01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-02-19 | 9 | 2026-02-19 | 0 |
| Cycle 2 | 2024-11-20 | 2 | 2024-11-20 | 0 |
| Cycle 3 | 2023-08-31 | 5 | 2023-08-31 | 0 |
CMS CCN 4555862026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Grand Terrace Rehabilitation And Healthcare
812 W. Houston Ave. · Mcallen, TX 78501 · Hidalgo County
Certified beds93CMS provider file
Recent citation rows16current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
16 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 2 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-06-17 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2026-06-18 · complaint2026-06-17 · HEALTHF0732Severity C · widespread; potential for minimal harm
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Correction field: Deficient, Provider has date of correction · 2026-06-18 · complaint2026-05-08 · HEALTHF0558Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Correction field: Deficient, Provider has date of correction · 2026-05-10 · complaint2026-02-19 · HEALTHF0552Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Correction field: Deficient, Provider has date of correction · 2026-02-202026-02-19 · HEALTHF0605Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Correction field: Deficient, Provider has date of correction · 2026-02-202026-02-19 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2026-02-202025-12-08 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2025-12-09 · complaint2025-12-04 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure 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.
Correction field: Deficient, Provider has date of correction · 2025-12-05 · complaint2025-11-19 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure 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.
Correction field: Deficient, Provider has date of correction · 2025-11-20 · complaint2024-11-20 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2024-11-22 · complaint2024-11-08 · HEALTHF0921Severity D · isolated; potential for more than minimal harm
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Correction field: Deficient, Provider has date of correction · 2024-11-10 · complaint2023-08-31 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2023-09-012023-08-31 · HEALTHF0677Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2023-09-012023-08-31 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2023-09-012023-08-31 · HEALTHF0693Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Correction field: Deficient, Provider has date of correction · 2023-09-012023-08-31 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2023-09-0103 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- FANNIN COUNTY HOSPITAL AUTHORITYOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 12/01/2023
- ALAM, KHURSHEEDIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 05/15/2024
- GUZMAN, NEFIIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 12/01/2023
- BURNAM, SOONIndividual · CORPORATE OFFICERNOT APPLICABLE · since 12/01/2023
- KEETCH, CHADIndividual · CORPORATE OFFICERNOT APPLICABLE · since 03/01/2011
- SANDERSON, CLARKIndividual · CORPORATE OFFICERNOT APPLICABLE · since 12/01/2023
- MCALLEN CARE ASSOCIATES, INC.Organization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/01/2023
- ALAM, KHURSHEEDIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/15/2024
- GUZMAN, NEFIIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/01/2023
- CARETRUST GP LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 12/01/2023
- CARETRUST REIT INCOrganization · ADP OF THE SNFNOT APPLICABLE · since 12/01/2023
- CTR PARTNERSHIP LPOrganization · ADP OF THE SNFNOT APPLICABLE · since 12/01/2023
- ENSIGN SERVICES INCOrganization · ADP OF THE SNFNOT APPLICABLE · since 12/01/2009
- MCALLEN CARE ASSOCIATES, INC.Organization · ADP OF THE SNFNOT APPLICABLE · since 09/29/2025
- RIO GRANDE HEALTH HOLDINGS LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 12/01/2023
- ALAM, KHURSHEEDIndividual · ADP OF THE SNFNOT APPLICABLE · since 05/15/2024
- GUZMAN, NEFIIndividual · ADP OF THE SNFNOT APPLICABLE · since 12/01/2023
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.55per resident day
RN hours0.38per resident day
Weekend nurse hours3.05per resident day
Staff turnover25.8%CMS reported field
06 / LOCAL RECORDS
Open the Mcallen ledger →Other published facilities nearby
Alfredo Gonzalez Texas State Veterans Home160 beds · CMS overall 2/530 citation rowsBriarcliff Nursing And Rehabilitation Center194 beds · CMS overall 1/552 citation rowsMcallen Nursing Center122 beds · CMS overall 2/535 citation rowsMcallen Transitional Care Center100 beds · CMS overall 4/518 citation rowsVillage Healthcare And Rehabilitation114 beds · CMS overall 3/524 citation rowsWindsor Las Palmas Nursing And Rehabilitation Cent120 beds · CMS overall 5/58 citation rowsWindsor Nursing And Rehabilitation Center Of Mcall110 beds · CMS overall 3/521 citation rows