CCN 676037 · Hidalgo County, Texas
Weslaco Nursing and Rehabilitation Center
422 E 18th St, Weslaco, TX 78596
Weslaco Nursing and Rehabilitation Center is a 120-bed nonprofit nursing home in Weslaco, Texas, first certified for Medicare or Medicaid in 2004. CMS rates it 3 out of 5 stars overall in its September 2026 data, and it averaged 113.1 residents a day, about 94% of its certified beds. It has an active FHA-insured Section 232 loan: $22.3 million originally, at 5.50%, with $22.1 million outstanding as of September 30, 2026 and maturity in December 2060.
Facility facts
- Certified beds
- 120
- Average residents per day
- 113.1 (94.2% of beds)
- Ownership type
- Non profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- Starr County Hospital District
- Certified since
- Oct 5, 2004
- Chain or affiliated group
- Wellsential Health (67 facilities, chain average 2.7 stars)
- 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 | 3 of 5 | State spread: 322 at 1, 244 at 2, 247 at 3, 211 at 4, 141 at 5 | |
| Health inspections | 3 of 5 | ||
| Quality measures | 5 of 5 | ||
| Staffing | 1 of 5 | ||
| Total nurse hours per resident per day | 3.30 | 3.27 | 3.68 |
| RN hours per resident per day | 0.17 | 0.38 | 0.58 |
| Weekend nurse hours per resident per day | 2.94 | ||
| Nursing staff turnover | 23.8% | 52.1% | 44.9% |
| Occupancy (residents / beds) | 94.2% | 68.6% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 15 (Jul 28, 2026) | ||
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). Weslaco Nursing and Rehabilitation Center meets that part today: 3 stars overall, 3 on health inspections, no 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 |
|---|---|---|---|
| Starr County Hospital DistrictOrganization | Direct Ownership Interest | 100% | 04/01/2017 |
| Regency Ihs of Weslaco LLCOrganization | Operational / Managerial Control | n/a | 04/01/2017 |
| Regency Integrated Health Services LLCOrganization | Operational / Managerial Control | n/a | 04/01/2017 |
| Starr County Hospital DistrictOrganization | Operational / Managerial Control | n/a | 04/01/2017 |
| Dekowski, DonovanIndividual | Operational / Managerial Control | n/a | 04/01/2017 |
| Stratton-Grosch, LeslieIndividual | Operational / Managerial Control | n/a | 08/22/2024 |
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
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 |
|---|---|---|---|---|
| Nov 18, 2025 | 223(f) refinance or purchaseHUD project name: Weslaco Nursing and Rehabilitation Center, 120 beds. Lender at endorsement: Keybank National Association | $22,270,000 | Active: 5.50%, $22,109,373 balanceMatures Dec 1, 2060. Servicer: Keybank National Association | 11522405 |
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.