ~$2,000/month individual, varies

Asset Limits $5,000 individual

Limited funding; high demand in urban areas.

Benefits

In-home care (3-5 hours/week) Respite (up to 10 days/year) Transportation (~5 trips/month)

Area Agency on Aging (AAA) Services

Texas AAA Services

Age 60+

General TX resident; no income/asset limits.

Income Limits (2025) None; donations encouraged.

Asset Limits Not assessed.

28 AAAs; includes Meals on Wheels in some areas.

Benefits

Meals (~$5-$7/meal) Transportation Homemaker services (~4 hours/week) Respite (~5 days/year) Legal aid

Medicare Savings Program (MSP)

Texas Medicare Savings Program

Age 65+ or disabled

General TX resident, Medicare Part A/B.

Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

Asset Limits $9,430 (individual), $14,130 (couple).

Includes Extra Help for Part D; no waitlist.

Benefits

Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Family Caregiver Support Program (FCSP)

Texas Family Caregiver Support Program

Age —

General Caregivers of 60+ needing care or 55+ caregivers of others; TX resident; 2+ ADLs.

Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year

Asset Limits Not assessed.

High rural demand; includes grandparent caregivers.

Benefits

Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Training Supplies (~$500/year)

VA Aid and Attendance (A&A) and Housebound Benefits

Texas VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse

General TX resident, wartime service, ADL help (A&A) or homebound.

Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

Asset Limits ~$155,356 net worth

High veteran population; supports rural/urban needs.

Benefits

Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs

Property Tax Exemption for Seniors

Texas Senior Property Tax Exemption

Age 65+

General TX resident, homeowner (homestead).

Income Limits (2025) None; tax-based eligibility.

Asset Limits Not assessed.

$25,000+ exemption; optional freeze in some counties; saves ~$500-$1,000/year.

Benefits

Tax exemption or freeze (~$500-$1,000/year savings)

Senior Farmers’ Market Nutrition Program (SFMNP)

Texas SFMNP

Age 60+

General TX resident, low-income.

Income Limits (2025) ~$2,322/month 185% FPL

Asset Limits Not assessed.

Vouchers (~$50/season); serves ~20,000 via 28 AAAs.

Benefits

Vouchers (~$50/season) for produce at farmers’ markets

Who is the owner of Grand Terrace Rehabilitation and Healthcare?

Grand Terrace Rehabilitation and Healthcare is legally operated by Fannin County Hospital Authority, and administered by Nefi Guzman.

Is Grand Terrace Rehabilitation and Healthcare in a walkable area?

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.

What is the license number of Grand Terrace Rehabilitation and Healthcare?

According to TX state health department records, Grand Terrace Rehabilitation and Healthcare's license number is 311781.

When does Grand Terrace Rehabilitation and Healthcare's license expire?

According to TX state health department records, Grand Terrace Rehabilitation and Healthcare's license expires on January 12, 2026.

What is the occupancy rate at Grand Terrace Rehabilitation and Healthcare?

Grand Terrace Rehabilitation and Healthcare's occupancy is 77%.

Is Grand Terrace Rehabilitation and Healthcare a government-operated facility?

Grand Terrace Rehabilitation and Healthcare is a government-operated nursing facility in TX.

Who is the administrator of Grand Terrace Rehabilitation and Healthcare?

Nefi Guzman is the administrator of Grand Terrace Rehabilitation and Healthcare.

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Grand Terrace Rehabilitation and Healthcare

Overview of Grand Terrace Rehabilitation and Healthcare

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Type Of Units

Staffing

Leadership

Therapy & Rehabilitation

Staffing & Medical

Memory & Specialized Care

Amenities & Lifestyle

Contact Grand Terrace Rehabilitation and Healthcare

Inspection History

Inspection Scorecard 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 Citations are formal regulatory issues recorded during state inspections.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2022

Breakdown of citation severity (last 4 years)

Citations history (last 4 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

39 Certified Nursing Assistant

16 Licensed Practical Nurse

8 Medication Aide/Technician

10 Registered Nurse

7 Qualified Activities Professional

7 Speech Language Pathologist

5 Physical Therapy Aide

4 RN Director of Nursing

8 Qualified Social Worker

2 Dental Services Staff

2 Physical Therapy Assistant

1 Nurse Practitioner

1 Dietitian

2 Other Dietary Services Staff

1 Administrator

3 Respiratory Therapy Technician

1 Therapeutic Recreation Specialist

4 Clinical Nurse Specialist

2 Nurse Aide in Training

1 Medical Director

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

What does this home offer?

Who this home usually serves

Mix of rehab and long-term care

Admissions

Discharges

Places of interest near Grand Terrace Rehabilitation and Healthcare

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Financial Assistance for Nursing Home in Texas

Community Care for the Aged and Disabled (CCAD)

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