McAllen Senior AdvisorValley Grande Manor is a 147-bed nursing home at 1212 S Bridge, Weslaco, certified for Medicare and Medicaid and licensed by the Texas Health and Human Services Commission as nursing facility #308458; CMS rates Valley Grande Manor 1 out of 5 stars overall in Care Compare data dated October 1, 2026.
How many stars does Medicare give Valley Grande Manor?
CMS rates Valley Grande Manor 1 out of 5 stars overall, with 1 star for health inspections, 1 for staffing and 3 for quality measures.
| Measure | Value |
|---|---|
| CMS overall rating | 1 of 5 |
| Health inspections (CMS) | 1 of 5 |
| Staffing (CMS) | 1 of 5 |
| Quality measures (CMS) | 3 of 5 |
| Long-stay / short-stay quality (CMS) | 4 / 2 |
| Certification (CMS) | Medicare and Medicaid |
| Certified beds; average daily census | 147; 109.1 |
| Ownership (CMS) | For profit - Individual |
| Chain (CMS) | None listed |
| Medicare/Medicaid participation since | February 28, 1986 |
| HHSC nursing facility license | #308458, 147 licensed beds |
| Alzheimer's beds (HHSC directory) | 0 |
| Licensee (HHSC) | Booker Hospital District |
About 109 residents live there on an average day, 74% of certified beds, below the 78% median for certified homes in Hidalgo County.
What have inspectors cited at Valley Grande Manor?
CMS dates Valley Grande Manor's last standard inspection July 25, 2025, and the cycle carries 30 health deficiencies: 10 from the survey and 21 from complaints.
Looking one cycle back to May 17, 2024, CMS shows 26 deficiencies. Hidalgo County's certified homes have a median of 11 in their latest cycle, so this home sits above that mark.
Within CMS's three-year penalty window it shows 4 fines totaling $88,679 and 0 payment denials.
The abuse icon appears on this home's CMS profile, which means a citation for abuse in the last year, or for potential abuse in each of the last two years.
How many nursing hours do residents of Valley Grande Manor receive?
Valley Grande Manor reports 3.05 nurse staffing hours per resident day, below the Hidalgo County median of 3.30, including 0.10 hours from registered nurses (below the Hidalgo County median of 0.35).
Nurse aides account for 1.93 hours per resident day. Weekend total nurse staffing is 2.80 hours per resident day. Nursing staff turnover is 67.0%, above the Hidalgo County median of 38.5%; RN turnover is 83.3%. CMS counts 1 administrator departure in its measurement period.
Who can pay for a stay at Valley Grande Manor?
CMS lists Valley Grande Manor as certified for Medicare and Medicaid, so it can bill Medicare for qualifying short-term skilled stays and Texas Medicaid for long-term residents who qualify financially and medically.
A rehab admission after a hospital stay usually starts under Medicare Part A, which covers up to 100 days with a daily copay after day 20. When skilled care ends, the bill shifts to private funds, insurance or Medicaid. A Texas Medicaid resident keeps a $75 monthly personal needs allowance; the rest of their income goes toward the cost of care.
What are the alternatives near Valley Grande Manor in Weslaco?
The closest other certified nursing home is Weslaco Nursing and Rehabilitation Center in Weslaco (0.6 mi, CMS 4 of 5), and the nearest acute-care hospital is Knapp Medical Center, about 3.7 miles away.
| Facility or agency | Miles (straight line) | Licensed capacity | CMS overall rating | Latest CMS health inspection | Health deficiencies (latest cycle) |
|---|---|---|---|---|---|
| Weslaco Nursing and Rehabilitation Center 422 E 18th St, 78596 | 0.6 | 120 | 4 of 5 | July 28, 2026 | 15 |
| Windsor Nursing and Rehabilitation Center of Weslaco 721 S Airport Dr, 78596 | 0.6 | 120 | 2 of 5 | July 16, 2026 | 9 |
| Mid Valley Nursing & Rehabilitation 601 N Mile 2 West, 78570 | 6.6 | 123 | 1 of 5 | April 9, 2026 | 15 |
| The Heights of Alamo 1214 S. Alamo Road, 78516 | 9.0 | 130 | 5 of 5 | August 5, 2026 | 11 |
| San Juan Nursing Home 300 N Nebraska Ave., 78589 | 11.2 | 100 | 4 of 5 | December 11, 2025 | 7 |
What should we raise on a visit to Valley Grande Manor?
Take the CMS data with you. To begin, ask for the plan of correction covering the 30 deficiencies from July 25, 2025 and what has been re-checked since.
- Turnover of 67.0% is above the local median; ask what share of aides on nights and weekends are agency staff.
- Ask what led to the $88,679 in CMS fines and whether the problem has been closed out.
- With occupancy near 74%, ask which halls have openings and why.
- CMS shows a resident council; ask when it meets and how families raise concerns.
- Ask whether nurses and aides on every shift speak Spanish, and how care conferences are held for Spanish-speaking families.
- Ask who the attending physicians are and how often they see long-term residents.
