CCN 676446 · Hidalgo County, Texas
Mission Valley Nursing and Transitional Care
1200 S Bryan Rd, Mission, TX 78572
Mission Valley Nursing and Transitional Care is a 120-bed nonprofit nursing home in Mission, Texas, first certified for Medicare or Medicaid in 2018. CMS rates it 4 out of 5 stars overall in its September 2026 data, and it averaged 115.4 residents a day, about 96% of its certified beds. It has an active FHA-insured Section 232 loan: $32 million originally, at 5.50%, with $31.8 million outstanding as of September 30, 2026 and maturity in December 2060.
Facility facts
- Certified beds
- 120
- Average residents per day
- 115.4 (96.2% of beds)
- Ownership type
- Non profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- Val Verde County Hospital District
- Certified since
- Jul 11, 2018
- 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 | 4 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 | 2 of 5 | ||
| Total nurse hours per resident per day | 3.45 | 3.27 | 3.68 |
| RN hours per resident per day | 0.44 | 0.38 | 0.58 |
| Weekend nurse hours per resident per day | 3.06 | ||
| Nursing staff turnover | 18.3% | 52.1% | 44.9% |
| Occupancy (residents / beds) | 96.2% | 68.6% | 85.7% |
| Fines reported by CMS | 2 totaling $38,990 | ||
| Health deficiencies, latest standard survey | 13 (Feb 11, 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). Mission Valley Nursing and Transitional Care meets that part today: 4 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 |
|---|---|---|---|
| Mission Valley Nursing and Transitional Care LLCOrganization | Direct Ownership Interest | n/a | 03/01/2021 |
| Val Verde County Hospital DistrictOrganization | Direct Ownership Interest | n/a | 03/01/2021 |
| Mission Valley Nursing and Transitional Care LLCOrganization | Operational / Managerial Control | n/a | 03/01/2021 |
| Regency Integrated Health Services LLCOrganization | Operational / Managerial Control | n/a | 03/01/2021 |
| Val Verde County Hospital DistrictOrganization | Operational / Managerial Control | n/a | 03/01/2021 |
| Dekowski, DonovanIndividual | Operational / Managerial Control | n/a | 03/01/2021 |
| Flores, IsabelIndividual | Operational / Managerial Control | n/a | 02/05/2018 |
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Mar 1, 2021 | Val Verde County Hospital District | Mission Valley Nursing and Transitional Care 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 |
|---|---|---|---|---|
| Nov 18, 2025 | 223(f) refinance or purchaseHUD project name: Mission Valley Nursing and Transitional Care, 120 beds. Lender at endorsement: Keybank National Association | $32,045,000 | Active: 5.50%, $31,813,869 balanceMatures Dec 1, 2060. Servicer: Keybank National Association | 11522403 |
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.