Val Verde Nursing and Rehabilitation Center
A nursing home in Del Rio, Texas 78840
100 Hermann Dr, Del Rio, Texas 78840. (830) 775-7477.
Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.
The short answer
Record last released by CMS on Oct 28, 2026.
- 2of 5 CMS’s overall rating
- 14 health citations at the latest inspection cycle Texas average: 9.6
- 3.28 nurse hours per resident per day Texas average: 3.42
- 0 fines in the last three years
Each figure’s source sits beside it, in its section below.
What these words mean7
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
14 health citations at the latest inspection cycle
The Texas average is 9.6.
Last standard inspection Aug 12, 2026.
Most serious in three years: D: no actual harm, potential for more than minimal harm.
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
24 citations in 5 months of the last 36. Last cited Aug 2026. Most serious: no actual harm, potential for more than minimal harm (D). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 25 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 5 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Aug 12, 2026: standard inspection10 citations
-
Ensure each resident receives an accurate assessment.
-
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
-
PASARR screening for Mental disorders or Intellectual Disabilities
-
Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
-
Provide activities to meet all resident’s needs.
-
Ensure the activities program is directed by a qualified professional.
-
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
-
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
-
Provide and implement an infection prevention and control program.
-
Post nurse staffing information every day.
Feb 3, 2026: complaint inspection2 citations
-
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
-
Post nurse staffing information every day.
Dec 3, 2025: complaint inspection2 citations
-
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
-
Respond appropriately to all alleged violations.
Jun 6, 2025: standard inspection7 citations
-
Keep residents’ personal and medical records private and confidential.
-
Ensure each resident receives an accurate assessment.
-
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
-
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
-
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
-
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
-
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
May 10, 2024: standard inspection3 citations
-
Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
-
Provide enough food/fluids to maintain a resident’s health.
-
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Nov 17, 2023: complaint inspection1 citation
-
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Oct 27, 1994.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as government, hospital district.
- 76 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- No fines in the last three years.
- No Medicare payment denials in the last three years.
- 5 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Who does the caring?
3.28 nurse hours per resident per day
The Texas average is 3.42.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Texas average |
|---|---|---|
| Nurse hours per resident per day | 3.28 | 3.42 |
| Of which registered nurses | 0.48 | 0.44 |
| At weekends | 2.95 | 2.99 |
| Nursing staff turnover | 36.2% | 50.8% |
| Registered nurse turnover | 28.6% | 49.8% |
| Administrators who left | 0 | Not given |
Who owns it?
- Val Verde County Hospital District owns 100% directly since Apr 1, 2022; Regency IHS of Val Verde, LLC owns 100% directly since Apr 1, 2022.
- Regency Integrated Health Services LLC and Val Verde County Hospital District and Regency IHS of Val Verde, LLC run it.
- 21 owners or officers are people: Jaime J Gutierrez (additional disclosable party (controls, leases property to, or provides services to the home)); Robin Palmer (on the governing body (managing control)); Sarah Reyes (additional disclosable party (controls, leases property to, or provides services to the home)); Patricia Gibson (on the governing body (managing control)); Cris Diaz (on the governing body (managing control)); Barbara B Clapp (on the governing body (managing control)); Alfonso Jimenez (additional disclosable party (controls, leases property to, or provides services to the home)); Antonio Carvajal (on the governing body (managing control)); Veronica Gonzales (on the governing body (managing control)); Julio Otazo (on the governing body (managing control)); Nicole Kaufman (on the governing body (managing control)); Jorge Jurado (corporate officer); Jorge Jurado (on the governing body (managing control)); Daniel J Chartrand (on the governing body (managing control)); Daniel S Baird (on the governing body (managing control)); Maria C Guerra (runs it (operational or managerial control)); Maria C Guerra (additional disclosable party (controls, leases property to, or provides services to the home)); Donovan R Dekowski (runs it (operational or managerial control)); Donovan R Dekowski (additional disclosable party (controls, leases property to, or provides services to the home)); Daren A Cortese (on the governing body (managing control)); Elliot J Mandelbaum (on the governing body (managing control)).
- Part of Wellsential Health (67 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Csv Rhea Management Holdco, LLC | Owns a share through other companies | 100% | Apr 1, 2022 |
| Regency Texas Holdings LLC | Owns a share through other companies | 100% | Apr 1, 2022 |
| Jack and Nancy Dwyer Workforce Development Center Inc. | Owns a share through other companies | 100% | Apr 1, 2022 |
| Reg Operator Holdco LLC | Owns a share through other companies | 100% | Apr 1, 2022 |
| Reg Hg Opco LLC | Owns a share through other companies | 100% | Apr 1, 2022 |
| Reg Hg Opco 1, LLC | Owns a share through other companies | 100% | Apr 1, 2022 |
| Dwd TX Holdings LLC | Owns a share through other companies | 100% | Apr 1, 2022 |
| Regency Integrated Health Services LLC | Owns a share through other companies | 100% | Apr 1, 2022 |
| Val Verde County Hospital District | Owns 5% or more directly | 100% | Apr 1, 2022 |
| Regency IHS of Val Verde, LLC | Owns a share directly | 100% | Apr 1, 2022 |
| Regency IHS Rehab LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 1, 2022 | |
| 100 Herrmann Drive LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 1, 2022 | |
| Regency IHS Master Tenant LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 1, 2022 | |
| Regency Integrated Health Services LLC | Runs it (operational or managerial control) | Apr 1, 2022 | |
| Regency Integrated Health Services LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 1, 2022 | |
| Val Verde County Hospital District | Runs it (operational or managerial control) | Apr 1, 2022 | |
| Val Verde County Hospital District | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 1, 2022 | |
| Regency IHS Clinical Consulting, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 1, 2022 | |
| Regency IHS of Val Verde, LLC | Runs it (operational or managerial control) | Apr 1, 2022 | |
| Regency IHS of Val Verde, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 1, 2022 |
How do residents fare?
- CMS rates its quality measures 3 of 5 (Texas average 3.8).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 2 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 3 of 5 |
| Quality measures | 3 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 105.4 miles, this one had the 5th most health citations at the latest inspection cycle (14; the middle value was 9).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Val Verde Nursing and Rehabilitation Center This nursing home | 14 | |
| Del Rio Nursing and Rehabilitation Center | 0.8 | 16 |
| La Vida Serena Nursing and Rehabilitation | 3.3 | 6 |
| Eagle Pass Nursing and Rehabilitation | 51.4 | 2 |
| La Hacienda De Paz Rehabilitation and Care Center | 52.1 | 12 |
| Maverick Nursing and Rehabilitation Center | 52.3 | 19 |
| Avir at Camp Wood | 56.9 | 27 |
| Uvalde Healthcare and Rehabilitation Center | 66.9 | 6 |
| Amistad Nursing and Rehabilitation Center | 68.1 | 17 |
| Whispering Springs Rehabilitation and Healthcare C | 85.4 | 4 |
| Crockett County Care Center | 94.8 | 4 |
| Schleicher County Medical Center | 105.4 | 4 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
-
Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.