CCN 676414 · Hidalgo County, Texas
Mid Valley Nursing & Rehabilitation
601 N Mile 2 West, Mercedes, TX 78570
Mid Valley Nursing & Rehabilitation is a 123-bed government-owned nursing home in Mercedes, Texas, first certified for Medicare or Medicaid in 2017. CMS rates it 2 out of 5 stars overall in its September 2026 data, and it averaged 78.8 residents a day, about 64% of its certified beds. It has an active FHA-insured Section 232 loan: $11.6 million originally, at 2.45%, with $10.6 million outstanding as of September 30, 2026 and maturity in January 2057.
Facility facts
- Certified beds
- 123
- Average residents per day
- 78.8 (64.1% of beds)
- Ownership type
- Government - Hospital district
- Certification
- Medicare and Medicaid
- Legal business name
- Uvalde County Hospital Authority
- Certified since
- Jan 10, 2017
- Chain or affiliated group
- Touchstone Communities (25 facilities, chain average 2.9 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 | 2 of 5 | State spread: 322 at 1, 244 at 2, 247 at 3, 211 at 4, 141 at 5 | |
| Health inspections | 2 of 5 | ||
| Quality measures | 5 of 5 | ||
| Staffing | 1 of 5 | ||
| Total nurse hours per resident per day | 3.32 | 3.27 | 3.68 |
| RN hours per resident per day | 0.23 | 0.38 | 0.58 |
| Weekend nurse hours per resident per day | 3.00 | ||
| Nursing staff turnover | 45.0% | 52.1% | 44.9% |
| Occupancy (residents / beds) | 64.1% | 68.6% | 85.7% |
| Fines reported by CMS | 2 totaling $16,611 | ||
| Health deficiencies, latest standard survey | 15 (Apr 9, 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). Mid Valley Nursing & Rehabilitation meets that part today: 2 stars overall, 2 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 |
|---|---|---|---|
| Capital Funding Group, Inc.Organization | Mortgage Interest | n/a | 04/01/2019 |
| International Bank of CommerceOrganization | Security Interest | n/a | 04/28/2021 |
| Touchstone Strategies Mercedes LLCOrganization | Operational / Managerial Control | n/a | 04/01/2019 |
| Campbell, LeslieIndividual | Operational / Managerial Control | n/a | 04/01/2020 |
| Carazos, MarcosIndividual | Operational / Managerial Control | n/a | 07/20/2020 |
| Carrasco, LeticiaIndividual | Operational / Managerial Control | n/a | 10/19/2020 |
| Castillo, LynneaIndividual | Operational / Managerial Control | n/a | 04/01/2019 |
| Gilcrease, CynthiaIndividual | Operational / Managerial Control | n/a | 04/01/2019 |
| Sehlke, BryonIndividual | Operational / Managerial Control | n/a | 04/01/2019 |
| Zurovec, DarrellIndividual | Operational / Managerial Control | n/a | 04/01/2019 |
Holders of a 5% or greater mortgage interest reported in the enrollment record: Capital Funding Group, Inc..
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Apr 1, 2019 | Uvalde County Hospital Authority | Touchstone Strategies Mercedes LLC |
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 |
|---|---|---|---|---|
| Dec 16, 2021 | 223(f) refinance or purchaseHUD project name: Mid Valley Nursing and Rehabilitation, 123 beds. Lender at endorsement: Capital Funding LLC | $11,649,500 | Active: 2.45%, $10,609,409 balanceMatures Jan 1, 2057. Servicer: Capital Funding LLC | 11522369 |
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.