CCN 455621 · Hidalgo County, Texas
Valley Grande Manor
1212 S Bridge, Weslaco, TX 78596
Valley Grande Manor is a 147-bed for-profit nursing home in Weslaco, Texas, first certified for Medicare or Medicaid in 1986. CMS rates it 1 out of 5 stars overall in its September 2026 data, and it averaged 105.3 residents a day, about 72% of its certified beds. It has an active FHA-insured Section 232 loan: $17.9 million originally, at 5.87%, with $17.3 million outstanding as of September 30, 2026 and maturity in July 2058.
Facility facts
- Certified beds
- 147
- Average residents per day
- 105.3 (71.6% of beds)
- Ownership type
- For profit - Individual
- Certification
- Medicare and Medicaid
- Legal business name
- Booker Hospital District
- Certified since
- Feb 28, 1986
- Chain or affiliated group
- None listed by CMS
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Texas median | US median |
|---|---|---|---|
| Overall rating | 1 of 5 | State spread: 322 at 1, 244 at 2, 247 at 3, 211 at 4, 141 at 5 | |
| Health inspections | 1 of 5 | ||
| Quality measures | 2 of 5 | ||
| Staffing | 1 of 5 | ||
| Total nurse hours per resident per day | 2.94 | 3.27 | 3.68 |
| RN hours per resident per day | 0.10 | 0.38 | 0.58 |
| Weekend nurse hours per resident per day | 2.65 | ||
| Nursing staff turnover | 68.8% | 52.1% | 44.9% |
| Occupancy (residents / beds) | 71.6% | 68.6% | 85.7% |
| Fines reported by CMS | 4 totaling $88,679 | ||
| Health deficiencies, latest standard survey | 30 (Jul 25, 2025) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Valley Grande Manor does not meet it today: overall rating 1, health inspection rating 1, the abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Booker Hospital DistrictOrganization | Direct Ownership Interest | 100% | 11/01/2021 |
| Vgm Valley Grande Manor Weslaco Ops Inc.Organization | Operational / Managerial Control | n/a | 11/01/2021 |
| Asuaje, JuanIndividual | Operational / Managerial Control | n/a | 01/01/2025 |
| Schindele, WilliamIndividual | Operational / Managerial Control | n/a | 11/01/2021 |
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Nov 1, 2021 | Booker Hospital District | Vgm Valley Grande Manor Weslaco Ops Inc. |
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Jun 29, 2023 | 223(f) refinance or purchaseHUD project name: Valley Grande Manor, 147 beds. Lender at endorsement: Vium Capital Mortgage LLC | $17,874,000 | Active: 5.87%, $17,335,619 balanceMatures Jul 1, 2058. Servicer: Vium Capital Mortgage LLC | 11522375 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.