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Grand Terrace Rehabilitation and Healthcare
Nursing Home & Skilled Nursing · Mcallen, TX
CMS overall rating Info 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.
Facility sign for Grand Terrace Rehabilitation and Healthcare A private resident room with bed and furniture Private resident room with bed and dresser Interior view of a common area with decorated tables

Grand Terrace Rehabilitation and Healthcare

Nursing Home & Skilled Nursing · Mcallen, TX
CMS overall rating Info 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.
812 W Houston Ave, Mcallen, TX 78501 View map Calculator: See prices in your area
Grand Terrace Rehabilitation and Healthcare accepts Medicaid, Medicare, and private pay.
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Grand Terrace Rehabilitation and Healthcare accepts Medicaid, Medicare, and private pay.

Overview of Grand Terrace Rehabilitation and Healthcare

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

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▲ 78.9% Above TX avg. ▲ 78.9% Above TX avg.TX average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▲ 80.9% Above TX avg. ▲ 80.9% Above TX avg.TX average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▼ 5.7% Below TX avg. ▼ 5.7% Below TX avg.TX average: 2.1Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▲ 33.2% Above TX avg. ▲ 33.2% Above TX avg.TX average: 3.8Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info 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.

Hours per resident per day vs Texas averages

Rank #193 / 234Nurse hours — State benchmarkedThis home is ranked 193rd out of 234 homes we track in Texas for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Texas average, with a ranking across 234 Texas facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Texas that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 193rd out of 234 homes we track 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.

2h 55m

20% below state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info 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.
18m
−29% State avg: 26m per day · National avg: 41m per day
LPN / LVN Info 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.
44m
−24% State avg: 57m per day · National avg: 52m per day
Nurse Aide Info 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.
1h 53m
−7% State avg: 2h 1m per day · National avg: 2h 21m per day
Weekend Total Nursing Info 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 30m
−16% State avg: 2h 59m per day · National avg: 3h 26m per day
Physical Therapist Info 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.
4m
Avg State avg: 4m per day · National avg: 4m per day
Weekend RN Info 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.
15m
−30% State avg: 21m per day · National avg: 29m per day

5 of 6 metrics below state avg

By The Numbers

Community insights.

Bed count Info A larger shared setting that may offer more common spaces and organized community services. 93 Rank #387 / 980Bed count — State benchmarkedThis home is ranked 387th out of 980 homes we track in Texas for bed count. Shows this facility's certified or reported bed count compared to other Texas facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Texas that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Smaller home · May offer a more intimate, personalized care environment.

Years of operating Info A longer operating history, which may indicate experience navigating regulations and delivering ongoing care. Rank #113 / 587Years in operation — State benchmarkedThis home is ranked 113th out of 587 homes we track in Texas for years in operation. Shows how long this facility has been in operation compared to other Texas facilities. Longer operating histories may benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Texas that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
35 years
Walk Score Info Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk. Rank #57 / 1345Walk Score — State benchmarkedThis home is ranked 57th out of 1,345 homes we track in Texas for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Texas facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Texas that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
76 / 100
Occupancy rate Info Occupancy between 85% and 95% suggests balanced demand. Rank #29 / 163Occupancy rate — State benchmarkedThis home is ranked 29th out of 163 homes we track in Texas for occupancy. Shows this facility's occupancy rate versus the Texas average, with its Statewide rank out of 163. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Texas that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
88% This home usually has limited availability
Higher than the Texas average: 63.5%
Occupied beds
82 / 93
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
106 days

About this community

License Details

Facility TypeNursing
IssuanceJanuary 12, 2023
CountyHidalgo
License Number311781
Year Opened3/31/1991
QualificationNursing

Ownership & Operating Entity

Grand Terrace Rehabilitation and Healthcare is administered by Nefi Guzman.

Management CompanyMCALLEN CARE ASSOCIATES, INC
OwnerFannin County Hospital Authority
Ownership TypeHOSPITAL 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 Emailrenewals@ensignservices.net

Therapy & Rehabilitation

1 service
Rehabilitation Services

Staffing & Medical

1 service
24-Hour Staffing

Amenities & Lifestyle

Specific ProgramsIn-House Therapy

Contact Grand Terrace Rehabilitation and Healthcare

Inspection History

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.

Since 2022 · 4 years of data These figures come from state-published and/or federal inspection records. The period covered can vary depending on document availability. 16 citations

Inspection Scorecard Info 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 1 Worse Metrics worse than Texas average:
• Total citations (100% above) 0 Better No metrics in this bucket.

Citations Info Citations are formal regulatory issues recorded during state inspections.

This FacilityTX Averagevs. TX Avg
Total citations Info Formal regulatory issues recorded by inspectors across all inspection types. 168 This facility has 100% more total citations than a typical Texas nursing home (16 vs. TX avg 8).↑ 100% worse
Show Inspection Reports

CMS Health Inspection History

Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.

Inspections Since 2022 · 4 years of data
Total health inspections 5

Texas average 7.4

Last Health inspection on Nov 2024

Total health citations
9 Rank #17 / 234Health citations — State benchmarkedThis home is ranked 17th out of 234 homes we track in Texas for health citations. Shows this facility's total health deficiency citations benchmarked to the Texas State average, with a ranking across all 234 TX facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Texas that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Texas average 25.9

Citations per inspection
1.8 Rank #10 / 234Citations per inspection — State benchmarkedThis home is ranked 10th out of 234 homes we track in Texas for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Texas mean across 234 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Texas that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

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
0
100% better than Texas average

Texas average: 2

Serious health citations
0
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

Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. 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.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 124
Employees 123
Contractors 1
Staff to resident ratio 1.59 : 1
8% more staff per resident than Texas average
Texas average ratio: 1.48 : 1 Texas average ratio: 1.48 : 1See full Texas ranking
Avg staff/day 54
Average shift 7.7 hours
5% worse than Texas average
Texas average: 8.1 hours Texas average shift: 8.1 hoursSee full Texas ranking
Total staff hours (quarter) 38,308

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 10 RN Staff are full-time employees. No contractors work on this role. 10
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.5 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 16 LPN Staff are full-time employees. No contractors work on this role. 16
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.6 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 39 CNA Staff are full-time employees. No contractors work on this role. 39
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.5 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors 0% — all staff are direct employees this quarter

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant3903914,07092100%7.5
Licensed Practical Nurse160164,94392100%8.6
Medication Aide/Technician8082,61492100%7.8
Registered Nurse100102,54892100%7.5
Qualified Activities Professional7072,33692100%9.1
Speech Language Pathologist7072,0816874%7.6
Physical Therapy Aide5051,5377177%6.7
RN Director of Nursing4041,5066773%8.9
Qualified Social Worker8081,3206773%6.8
Dental Services Staff2021,0226672%8.2
Physical Therapy Assistant2027876368%6.7
Nurse Practitioner1015766470%9
Dietitian1015336166%8.7
Other Dietary Services Staff2025276368%8.4
Administrator1014966267%8
Respiratory Therapy Technician3034756571%7
Therapeutic Recreation Specialist1014596368%7.3
Clinical Nurse Specialist4042592527%8.9
Nurse Aide in Training2022072830%7.4
Medical Director01114910%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%
View All Staffing Data in Hidalgo County

Penalties and fines

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

No penalties in the past 3 years

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

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 Info 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 Info 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
Significantly above average Texas avg: 4.1 Info 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 Info 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 Info 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 Info 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 Info 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 Info Percent of long-stay high risk residents with pressure ulcers 2.2%
50% better than Texas average

Texas average: 4.4%

Urinary Tract Infection Info 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 Info Percent of long-stay residents who lose too much weight 16.7%
381% worse than Texas average

Texas average: 3.5%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than Texas average

Texas average: 2.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 8.3%
5% worse than Texas average

Texas average: 7.9%

Pneumococcal Vaccine Info 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 Info 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 Info 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 Info 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
Significantly above average Texas avg: 3.1 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info 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 Info Percent of short-stay residents who newly received an antipsychotic medication 1.1%
28% better than Texas average

Texas average: 1.4%

Influenza Vaccine Info 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 Info 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 Info 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 Info 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 Info 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 Info 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.

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

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 78
Medicare
20
25.6% of residents
Medicaid
57
73.1% of residents
Private pay or other
1
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.

Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.

Finances and operations

Based on the home's most recent complete CMS SNF Cost Report — fiscal year ending in 11/2022. This is an older period than most facilities report, so compare with that in mind.

Government
Hospital District
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$8.0M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$1.4M
Government Hospital District
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$8.0M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$1.4M
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
$4.1M 51% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$2.5M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$6.6M
How we calculate these figures

This home is administered by Nefi Guzman.

This home is owned by Mcallen Care Associates, Inc

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 455586

Show certification details

What does this home offer?

Pets allowed icon
Pets allowed icon

No pets allowed

Building type icon
Building type icon

Building Type: Single-story

Transportation services icon
Transportation services icon

Transportation Services

Fitness and recreation icon
Fitness and recreation icon

Fitness and Recreation

Who this home usually serves

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.

Admissions
240 total

Coverage residents most often arrive under.

Medicare 22%
Private pay 51%
Medicaid 27%
Discharges
226 total

Coverage residents most often leave under.

Medicare 15%
Private pay 60%
Medicaid 25%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Grand Terrace Rehabilitation and Healthcare

Address 0.5 miles from city center Info Estimated distance in miles from Mcallen's city center to Grand Terrace Rehabilitation and Healthcare's address, calculated via Google Maps.

Calculate Travel Distance to Grand Terrace Rehabilitation and Healthcare

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Address

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
Nursing Home Explorer

Financial Assistance for
Nursing Home in Texas

Grand Terrace Rehabilitation and Healthcare is located in McAllen, Texas.
Here are the financial assistance programs available to residents in Texas.

Get Financial aid guidance

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).
TX

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
TX

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.
TX

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).
TX

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.
TX

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
TX

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.
TX

$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.
TX

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

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

Frequently Asked Questions about Grand Terrace Rehabilitation and Healthcare

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.

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

Grand Terrace Rehabilitation and Healthcare's occupancy is 88%.

How long has Grand Terrace Rehabilitation and Healthcare been in business?

Grand Terrace Rehabilitation and Healthcare has been operating for approximately 35 years, based on available licensing and registration records.

Are pets allowed at Grand Terrace Rehabilitation and Healthcare?

No, Grand Terrace Rehabilitation and Healthcare has a no-pet policy.

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

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

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