Velarion Records

The 340B register and hospital finances — joined, watched daily, delivered.

Skilled nursing facility · CMS certification number 676446

Mission Valley Nursing and Transitional Care

Mission, Texas · Medicare and Medicaid

Certified beds, as filed in Care Compare: 120

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for 1 October 2023 to 30 September 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 19 February 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$16,634,701CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,927,056CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$13,707,645CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,293,556CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$2,414,089CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,105,448CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$3,519,537CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $3,519,537 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components43,920CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days3,064CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days26,826CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days12,710CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components42,600CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges90CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges55CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges428CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components573CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days34.04CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days487.75CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days74.35CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1403926, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 30 September 2023

Cost report for 1 October 2022 to 30 September 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 March 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$13,264,971CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$905,681CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,359,290CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,268,848CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,090,442CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,176,036CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$2,266,478CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,266,478 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components42,362CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components619CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days30.22CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days485.86CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days68.44CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1375309, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 30 September 2022

Cost report for 1 October 2021 to 30 September 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 April 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$11,573,017CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$11,573,017CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$13,231,260CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,658,243CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,101,822CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$443,579CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $443,579 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components40,958CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components617CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days32.65CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days312.87CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days66.38CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1346234, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 30 September 2021

Cost report for 1 March 2021 to 30 September 2021 — a reporting period of 213 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 30 March 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$6,760,053CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$6,760,053CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,320,218CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$560,165CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$597,086CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$36,921CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $36,921 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components23,361CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components338CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days29.04CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days262.71CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days69.12CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1313294, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 31 December 2020

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 20 January 2023.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$11,910,715CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$11,910,715CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,052,307CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$858,408CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$952,718CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,811,126CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,811,126 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components39,283CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components485CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days42.53CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days361.83CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days81CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1340674, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 31 December 2019

Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 October 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$12,220,159CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$12,220,159CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,783,058CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,437,101CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$4,665CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,441,766CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,441,766 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components40,729CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components489CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days33.72CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days367.79CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days83.29CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1272109, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended 31 December 2018

Cost report for 11 July 2018 to 31 December 2018 — a reporting period of 173 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 22 August 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$4,333,028CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$4,333,028CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,501,629CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$168,601CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$5,219CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$163,382CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$163,382 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components13,904CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components151CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days45.1CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days253.1CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days92.08CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1241878, read from the public cost report file SNF10FY2018.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
MISSION VALLEY NURSING AND TRANSITIONAL CARE LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganizationNO PERCENTAGE PROVIDEDsince 03/01/2021
VAL VERDE COUNTY HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTERESTOrganizationNO PERCENTAGE PROVIDEDsince 03/01/2021
DEKOWSKI, DONOVANADP OF THE SNFIndividualNOT APPLICABLEsince 03/01/2021
FLORES, ISABELADP OF THE SNFIndividualNOT APPLICABLEsince 02/05/2018
GARCIA, MAYRAADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2025
GARZA, JORGEADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2025
MISSION VALLEY NURSING AND TRANSITIONAL CARE LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 11/04/2024
REGENCY IHS CLINICAL CONSULTING, LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 03/01/2021
REGENCY IHS REHAB LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 03/01/2021
REGENCY INTEGRATED HEALTH SERVICES LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 11/04/2024
RIVERA, JUANADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2025
VAL VERDE COUNTY HOSPITAL DISTRICTADP OF THE SNFOrganizationNOT APPLICABLEsince 03/01/2021
DIAZ, CRISCORPORATE OFFICERIndividualNOT APPLICABLEsince 05/25/2022
JURADO, JORGECORPORATE OFFICERIndividualNOT APPLICABLEsince 10/13/2023
CSV RHEA MANAGEMENT HOLDCO, LLCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 03/01/2021
DWD TX HOLDINGS LLCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 03/01/2021
JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 03/01/2021
REG BRIDGE OPCO LLCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 03/01/2021
REG HG OPCO LLCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 03/01/2021
REG OPERATOR HOLDCO LLCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 03/01/2021
REGENCY TEXAS HOLDINGS LLCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 03/01/2021
BAIRD, DANIELMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 04/13/2021
CARVAJAL, ANTONIOMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 05/16/2024
CHARTRAND, DANIELMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 05/19/2014
CLAPP, BARBARAMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 06/01/2021
CORTESE, DARENMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 08/10/2021
GIBSON, PATRICIAMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 08/01/2021
GONZALES, VERONICAMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 05/16/2024
JURADO, JORGEMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 10/13/2023
KAUFMAN, NICOLEMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 08/10/2021
MANDELBAUM, ELLIOTMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 01/01/2025
OTAZO, JULIOMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 05/25/2022
PALMER, ROBINMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 11/18/2020
DEKOWSKI, DONOVANOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 03/01/2021
FLORES, ISABELOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 02/05/2018
MISSION VALLEY NURSING AND TRANSITIONAL CARE LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 03/01/2021
REGENCY INTEGRATED HEALTH SERVICES LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 03/01/2021
VAL VERDE COUNTY HOSPITAL DISTRICTOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 03/01/2021

Medicare enrollment

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

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
MISSION VALLEY NURSING AND TRANSITIONAL CARE LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1003/1/2021
Private equity company: No
Real estate investment trust: No
Holding company: No
VAL VERDE COUNTY HOSPITAL DISTRICTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1003/1/2021
Private equity company: No
Real estate investment trust: No
Holding company: No
DONOVAN R DEKOWSKIIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/1/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ISABEL FLORESIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/5/2018
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JORGE GARZAIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JUAN RIVERAIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MAYRA GARCIAIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MISSION VALLEY NURSING AND TRANSITIONAL CARE LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/4/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
REGENCY IHS CLINICAL CONSULTING, LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/1/2021
Private equity company: No
Real estate investment trust: No
Holding company: No
REGENCY IHS REHAB LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/1/2021
Private equity company: No
Real estate investment trust: No
Holding company: No
REGENCY INTEGRATED HEALTH SERVICES LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/4/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
VAL VERDE COUNTY HOSPITAL DISTRICTOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/1/2021
Private equity company: No
Real estate investment trust: No
Holding company: No
CRIS DIAZIndividualCORPORATE OFFICERCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/25/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JORGE JURADOIndividualCORPORATE OFFICERCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/13/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CSV RHEA MANAGEMENT HOLDCO, LLCOrganizationINDIRECT OWNERSHIP INTEREST1003/1/2021
Private equity company: No
Real estate investment trust: No
Holding company: No
DWD TX HOLDINGS LLCOrganizationINDIRECT OWNERSHIP INTEREST1003/1/2021
Private equity company: No
Real estate investment trust: No
Holding company: No
JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INCOrganizationINDIRECT OWNERSHIP INTEREST1003/1/2021
Private equity company: No
Real estate investment trust: No
Holding company: No
REG BRIDGE OPCO LLCOrganizationINDIRECT OWNERSHIP INTEREST1003/1/2021
Private equity company: No
Real estate investment trust: No
Holding company: No
REG HG OPCO LLCOrganizationINDIRECT OWNERSHIP INTEREST1003/1/2021
Private equity company: No
Real estate investment trust: No
Holding company: No
REG OPERATOR HOLDCO LLCOrganizationINDIRECT OWNERSHIP INTEREST1003/1/2021
Private equity company: No
Real estate investment trust: No
Holding company: No
REGENCY TEXAS HOLDINGS LLCOrganizationINDIRECT OWNERSHIP INTEREST1003/1/2021
Private equity company: No
Real estate investment trust: No
Holding company: No
ANTONIO CARVAJALIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/16/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
BARBARA B CLAPPIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/1/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DANIEL J CHARTRANDIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/19/2014
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DANIEL S BAIRDIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/13/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DAREN A CORTESEIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/10/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ELLIOT J MANDELBAUMIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JORGE JURADOIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/13/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JULIO OTAZOIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/25/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NICOLE KAUFMANIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/10/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
PATRICIA GIBSONIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/1/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ROBIN PALMERIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/18/2020
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
VERONICA GONZALESIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/16/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DONOVAN R DEKOWSKIIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/1/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ISABEL FLORESIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/5/2018
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MISSION VALLEY NURSING AND TRANSITIONAL CARE LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/1/2021
Private equity company: No
Real estate investment trust: No
Holding company: No
REGENCY INTEGRATED HEALTH SERVICES LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/1/2021
Private equity company: No
Real estate investment trust: No
Holding company: No
VAL VERDE COUNTY HOSPITAL DISTRICTOrganizationOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/1/2021
Private equity company: No
Real estate investment trust: No
Holding company: No

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
111 February 202611 February 2026140
214 November 202414 November 202410
38 September 20238 September 202330

From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.

Deficiencies cited

18 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
11 February 2026HealthF 0578Resident Rights DeficienciesHonor 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.DNoDeficient, Provider has date of correction13 February 2026
11 February 2026HealthF 0583Resident Rights DeficienciesKeep residents' personal and medical records private and confidential.DNoDeficient, Provider has date of correction13 February 2026
11 February 2026HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correction13 February 2026
11 February 2026HealthF 0732Nursing and Physician Services DeficienciesPost nurse staffing information every day.CNoDeficient, Provider has date of correction13 February 2026
11 February 2026HealthF 0761Pharmacy Service DeficienciesEnsure 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.ENoDeficient, Provider has date of correction13 February 2026
11 February 2026HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DNoDeficient, Provider has date of correction6 February 2026
11 February 2026HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correction13 February 2026
29 October 2025HealthF 0552Resident Rights DeficienciesEnsure that residents are fully informed and understand their health status, care and treatments.DYesDeficient, Provider has date of correction30 October 2025
29 October 2025HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DYesDeficient, Provider has date of correction30 October 2025
29 October 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JYesPast Non-Compliance23 April 2025
29 October 2025HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DYesDeficient, Provider has date of correction30 October 2025
29 October 2025HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DYesDeficient, Provider has date of correction30 October 2025
25 August 2025HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.GYesDeficient, Provider has date of correction26 August 2025
25 August 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GYesDeficient, Provider has date of correction26 August 2025
14 November 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correction18 November 2024
8 September 2023HealthF 0610Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.DYesDeficient, Provider has date of correction15 September 2023
8 September 2023HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correction15 September 2023
8 September 2023HealthF 0921Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DNoDeficient, Provider has date of correction15 September 2023

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

Penalties

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

From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeNon profit - Corporation
Legal Business NameVAL VERDE COUNTY HOSPITAL DISTRICT
Date First Approved to Provide Medicare and Medicaid Services2018-07-11
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishHidalgo
Telephone Number8556878282
Chain NameWELLSENTIAL HEALTH
Chain ID670
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds120
Average Number of Residents per Day115.4
Overall Rating4
Health Inspection Rating3
QM Rating5
Long-Stay QM Rating5
Short-Stay QM Rating5
Processing Date2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

Get an email when this record changes

One email a day naming what moved on Mission Valley Nursing and Transitional Care: the field, the value before, the value after, and the date of the file that first showed it.

The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.

On 1 July 2026: MISSION VALLEY NURSING AND TRANSITIONAL CARE LLC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. That is one line of the alert.

What the alerts are, and what a day of them looks like, is on the alerts page.

See a sample

Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.

The citable document for Mission Valley Nursing and Transitional Care

This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Texas at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.

Read the citable document for this facility →

Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 676446.