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Skilled nursing facility · CMS certification number 676446

Mission Valley Nursing and Transitional Care

Mission, Texas · Medicare and Medicaid · 120 certified beds in Care Compare

Download Mission Valley Nursing and Transitional Care’s record (CSV, each figure with its worksheet, line and column)

In Care Compare’s provider information: Penalties: 2 · Fines: 2 · Fines, total amount: $38,990.00 · Payment denials: 0. The most recent penalty on file: October 29, 2025, Fine, $17,345. Every penalty on file ↓

Mission Valley Nursing and Transitional Care: its citable report, full history — $295 · an email when it changes — $99/month

What stands out

  • Its latest cost report on file is for fiscal year 2024, covering October 1, 2023 to September 30, 2024 (365 days), and CMS processed it on February 19, 2025.
  • Net patient revenue rose from $12.4M in fiscal year 2023 to $13.7M in fiscal year 2024.
  • Its result from service to patients: −$1.7M (2022), $1.1M (2023), $2.4M (2024).
  • Its cost reports on file run from fiscal year 2018 to fiscal year 2024.
  • Its net patient revenue of $13.7M ranks 36th of the 681 nursing facilities in Texas whose latest cost report on file is fiscal year 2024.
  • 2 of the 5 nursing facilities in Texas closest in size to it, whose latest cost report on file is fiscal year 2024, also report a gain on service to patients.

Mission Valley Nursing and Transitional Care: Medicare cost reports

Form CMS-2540-10: every report is settled.

Cost reports on form CMS-2540-10, fiscal years 2018 to 2024
Form CMS-2540-102024 · report 14039262023 · report 13753092022 · report 13462342021 · report 13132942020 · report 13406742019 · report 12721092018 · report 1241878
Period beganOctober 1, 2023October 1, 2022October 1, 2021March 1, 2021January 1, 2020January 1, 2019July 11, 2018
Period endedSeptember 30, 2024September 30, 2023September 30, 2022September 30, 2021December 31, 2020December 31, 2019December 31, 2018
Days, where not a full year———213——173
Processed by CMSFebruary 19, 2025March 20, 2024April 21, 2023March 30, 2022January 20, 2023October 21, 2020August 22, 2019
Total patient revenue$16,634,701$13,264,971$11,573,017$6,760,053$11,910,715$12,220,159$4,333,028
Contractual allowances and discounts$2,927,056$905,681—————
Net patient revenue$13,707,645$12,359,290$11,573,017$6,760,053$11,910,715$12,220,159$4,333,028
Total operating expenses$11,293,556$11,268,848$13,231,260$7,320,218$11,052,307$10,783,058$4,501,629
Net income from service to patients$2,414,089$1,090,442−$1,658,243−$560,165$858,408$1,437,101−$168,601
Total other income$1,105,448$1,176,036$2,101,822$597,086$952,718$4,665$5,219
Net income after other income$3,519,537$2,266,478$443,579$36,921$1,811,126$1,441,766−$163,382
Net income$3,519,537$2,266,478$443,579$36,921$1,811,126$1,441,766−$163,382
Total facility beds, all components120120120120120120120
Bed days available, all components43,920——————
Medicare (Title XVIII) patient days3,064——————
Medicaid (Title XIX) patient days26,826——————
Other-payer patient days12,710——————
Total patient days, all components42,60042,36240,95823,36139,28340,72913,904
Medicare discharges90——————
Medicaid discharges55——————
Other-payer discharges428——————
Total discharges, all components573619617338485489151
Average length of stay, Medicare, in days34.0430.2232.6529.0442.5333.7245.1
Average length of stay, Medicaid, in days487.75485.86312.87262.71361.83367.79253.1
Average length of stay, all patients, in days74.3568.4466.3869.128183.2992.08

Net income, fiscal years 2024, 2023, 2022, 2021, 2020, 2019, 2018. Checked against the form’s own arithmetic: what that check shows.

Mission Valley Nursing and Transitional Care: nurse staffing hours by quarter →

Who owns Mission Valley Nursing and Transitional Care, as filed with CMS

Care Compare

  • 5% OR GREATER DIRECT OWNERSHIP INTEREST: MISSION VALLEY NURSING AND TRANSITIONAL CARE LLC (organization), NO PERCENTAGE PROVIDED, since 03/01/2021; VAL VERDE COUNTY HOSPITAL DISTRICT (organization), NO PERCENTAGE PROVIDED, since 03/01/2021
  • ADP OF THE SNF: DEKOWSKI, DONOVAN (individual), NOT APPLICABLE, since 03/01/2021; FLORES, ISABEL (individual), NOT APPLICABLE, since 02/05/2018; GARCIA, MAYRA (individual), NOT APPLICABLE, since 01/01/2025; GARZA, JORGE (individual), NOT APPLICABLE, since 01/01/2025; MISSION VALLEY NURSING AND TRANSITIONAL CARE LLC (organization), NOT APPLICABLE, since 11/04/2024; REGENCY IHS CLINICAL CONSULTING, LLC (organization), NOT APPLICABLE, since 03/01/2021; REGENCY IHS REHAB LLC (organization), NOT APPLICABLE, since 03/01/2021; REGENCY INTEGRATED HEALTH SERVICES LLC (organization), NOT APPLICABLE, since 11/04/2024; RIVERA, JUAN (individual), NOT APPLICABLE, since 01/01/2025; VAL VERDE COUNTY HOSPITAL DISTRICT (organization), NOT APPLICABLE, since 03/01/2021
  • CORPORATE OFFICER: DIAZ, CRIS (individual), NOT APPLICABLE, since 05/25/2022; JURADO, JORGE (individual), NOT APPLICABLE, since 10/13/2023
  • INDIRECT OWNERSHIP INTEREST: CSV RHEA MANAGEMENT HOLDCO, LLC (organization), NOT APPLICABLE, since 03/01/2021; DWD TX HOLDINGS LLC (organization), NOT APPLICABLE, since 03/01/2021; JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC (organization), NOT APPLICABLE, since 03/01/2021; REG BRIDGE OPCO LLC (organization), NOT APPLICABLE, since 03/01/2021; REG HG OPCO LLC (organization), NOT APPLICABLE, since 03/01/2021; REG OPERATOR HOLDCO LLC (organization), NOT APPLICABLE, since 03/01/2021; REGENCY TEXAS HOLDINGS LLC (organization), NOT APPLICABLE, since 03/01/2021
  • MANAGING CONTROL - GOVERNING BODY: BAIRD, DANIEL (individual), NOT APPLICABLE, since 04/13/2021; CARVAJAL, ANTONIO (individual), NOT APPLICABLE, since 05/16/2024; CHARTRAND, DANIEL (individual), NOT APPLICABLE, since 05/19/2014; CLAPP, BARBARA (individual), NOT APPLICABLE, since 06/01/2021; CORTESE, DAREN (individual), NOT APPLICABLE, since 08/10/2021; GIBSON, PATRICIA (individual), NOT APPLICABLE, since 08/01/2021; GONZALES, VERONICA (individual), NOT APPLICABLE, since 05/16/2024; JURADO, JORGE (individual), NOT APPLICABLE, since 10/13/2023; KAUFMAN, NICOLE (individual), NOT APPLICABLE, since 08/10/2021; MANDELBAUM, ELLIOT (individual), NOT APPLICABLE, since 01/01/2025; OTAZO, JULIO (individual), NOT APPLICABLE, since 05/25/2022; PALMER, ROBIN (individual), NOT APPLICABLE, since 11/18/2020
  • OPERATIONAL/MANAGERIAL CONTROL: DEKOWSKI, DONOVAN (individual), NOT APPLICABLE, since 03/01/2021; FLORES, ISABEL (individual), NOT APPLICABLE, since 02/05/2018; MISSION VALLEY NURSING AND TRANSITIONAL CARE LLC (organization), NOT APPLICABLE, since 03/01/2021; REGENCY INTEGRATED HEALTH SERVICES LLC (organization), NOT APPLICABLE, since 03/01/2021; VAL VERDE COUNTY HOSPITAL DISTRICT (organization), NOT APPLICABLE, since 03/01/2021

Medicare enrollment

As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of VAL VERDE COUNTY HOSPITAL DISTRICT (enrollment ID O20210203002250).

  • 5% OR GREATER DIRECT OWNERSHIP INTEREST: MISSION VALLEY NURSING AND TRANSITIONAL CARE LLC (organization), 100.00%, since 03/01/2021; VAL VERDE COUNTY HOSPITAL DISTRICT (organization), 100.00%, since 03/01/2021
  • ADP OF THE SNF: DONOVAN R DEKOWSKI (individual), since 03/01/2021; ISABEL FLORES (individual), since 02/05/2018; JORGE GARZA (individual), since 01/01/2025; JUAN RIVERA (individual), since 01/01/2025; MAYRA GARCIA (individual), since 01/01/2025; MISSION VALLEY NURSING AND TRANSITIONAL CARE LLC (organization), since 11/04/2024; REGENCY IHS CLINICAL CONSULTING, LLC (organization), since 03/01/2021; REGENCY IHS REHAB LLC (organization), since 03/01/2021; REGENCY INTEGRATED HEALTH SERVICES LLC (organization), since 11/04/2024; VAL VERDE COUNTY HOSPITAL DISTRICT (organization), since 03/01/2021
  • CORPORATE OFFICER: CRIS DIAZ (individual), since 05/25/2022; JORGE JURADO (individual), since 10/13/2023
  • INDIRECT OWNERSHIP INTEREST: CSV RHEA MANAGEMENT HOLDCO, LLC (organization), 100.00%, since 03/01/2021; DWD TX HOLDINGS LLC (organization), 100.00%, since 03/01/2021; JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC (organization), 100.00%, since 03/01/2021; REG BRIDGE OPCO LLC (organization), 100.00%, since 03/01/2021; REG HG OPCO LLC (organization), 100.00%, since 03/01/2021; REG OPERATOR HOLDCO LLC (organization), 100.00%, since 03/01/2021; REGENCY TEXAS HOLDINGS LLC (organization), 100.00%, since 03/01/2021
  • MANAGING CONTROL - GOVERNING BODY: ANTONIO CARVAJAL (individual), since 05/16/2024; BARBARA B CLAPP (individual), since 06/01/2021; DANIEL J CHARTRAND (individual), since 05/19/2014; DANIEL S BAIRD (individual), since 04/13/2021; DAREN A CORTESE (individual), since 08/10/2021; ELLIOT J MANDELBAUM (individual), since 01/01/2025; JORGE JURADO (individual), since 10/13/2023; JULIO OTAZO (individual), since 05/25/2022; NICOLE KAUFMAN (individual), since 08/10/2021; PATRICIA GIBSON (individual), since 08/01/2021; ROBIN PALMER (individual), since 11/18/2020; VERONICA GONZALES (individual), since 05/16/2024
  • OPERATIONAL/MANAGERIAL CONTROL: DONOVAN R DEKOWSKI (individual), since 03/01/2021; ISABEL FLORES (individual), since 02/05/2018; MISSION VALLEY NURSING AND TRANSITIONAL CARE LLC (organization), since 03/01/2021; REGENCY INTEGRATED HEALTH SERVICES LLC (organization), since 03/01/2021; VAL VERDE COUNTY HOSPITAL DISTRICT (organization), since 03/01/2021

Paused by CMS: Form CMS-855A, December 11, 2025.

Private equity company, real estate investment trust and holding company: No: MISSION VALLEY NURSING AND TRANSITIONAL CARE LLC; VAL VERDE COUNTY HOSPITAL DISTRICT; MISSION VALLEY NURSING AND TRANSITIONAL CARE LLC; REGENCY IHS CLINICAL CONSULTING, LLC; REGENCY IHS REHAB LLC; REGENCY INTEGRATED HEALTH SERVICES LLC; VAL VERDE COUNTY HOSPITAL DISTRICT; CSV RHEA MANAGEMENT HOLDCO, LLC; DWD TX HOLDINGS LLC; JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC; REG BRIDGE OPCO LLC; REG HG OPCO LLC; REG OPERATOR HOLDCO LLC; REGENCY TEXAS HOLDINGS LLC; MISSION VALLEY NURSING AND TRANSITIONAL CARE LLC; REGENCY INTEGRATED HEALTH SERVICES LLC; VAL VERDE COUNTY HOSPITAL DISTRICT.

Private equity company, real estate investment trust and holding company: Paused by CMS: DONOVAN R DEKOWSKI; ISABEL FLORES; JORGE GARZA; JUAN RIVERA; MAYRA GARCIA; CRIS DIAZ; JORGE JURADO; ANTONIO CARVAJAL; BARBARA B CLAPP; DANIEL J CHARTRAND; DANIEL S BAIRD; DAREN A CORTESE; ELLIOT J MANDELBAUM; JORGE JURADO; JULIO OTAZO; NICOLE KAUFMAN; PATRICIA GIBSON; ROBIN PALMER; VERONICA GONZALES; DONOVAN R DEKOWSKI; ISABEL FLORES.

Changes in ownership

  • June 1, 2025, enrollment ownership file; no longer listed: DANIEL J CHARTRAND (CORPORATE OFFICER); JORGE JURADO (CORPORATE DIRECTOR); JULIO OTAZO (CORPORATE OFFICER); ISABEL FLORES (W-2 MANAGING EMPLOYEE); ROBIN PALMER (CORPORATE OFFICER); JUAN RIVERA (W-2 MANAGING EMPLOYEE); first listed: DONOVAN R DEKOWSKI (OPERATIONAL/MANAGERIAL CONTROL), associated since March 1, 2021; ELLIOT J MANDELBAUM (MANAGING CONTROL - GOVERNING BODY), associated since January 1, 2025; DAREN A CORTESE (MANAGING CONTROL - GOVERNING BODY), associated since August 10, 2021; DONOVAN R DEKOWSKI (ADP OF THE SNF), associated since March 1, 2021; REGENCY IHS CLINICAL CONSULTING, LLC (ADP OF THE SNF), associated since March 1, 2021; VAL VERDE COUNTY HOSPITAL DISTRICT (ADP OF THE SNF), associated since March 1, 2021; VAL VERDE COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL), associated since March 1, 2021; DANIEL S BAIRD (MANAGING CONTROL - GOVERNING BODY), associated since April 13, 2021; DANIEL J CHARTRAND (MANAGING CONTROL - GOVERNING BODY), associated since May 19, 2014; JORGE JURADO (MANAGING CONTROL - GOVERNING BODY), associated since October 13, 2023; NICOLE KAUFMAN (MANAGING CONTROL - GOVERNING BODY), associated since August 10, 2021; JULIO OTAZO (MANAGING CONTROL - GOVERNING BODY), associated since May 25, 2022; VERONICA GONZALES (MANAGING CONTROL - GOVERNING BODY), associated since May 16, 2024; DWD TX HOLDINGS LLC (INDIRECT OWNERSHIP INTEREST), associated since March 1, 2021; ANTONIO CARVAJAL (MANAGING CONTROL - GOVERNING BODY), associated since May 16, 2024; JORGE GARZA (ADP OF THE SNF), associated since January 1, 2025; REG HG OPCO LLC (INDIRECT OWNERSHIP INTEREST), associated since March 1, 2021; BARBARA B CLAPP (MANAGING CONTROL - GOVERNING BODY), associated since June 1, 2021; MAYRA GARCIA (ADP OF THE SNF), associated since January 1, 2025; REG OPERATOR HOLDCO LLC (INDIRECT OWNERSHIP INTEREST), associated since March 1, 2021; JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC (INDIRECT OWNERSHIP INTEREST), associated since March 1, 2021; ISABEL FLORES (OPERATIONAL/MANAGERIAL CONTROL), associated since February 5, 2018; PATRICIA GIBSON (MANAGING CONTROL - GOVERNING BODY), associated since August 1, 2021; REGENCY TEXAS HOLDINGS LLC (INDIRECT OWNERSHIP INTEREST), associated since March 1, 2021; REGENCY IHS REHAB LLC (ADP OF THE SNF), associated since March 1, 2021; REG BRIDGE OPCO LLC (INDIRECT OWNERSHIP INTEREST), associated since March 1, 2021; ROBIN PALMER (MANAGING CONTROL - GOVERNING BODY), associated since November 18, 2020; MISSION VALLEY NURSING AND TRANSITIONAL CARE LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST), associated since March 1, 2021; CSV RHEA MANGEMENT HOLDCO, LLC (INDIRECT OWNERSHIP INTEREST), associated since March 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
  • December 1, 2024, enrollment ownership file; no longer listed: LINDA L WALKER (CORPORATE OFFICER); DONOVAN R DEKOWSKI (OPERATIONAL/MANAGERIAL CONTROL); DANIEL J CHARTRAND (CORPORATE DIRECTOR); MICHAELANNA HUNTER (CORPORATE DIRECTOR); MICHAELANNA HUNTER (CORPORATE OFFICER); AURELIO LAING (CORPORATE DIRECTOR); AURELIO LAING (CORPORATE OFFICER); BRIAN K REYNOLDS (OPERATIONAL/MANAGERIAL CONTROL); JANE E MORAIN (CORPORATE DIRECTOR); ISABEL FLORES (CONTRACTED MANAGING EMPLOYEE); ROBIN PALMER (CORPORATE DIRECTOR); ALVARO ARREOLA (CORPORATE DIRECTOR); ALVARO ARREOLA (CORPORATE OFFICER); listed: REGENCY INTEGRATED HEALTH SERVICES LLC (ADP OF THE SNF); ISABEL FLORES (ADP OF THE SNF); JUAN RIVERA (ADP OF THE SNF); MISSION VALLEY NURSING AND TRANSITIONAL CARE LLC (ADP OF THE SNF); first listed: DANIEL J CHARTRAND (CORPORATE OFFICER), associated since June 1, 2014; JORGE JURADO (CORPORATE DIRECTOR), associated since October 13, 2023; JORGE JURADO (CORPORATE OFFICER), associated since October 13, 2023; REGENCY INTEGRATED HEALTH SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL), associated since December 1, 2022; JULIO OTAZO (CORPORATE OFFICER), associated since May 25, 2022; CRIS DIAZ (CORPORATE OFFICER), associated since May 25, 2022; ISABEL FLORES (W-2 MANAGING EMPLOYEE), associated since February 5, 2018; ROBIN PALMER (CORPORATE OFFICER), associated since November 18, 2020; JUAN RIVERA (W-2 MANAGING EMPLOYEE), associated since March 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2024-12-01.csv
  • September 1, 2024, enrollment ownership file; no longer listed: GERALD PRATHER (DIRECTOR). Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv

Recent changes on this record

Inspections of Mission Valley Nursing and Transitional Care

  • Cycle 1: health February 11, 2026 (15 deficiencies), fire safety February 11, 2026 (0)
  • Cycle 2: health November 14, 2024 (3 deficiencies), fire safety November 14, 2024 (0)
  • Cycle 3: health September 8, 2023 (3 deficiencies), fire safety September 8, 2023 (0)

Deficiencies cited at Mission Valley Nursing and Transitional Care

21 deficiencies on file, by tag, newest citation first

every one from a health inspection; 10 cited from a complaint, marked below. Letter after a date: scope and severity grade.

  • F 0761, pharmacy service: August 13, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected August 14, 2026); February 11, 2026 (E, Deficient, Provider has date of correction, corrected February 13, 2026).
  • F 0880, infection control: August 13, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected August 14, 2026); February 11, 2026 (E, Deficient, Provider has date of correction, corrected February 13, 2026); November 14, 2024 (D, Deficient, Provider has date of correction, corrected November 18, 2024).
  • F 0657, resident assessment and care planning: July 28, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected July 29, 2026); October 29, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected October 30, 2025).
  • F 0578, resident rights: February 11, 2026 (D, Deficient, Provider has date of correction, corrected February 13, 2026).
  • F 0583, resident rights: February 11, 2026 (D, Deficient, Provider has date of correction, corrected February 13, 2026).
  • F 0656, resident assessment and care planning: February 11, 2026 (D, Deficient, Provider has date of correction, corrected February 13, 2026); August 25, 2025 (G, from a complaint, Deficient, Provider has date of correction, corrected August 26, 2025); September 8, 2023 (D, Deficient, Provider has date of correction, corrected September 15, 2023).
  • F 0732, nursing and physician services: February 11, 2026 (C, Deficient, Provider has date of correction, corrected February 13, 2026).
  • F 0842, resident assessment and care planning: February 11, 2026 (D, Deficient, Provider has date of correction, corrected February 6, 2026); October 29, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected October 30, 2025).
  • F 0552, resident rights: October 29, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected October 30, 2025).
  • F 0689, quality of life and care: October 29, 2025 (J, from a complaint, Past Non-Compliance, corrected April 23, 2025); August 25, 2025 (G, from a complaint, Deficient, Provider has date of correction, corrected August 26, 2025).
  • F 0755, pharmacy service: October 29, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected October 30, 2025).
  • F 0610, freedom from abuse, neglect, and exploitation: September 8, 2023 (D, Deficient, Provider has date of correction, corrected September 15, 2023).
  • F 0921, environmental: September 8, 2023 (D, Deficient, Provider has date of correction, corrected September 15, 2023).

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
October 29, 2025Fine$17,345135817
August 25, 2025Fine$21,645134829

From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.

Mission Valley Nursing and Transitional Care in Care Compare

  • Ownership Type: Non profit - Corporation
  • Legal Business Name: VAL VERDE COUNTY HOSPITAL DISTRICT
  • Date First Approved to Provide Medicare and Medicaid Services: 2018-07-11
  • Provider Resides in Hospital: N
  • Continuing Care Retirement Community: N
  • Urban: Y
  • County/Parish: Hidalgo
  • Telephone Number: 8556878282
  • Chain Name: WELLSENTIAL HEALTH
  • Chain ID: 670
  • Provider Changed Ownership in Last 12 Months: N
  • With a Resident and Family Council: Resident
  • Automatic Sprinkler Systems in All Required Areas: Yes
  • Average Number of Residents per Day: 111.8
  • Overall Rating: 4
  • Health Inspection Rating: 3
  • QM Rating: 5
  • Long-Stay QM Rating: 5
  • Short-Stay QM Rating: 5

Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · penalties NH_Penalties_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.

Other nursing facilities in Texas

Report a figure on Mission Valley Nursing and Transitional Care’s record that differs from its CMS file, quoting 676446.