Skilled nursing facility · CMS certification number 676414

MID VALLEY NURSING & REHABILITATION

MERCEDES, Texas · Medicare and Medicaid · 123 certified beds in Care Compare

Download MID VALLEY NURSING & REHABILITATION’s record (CSV, each figure with its worksheet, line and column)

In Care Compare’s provider information: Penalties: 2 · Fines: 2 · Fines, total amount: $16,611.00 · Payment denials: 0. The most recent penalty on file: December 23, 2024, Fine, $8,281. Every penalty on file ↓

MID VALLEY NURSING & REHABILITATION: its citable report, full history — $295 · an email when it changes — $99/month

What stands out

Its latest cost report on file is for fiscal year 2025, covering July 1, 2024 to June 30, 2025 (364 days), and CMS processed it on December 16, 2025.
Net patient revenue rose from $10.0M in fiscal year 2024 to $10.1M in fiscal year 2025.
Its result from service to patients: $665K (2023), $296K (2024), $761K (2025).
Its cost reports on file run from fiscal year 2017 to fiscal year 2025.
Its net patient revenue of $10.1M ranks 97th of the 484 nursing facilities in Texas whose latest cost report on file is fiscal year 2025.
3 of the 5 nursing facilities in Texas closest in size to it, whose latest cost report on file is fiscal year 2025, also report a gain on service to patients.

MID VALLEY NURSING & REHABILITATION: Medicare cost reports

Form CMS-2540-10: every report is settled.

Cost reports on form CMS-2540-10, fiscal years 2017 to 2025
Form CMS-2540-10	2025 · report 1444763	2024 · report 1401055	2023 · report 1370336	2022 · report 1339844	2021 · report 1308421	2020 · report 1278994	2019 · report 1251120	2018 · report 1236983	2017 · report 1211562
Period began	July 1, 2024	July 1, 2023	July 1, 2022	July 1, 2021	July 1, 2020	July 1, 2019	April 1, 2019	January 1, 2018	January 10, 2017
Period ended	June 30, 2025	June 30, 2024	June 30, 2023	June 30, 2022	June 30, 2021	June 30, 2020	June 30, 2019	December 31, 2018	December 31, 2017
Days, where not a full year	—	—	—	—	—	—	90	—	—
Processed by CMS	December 16, 2025	December 16, 2024	December 12, 2023	January 17, 2023	January 13, 2022	January 25, 2021	February 17, 2020	July 15, 2019	September 17, 2018
Total patient revenue	$11,381,911	$11,674,112	$10,377,325	$9,414,213	$9,096,831	$9,343,301	$1,807,289	$8,948,539	$4,332,317
Contractual allowances and discounts	$1,314,723	$1,624,860	$974,342	$901,974	$315,671	$421,319	−$36,229	$1,998,636	$209,813
Net patient revenue	$10,067,188	$10,049,252	$9,402,983	$8,512,239	$8,781,160	$8,921,982	$1,843,518	$6,949,903	$4,122,504
Total operating expenses	$9,306,234	$9,752,765	$8,738,413	$8,166,302	$8,767,595	$8,394,440	$1,958,288	$7,528,449	$5,710,683
Net income from service to patients	$760,954	$296,487	$664,570	$345,937	$13,565	$527,542	−$114,770	−$578,546	−$1,588,179
Total other income	−$593	$1,461,815	$905,704	$489,529	$2,457,073	$320,778	—	$3,938	—
Net income after other income	$760,361	$1,758,302	$1,570,274	$835,466	$2,470,638	$848,320	−$114,770	−$574,608	−$1,588,179
Net income	$760,361	$1,758,302	$1,570,274	$835,466	$2,470,638	$848,320	−$114,770	−$574,608	−$1,588,179
Total facility beds, all components	123	123	123	123	123	123	123	123	123
Bed days available, all components	44,895	—	—	—	—	—	—	—	—
Medicare (Title XVIII) patient days	3,308	—	—	—	—	—	—	—	—
Medicaid (Title XIX) patient days	20,634	—	—	—	—	—	—	—	—
Other-payer patient days	7,635	—	—	—	—	—	—	—	—
Total patient days, all components	31,577	33,897	29,917	27,133	25,456	32,587	7,312	27,562	15,311
Medicare discharges	111	—	—	—	—	—	—	—	—
Medicaid discharges	135	—	—	—	—	—	—	—	—
Other-payer discharges	317	—	—	—	—	—	—	—	—
Total discharges, all components	563	592	517	495	432	417	97	493	430
Average length of stay, Medicare, in days	29.8	34.34	29.75	29.63	31.25	51.31	31.83	28.77	29.1
Average length of stay, Medicaid, in days	152.84	132.67	135.43	111.05	104.84	106.43	142.27	92.55	50.46
Average length of stay, all patients, in days	56.09	57.26	57.87	54.81	58.93	78.15	75.38	55.91	35.61

Net income, fiscal years 2025, 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017. Checked against the form’s own arithmetic: what that check shows.

MID VALLEY NURSING & REHABILITATION: nurse staffing hours by quarter →

Who owns MID VALLEY NURSING & REHABILITATION, as filed with CMS

Care Compare

5% OR GREATER MORTGAGE INTEREST: CAPITAL FUNDING GROUP, INC. (organization), since 04/01/2019
5% OR GREATER SECURITY INTEREST: INTERNATIONAL BANK OF COMMERCE (organization), since 04/28/2021
ADP OF THE SNF: AEGIS THERAPIES, INC. (organization), since 04/01/2019; ALAMO ADVISORS LP (organization), since 04/01/2019; CAMPBELL, LESLIE (individual), since 04/01/2020; CARAZOS, MARCOS (individual), since 07/20/2020; CARRASCO, LETICIA (individual), since 10/19/2020; CARVAJAL PHARMACY LTC (organization), since 04/01/2019; CASTILLO, LYNNEA (individual), since 04/01/2019; FELLBAUM, ERNEST (individual), since 04/01/2019; GILCREASE, CYNTHIA (individual), since 04/01/2019; LEVINE, ANDREW (individual), since 04/01/2019; PLANTE & MORAN PLLC (organization), since 04/01/2019; SEHLKE, BRYON (individual), since 04/01/2019; STUDER, STANLEY (individual), since 04/01/2019; THE BRYON AND RENA SEHLKE LIVING TRUST (organization), since 04/01/2019; TOUCHSTONE COMMUNITIES INC (organization), since 04/01/2019; TOUCHSTONE REALTY - MERCEDES LLC (organization), since 04/01/2019; TOUCHSTONE STRATEGIES MERCEDES LLC (organization), since 08/26/2025; TRIDENT HEALTH SERVICES INC (organization), since 04/01/2019; ZUROVEC, DARRELL (individual), since 04/01/2019
CORPORATE OFFICER: APOLINAR, ADAM (individual), since 08/01/2015
OPERATIONAL/MANAGERIAL CONTROL: CAMPBELL, LESLIE (individual), since 04/01/2020; CARAZOS, MARCOS (individual), since 07/20/2020; CARRASCO, LETICIA (individual), since 10/19/2020; CASTILLO, LYNNEA (individual), since 04/01/2019; GILCREASE, CYNTHIA (individual), since 04/01/2019; SEHLKE, BRYON (individual), since 04/01/2019; TOUCHSTONE STRATEGIES MERCEDES LLC (organization), since 04/01/2019; ZUROVEC, DARRELL (individual), since 04/01/2019

Ownership percentage for each: NOT APPLICABLE.

Medicare enrollment

As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of UVALDE COUNTY HOSPITAL AUTHORITY (enrollment ID O20190723000843).

5% OR GREATER DIRECT OWNERSHIP INTEREST: UVALDE COUNTY HOSPITAL AUTHORITY (organization), 100.00%, since 04/01/2019
5% OR GREATER MORTGAGE INTEREST: CAPITAL FUNDING GROUP, INC. (organization), since 04/01/2019
5% OR GREATER SECURITY INTEREST: INTERNATIONAL BANK OF COMMERCE (organization), since 04/28/2021
ADP OF THE SNF: AEGIS THERAPIES, INC. (organization), since 04/01/2019; ALAMO ADVISORS LP (organization), since 04/01/2019; ANDREW LEVINE (individual), since 04/01/2019; BRYON SEHLKE (individual), since 04/01/2019; CARVAJAL PHARMACY LTC (organization), since 04/01/2019; CYNTHIA GILCREASE (individual), since 04/01/2019; DARRELL D ZUROVEC (individual), since 04/01/2019; ERNEST C FELLBAUM (individual), since 04/01/2019; LESLIE D CAMPBELL (individual), since 04/01/2020; LETICIA CARRASCO (individual), since 10/19/2020; LYNNEA CASTILLO (individual), since 04/01/2019; MARCOS CARAZOS (individual), since 07/20/2020; PLANTE & MORAN PLLC (organization), since 04/01/2019; STANLEY S STUDER (individual), since 04/01/2019; THE BRYON AND RENA SEHLKE LIVING TRUST (organization), since 04/01/2019; TOUCHSTONE COMMUNITIES INC (organization), since 04/01/2019; TOUCHSTONE REALTY - MERCEDES LLC (organization), since 04/01/2019; TOUCHSTONE STRATEGIES MERCEDES LLC (organization), since 08/26/2025; TRIDENT HEALTH SERVICES INC (organization), since 04/01/2019
CORPORATE OFFICER: ADAM APOLINAR (individual), 0.00%, since 08/01/2015
OPERATIONAL/MANAGERIAL CONTROL: BRYON SEHLKE (individual), since 04/01/2019; CYNTHIA GILCREASE (individual), since 04/01/2019; DARRELL D ZUROVEC (individual), since 04/01/2019; LESLIE D CAMPBELL (individual), since 04/01/2020; LETICIA CARRASCO (individual), since 10/19/2020; LYNNEA CASTILLO (individual), since 04/01/2019; MARCOS CARAZOS (individual), since 07/20/2020; TOUCHSTONE STRATEGIES MERCEDES LLC (organization), since 04/01/2019

Paused by CMS: Form CMS-855A, December 11, 2025.

Private equity company, real estate investment trust and holding company: No: UVALDE COUNTY HOSPITAL AUTHORITY; CAPITAL FUNDING GROUP, INC.; INTERNATIONAL BANK OF COMMERCE; AEGIS THERAPIES, INC.; ALAMO ADVISORS LP; CARVAJAL PHARMACY LTC; PLANTE & MORAN PLLC; THE BRYON AND RENA SEHLKE LIVING TRUST; TOUCHSTONE COMMUNITIES INC; TOUCHSTONE REALTY - MERCEDES LLC; TOUCHSTONE STRATEGIES MERCEDES LLC; TRIDENT HEALTH SERVICES INC; TOUCHSTONE STRATEGIES MERCEDES LLC.

Private equity company, real estate investment trust and holding company: Paused by CMS: ANDREW LEVINE; BRYON SEHLKE; CYNTHIA GILCREASE; DARRELL D ZUROVEC; ERNEST C FELLBAUM; LESLIE D CAMPBELL; LETICIA CARRASCO; LYNNEA CASTILLO; MARCOS CARAZOS; STANLEY S STUDER; ADAM APOLINAR; BRYON SEHLKE; CYNTHIA GILCREASE; DARRELL D ZUROVEC; LESLIE D CAMPBELL; LETICIA CARRASCO; LYNNEA CASTILLO; MARCOS CARAZOS.

Changes in ownership

November 1, 2025, enrollment ownership file; no longer listed: ALICE ROEL (W-2 MANAGING EMPLOYEE); THOMAS J NORDWICK (CORPORATE OFFICER); first listed: STANLEY S STUDER (ADP OF THE SNF), associated since April 1, 2019; TOUCHSTONE REALTY - MERCEDES LLC (ADP OF THE SNF), associated since April 1, 2019; TRIDENT HEALTH SERVICES INC (ADP OF THE SNF), associated since April 1, 2019; ERNEST C FELLBAUM (ADP OF THE SNF), associated since April 1, 2019; ADAM APOLINAR (CORPORATE OFFICER), associated since August 1, 2015; CAPITAL FUNDING GROUP, INC. (5% OR GREATER MORTGAGE INTEREST), associated since April 1, 2019; LESLIE D CAMPBELL (ADP OF THE SNF), associated since April 1, 2020; LESLIE D CAMPBELL (OPERATIONAL/MANAGERIAL CONTROL), associated since April 1, 2020; BRYON SEHLKE (ADP OF THE SNF), associated since April 1, 2019; BRYON SEHLKE (OPERATIONAL/MANAGERIAL CONTROL), associated since April 1, 2019; AEGIS THERAPIES, INC. (ADP OF THE SNF), associated since April 1, 2019; TOUCHSTONE COMMUNITIES INC (ADP OF THE SNF), associated since April 1, 2019; CYNTHIA GILCREASE (ADP OF THE SNF), associated since April 1, 2019; CYNTHIA GILCREASE (OPERATIONAL/MANAGERIAL CONTROL), associated since April 1, 2019; DARRELL D ZUROVEC (ADP OF THE SNF), associated since April 1, 2019; DARRELL D ZUROVEC (OPERATIONAL/MANAGERIAL CONTROL), associated since April 1, 2019; ANDREW LEVINE (ADP OF THE SNF), associated since April 1, 2019; INTERNATIONAL BANK OF COMMERCE (5% OR GREATER SECURITY INTEREST), associated since April 28, 2021; LETICIA CARRASCO (ADP OF THE SNF), associated since October 19, 2020; LETICIA CARRASCO (OPERATIONAL/MANAGERIAL CONTROL), associated since October 19, 2020; TOUCHSTONE STRATEGIES MERCEDES LLC (ADP OF THE SNF), associated since August 26, 2025; TOUCHSTONE STRATEGIES MERCEDES LLC (OPERATIONAL/MANAGERIAL CONTROL), associated since April 1, 2019; PLANTE & MORAN PLLC (ADP OF THE SNF), associated since April 1, 2019; ALAMO ADVISORS LP (ADP OF THE SNF), associated since April 1, 2019; THE BRYON AND RENA SEHLKE LIVING TRUST (ADP OF THE SNF), associated since April 1, 2019; LYNNEA CASTILLO (ADP OF THE SNF), associated since April 1, 2019; LYNNEA CASTILLO (OPERATIONAL/MANAGERIAL CONTROL), associated since April 1, 2019; MARCOS CARAZOS (ADP OF THE SNF), associated since July 20, 2020; MARCOS CARAZOS (OPERATIONAL/MANAGERIAL CONTROL), associated since July 20, 2020; CARVAJAL PHARMACY LTC (ADP OF THE SNF), associated since April 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv

Recent changes on this record

July 29, 2026: A deficiency was cited under tag F 0880, scope and severity D. NH_HealthCitations_Sep2026_2.csv
July 29, 2026: A deficiency was cited under tag F 0842, scope and severity D. NH_HealthCitations_Sep2026_2.csv
July 29, 2026: A deficiency was cited under tag F 0761, scope and severity D. NH_HealthCitations_Sep2026_2.csv
July 29, 2026: A deficiency was cited under tag F 0656, scope and severity D. NH_HealthCitations_Sep2026_2.csv

Inspections of MID VALLEY NURSING & REHABILITATION

Cycle 1: health April 9, 2026 (15 deficiencies), fire safety April 9, 2026 (4)
Cycle 2: health February 5, 2025 (14 deficiencies), fire safety February 5, 2025 (0)
Cycle 3: health November 16, 2023 (3 deficiencies), fire safety November 16, 2023 (1)

Deficiencies cited at MID VALLEY NURSING & REHABILITATION

32 deficiencies on file, by tag, newest citation first

every one from a health inspection; 22 cited from a complaint, marked below. Letter after a date: scope and severity grade.

F 0656, resident assessment and care planning: July 29, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected August 20, 2026); March 7, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected April 3, 2025); February 5, 2025 (D, Deficient, Provider has date of correction, corrected February 28, 2025); December 23, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected December 24, 2024).
F 0761, pharmacy service: July 29, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected August 20, 2026); December 31, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected January 16, 2026).
F 0842, resident assessment and care planning: July 29, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected August 20, 2026); March 7, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected April 3, 2025); February 5, 2025 (E, from a complaint, Deficient, Provider has date of correction, corrected February 28, 2025).
F 0880, infection control: July 29, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected August 20, 2026); April 9, 2026 (D, Deficient, Provider has date of correction, corrected May 1, 2026); February 5, 2025 (D, Deficient, Provider has date of correction, corrected February 28, 2025).
F 0755, pharmacy service: June 10, 2026 (E, from a complaint, Deficient, Provider has date of correction, corrected June 26, 2026); April 9, 2026 (D, Deficient, Provider has date of correction, corrected May 1, 2026); April 16, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected May 9, 2024); October 31, 2023 (E, from a complaint, Deficient, Provider has date of correction, corrected November 2, 2023).
F 0759, pharmacy service: April 9, 2026 (D, Deficient, Provider has date of correction, corrected May 1, 2026).
F 0760, pharmacy service: April 9, 2026 (E, Deficient, Provider has date of correction, corrected May 1, 2026).
F 0813, nutrition and dietary: April 9, 2026 (D, Deficient, Provider has date of correction, corrected May 1, 2026).
F 0573, resident rights: January 13, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected February 9, 2026).
F 0657, resident assessment and care planning: January 13, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected February 9, 2026).
F 0578, resident rights: December 31, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected January 16, 2026); November 16, 2023 (D, Deficient, Provider has date of correction, corrected November 17, 2023).
F 0694, quality of life and care: December 31, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected January 16, 2026).
F 0690, quality of life and care: April 11, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected May 1, 2025); December 23, 2024 (J, from a complaint, Deficient, Provider has date of correction, corrected December 24, 2024).
F 0695, quality of life and care: February 5, 2025 (D, Deficient, Provider has date of correction, corrected February 28, 2025).
F 0812, nutrition and dietary: February 5, 2025 (D, Deficient, Provider has date of correction, corrected February 28, 2025).
F 0600, freedom from abuse, neglect, and exploitation: December 23, 2024 (J, from a complaint, Deficient, Provider has date of correction, corrected December 24, 2024).
F 0607, freedom from abuse, neglect, and exploitation: December 23, 2024 (J, from a complaint, Deficient, Provider has date of correction, corrected December 24, 2024).
F 0609, freedom from abuse, neglect, and exploitation: December 23, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected December 24, 2024).
F 0689, quality of life and care: December 23, 2024 (J, from a complaint, Past Non-Compliance, corrected March 21, 2024).

Penalties

Penalty date	Type	Fine amount	Payment denial began	Payment denial, days	Fine ID
December 23, 2024	Fine	$8,281			113469
December 23, 2024	Fine	$8,330			113470

From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.

MID VALLEY NURSING & REHABILITATION in Care Compare

Ownership Type: Government - Hospital district
Legal Business Name: UVALDE COUNTY HOSPITAL AUTHORITY
Date First Approved to Provide Medicare and Medicaid Services: 2017-01-10
Provider Resides in Hospital: N
Continuing Care Retirement Community: N
Urban: Y
County/Parish: Hidalgo
Telephone Number: 9562941689
Chain Name: TOUCHSTONE COMMUNITIES
Chain ID: 521
Provider Changed Ownership in Last 12 Months: N
With a Resident and Family Council: Resident
Automatic Sprinkler Systems in All Required Areas: Yes
Average Number of Residents per Day: 84.6
Overall Rating: 1
Health Inspection Rating: 2
QM Rating: 4
Long-Stay QM Rating: 5
Short-Stay QM Rating: 3

Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · penalties NH_Penalties_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.

Other nursing facilities in Texas

Report a figure on MID VALLEY NURSING & REHABILITATION’s record that differs from its CMS file, quoting 676414.