Hearth Record

Weslaco Nursing and Rehabilitation Center

A nursing home in Weslaco, Texas 78596

422 E 18th St, Weslaco, Texas 78596. (956) 973-8451.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 28, 2026.

The last 24 months 33 citations in 6 months of the last 36. Last cited Jul 2026. Most serious: no actual harm, potential for more than minimal harm (D). Every month

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?

15 health citations at the latest inspection cycle

The Texas average is 9.6.

Last standard inspection Jul 28, 2026.

Most serious in three years: E: no actual harm, potential for more than minimal harm.

Source:

CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

When those citations happened

33 citations in 6 months of the last 36. Last cited Jul 2026. Most serious: no actual harm, potential for more than minimal harm (D). The last 3 years, to Nov 5, 2026.

33 citations by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

All 33 citations in the last three years

Grouped by inspection, newest first. Each carries , from A, the least serious, to L, the most. 9 came from complaint inspections.

Source:

CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Jul 28, 2026: standard inspection10 citations
  • Keep residents’ personal and medical records private and confidential.

    Rule F0583. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 29, 2026.

  • Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident’s ability to function.

    Rule F0605. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 29, 2026.

  • Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

    Rule F0656. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 29, 2026.

  • Provide care by qualified persons according to each resident’s written plan of care.

    Rule F0659. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 29, 2026.

  • Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    Rule F0694. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 29, 2026.

  • Provide safe and appropriate respiratory care for a resident when needed.

    Rule F0695. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 29, 2026.

  • 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.

    Rule F0761. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 29, 2026.

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Rule F0812. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 29, 2026.

  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Rule F0842. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 29, 2026.

  • Ensure each resident receives an accurate assessment.

    Rule F0641. B: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Jul 29, 2026.

Jul 28, 2026: standard and complaint inspection1 citation
  • Provide and implement an infection prevention and control program.

    Rule F0880. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 29, 2026.

Apr 24, 2026: complaint inspection2 citations
  • Ensure each resident receives an accurate assessment.

    Rule F0641. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 25, 2026.

  • Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

    Rule F0656. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 25, 2026.

Nov 19, 2025: complaint inspection2 citations
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Rule F0684. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Nov 20, 2025.

  • Ensure that residents are free from significant medication errors.

    Rule F0760. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Nov 20, 2025.

May 14, 2025: standard inspection5 citations
  • Honor the resident’s right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Rule F0578. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 15, 2025.

  • Ensure each resident receives an accurate assessment.

    Rule F0641. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 15, 2025.

  • Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

    Rule F0656. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 15, 2025.

  • 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.

    Rule F0761. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 15, 2025.

  • Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Rule F0925. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 15, 2025.

May 14, 2025: standard and complaint inspection1 citation
  • Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Rule F0757. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 15, 2025.

Mar 31, 2025: complaint inspection2 citations
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Rule F0609. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 4, 2025.

  • Provide and implement an infection prevention and control program.

    Rule F0880. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 4, 2025.

Mar 14, 2024: standard inspection9 citations
  • Honor the resident’s right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Rule F0578. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 15, 2024.

  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Rule F0609. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 15, 2024.

  • Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted

    Rule F0655. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 15, 2024.

  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Rule F0677. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 15, 2024.

  • Provide safe and appropriate respiratory care for a resident when needed.

    Rule F0695. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 15, 2024.

  • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Rule F0756. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 15, 2024.

  • 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.

    Rule F0761. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 15, 2024.

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Rule F0812. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 15, 2024.

  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Rule F0842. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 15, 2024.

Mar 14, 2024: standard and complaint inspection1 citation
  • Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Rule F0758. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 15, 2024.

Is it certified, and in good standing?

  • Certified for Medicare and Medicaid since Oct 5, 2004.
  • 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 non profit, corporation.
  • 120 certified beds.
Source:

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.
  • 9 citations in the last three years came from complaint inspections.
Source:

CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Who does the caring?

3.29 nurse hours per resident per day

The Texas average is 3.42.

CMS publishes staffing about four months after the fact.

Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

Staffing measures
MeasureThis homeTexas average
Nurse hours per resident per day3.293.42
Of which registered nurses0.200.44
At weekends2.902.99
Nursing staff turnover23.9%50.8%
Registered nurse turnover20%49.8%
Administrators who left0Not given

Who owns it?

  • Regency IHS of Weslaco LLC owns 100% directly since Apr 1, 2017; Starr County Hospital District owns 100% directly since Apr 1, 2017.
  • Starr County Hospital District and Regency IHS of Weslaco LLC and Regency Integrated Health Services LLC run it.
  • 17 owners or officers are people: Marissa Serna (additional disclosable party (controls, leases property to, or provides services to the home)); Thalia H Munoz (corporate officer, 0%); Thalia H Munoz (on the governing body (managing control)); Patricia Gibson (on the governing body (managing control)); Barbara B Clapp (on the governing body (managing control)); Adrian Guerra (on the governing body (managing control)); Lorena Ureste (additional disclosable party (controls, leases property to, or provides services to the home)); Elisa G Pena (on the governing body (managing control)); Daniel S Baird (on the governing body (managing control)); Jose D Bejarano (additional disclosable party (controls, leases property to, or provides services to the home)); Arcadio J Salinas (on the governing body (managing control)); Leslie Stratton-Grosch (runs it (operational or managerial control)); Leslie Stratton-Grosch (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.
Source:

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Organisations CMS lists
OrganisationRoleShareSince
Csv Rhea Management Holdco, LLCOwns a share through other companies100%Apr 1, 2017
Regency IHS of Weslaco LLCOwns a share directly100%Apr 1, 2017
Reg Bridge Opco LLCOwns a share through other companies100%Apr 1, 2017
Regency Texas Holdings LLCOwns a share through other companies100%Apr 1, 2017
Jack and Nancy Dwyer Workforce Development Center Inc.Owns a share through other companies100%Apr 1, 2017
Reg Operator Holdco LLCOwns a share through other companies100%Apr 1, 2017
Starr County Hospital DistrictOwns 5% or more directly100%Apr 1, 2017
Starr County Hospital DistrictRuns it (operational or managerial control)100%Apr 1, 2017
Reg Hg Opco LLCOwns a share through other companies100%Apr 1, 2017
Dwd TX Holdings LLCOwns a share through other companies100%Apr 1, 2017
Regency Integrated Health Services LLCOwns a share through other companies100%Apr 1, 2017
Regency IHS of Weslaco LLCRuns it (operational or managerial control)Apr 1, 2017
Regency IHS of Weslaco LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Apr 15, 2025
Regency IHS Rehab LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Jan 1, 2025
Starr County Hospital DistrictAdditional disclosable party (controls, leases property to, or provides services to the home)Apr 15, 2025
Regency Integrated Health Services LLCRuns it (operational or managerial control)Apr 1, 2017
Regency Integrated Health Services LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Apr 15, 2025
Regency IHS Clinical Consulting, LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Jan 1, 2025
422 East 18th Street LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Apr 1, 2017

How do residents fare?

  • CMS rates its quality measures 5 of 5 (Texas average 3.8).
Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

CMS’s star ratings, from 1 to 5
MeasureRating
Overall rating4 of 5
Health inspections3 of 5
Staffing2 of 5
Quality measures5 of 5

How does it compare nearby?

  • Among the 12 nearest homes, within 14.8 miles, this one had the 5th most health citations at the latest inspection cycle (15; the middle value was 13.5).
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

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.

Source:

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.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

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Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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