Alfredo Gonzalez Texas State Veterans Home
301 E Yuma Ave · McAllen, TX · 78503 · 9566824224
160 certified beds Government - State Chain: Texvet
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
2 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.48 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.37 | 0.55–0.75 |
| Weekend hours / resident-day | 2.94 | ≈ weekday level |
| Nursing turnover / year | 31% | median 45% |
| Fines (3-yr window) | 2 · $35,600 |
Inspection citations (29 in the current record)
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Potential for harm · D April 1, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 2, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J February 27, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected February 8, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J February 27, 2026 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected February 8, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 27, 2026 · found via complaint
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected March 7, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 27, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 7, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E February 27, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 7, 2026 · Quality of Life and Care
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Potential for harm · D January 7, 2026
Reasonably accommodate the needs and preferences of each resident.
Corrected January 12, 2026 · Resident Rights
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Potential for harm · D January 7, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 12, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 7, 2026
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected January 12, 2026 · Nursing and Physician Services
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Potential for harm · D January 7, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 12, 2026 · Pharmacy Service
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Potential for harm · D January 7, 2026
Provide and implement an infection prevention and control program.
Corrected January 12, 2026 · Infection Control
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Potential for harm · D January 7, 2026
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected January 12, 2026 · Environmental
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Potential for harm · D August 18, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected September 8, 2025 · Infection Control
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Potential for harm · D May 16, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected May 19, 2025 · Infection Control
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Potential for harm · E February 21, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 22, 2025 · Infection Control
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Potential for harm · D February 21, 2025 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected February 22, 2025 · Environmental
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No harm found · B February 21, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected February 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D October 30, 2024 · found via complaint
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Corrected November 19, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 30, 2024 · found via complaint
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected November 19, 2024 · Nutrition and Dietary
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Potential for harm · E October 30, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected November 19, 2024 · Infection Control
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Potential for harm · D October 4, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected October 27, 2024 · Quality of Life and Care
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No harm found · C October 4, 2024
Post nurse staffing information every day.
Corrected October 27, 2024 · Nursing and Physician Services
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Immediate jeopardy · K July 17, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 13, 2023 · Quality of Life and Care
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Potential for harm · D July 17, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected August 17, 2023 · Resident Rights
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Potential for harm · D July 17, 2023
Reasonably accommodate the needs and preferences of each resident.
Corrected August 17, 2023 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 7, 2026 | Fine | $22,925 |
| July 17, 2023 | Fine | $12,675 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676063 · certified since July 14, 2005. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.