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C
Below Standard

Grand Terrace Rehabilitation and Healthcare

812 W Houston Ave · McAllen, TX 78501

9566826331 · Government - Hospital district

93 beds86.2 residents115 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Grand Terrace Rehabilitation and Healthcare receives an overall staffing grade of C (Below Standard). With 3.2639 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.5351 HPRD, below the recommended 0.75. It is 0.63 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 19.51% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.2639 HPRD — needs 0.22 more hours per resident per day.
⚠️RN staffing (0.5351 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.2639hrs/resident/day▼ 0.63
CMS benchmark: 3.48
RN HPRD
0.5351hrs/resident/day▼ 0.15
Recommended: 0.75
Weekend Drop-off
19.51%
3.4544 weekday → 2.7803 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.6194hrs/resident/day
Direct care aides
LPN HPRD
0.7352hrs/resident/day
Licensed practical nurses
Consistency
0.3552std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Hidalgo County Average-0.07 HPRD
3.34
03.26 HPRD
vs. Texas State Average-0.14 HPRD
3.40
03.26 HPRD
vs. National Average-0.63 HPRD
3.90
03.26 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Grand Terrace Rehabilitation and Healthcare ★
McAllen · This facility
—
C
3.26390.5351★★★★★
Windsor Nursing and Rehabilitation Center of Mcall
Mcallen
0.3 mi
D
3.14370.2992★★☆☆☆
MCALLEN NURSING CENTER
MCALLEN
1.2 mi
D
2.94850.3057★★☆☆☆
SAN JUAN NURSING HOME INC
SAN JUAN
4.6 mi
D
4.6860.3058★★★★★
MISSION NURSING & REHABILITATION CENTER
MISSION
5.2 mi
C
3.52620.4927★★★★★
Valley Grande Manor
Weslaco
15.6 mi
F
3.05680.1207★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

7
Inspections
11
Total Deficiencies
$0
Fines Assessed
Dec 8, 2025Health
1 deficiency cited
▼
Dec 4, 2025Health
1 deficiency cited
▼
Nov 19, 2025Health
1 deficiency cited
▼
Nov 20, 2024Health
1 deficiency cited
▼
Nov 8, 2024Health
1 deficiency cited
▼
Aug 31, 2023Health
5 deficiencies cited
▼
Jun 9, 2022Health
1 deficiency cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.