Hidalgo Nursing and Rehabilitation Center

4503 S Sugar Rd · Edinburg, TX · 78539 · 9563861112

126 certified beds Government - Hospital district Chain: Wellsential Health

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Inspection results have improved across recent cycles.

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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.

1 immediate-jeopardy citation in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

Score breakdown

Inspection record 30% of score 52
Serious harm & abuse 20% 74
Staffing 20% 57
Federal penalties 15% 78
Trend 10% 76
Context 5% 100

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: 1 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.193.48 min · 4.1 strong
RN hours / resident-day0.360.55–0.75
Weekend hours / resident-day2.90≈ weekday level
Nursing turnover / year40%median 45%
Fines (3-yr window)1 · $7,582

Inspection citations (25 in the current record)

  • Potential for harm · D April 29, 2026 · found via complaint

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected May 1, 2026 · Resident Rights

  • Potential for harm · D April 29, 2026 · found via complaint

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Corrected May 1, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E April 14, 2026

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Corrected April 15, 2026 · Resident Rights

  • Potential for harm · D April 14, 2026

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected April 15, 2026 · Quality of Life and Care

  • Potential for harm · D April 14, 2026

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected April 15, 2026 · Quality of Life and Care

  • Potential for harm · D April 14, 2026

    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.

    Corrected April 15, 2026 · Pharmacy Service

  • Potential for harm · E April 14, 2026

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected April 15, 2026 · Nutrition and Dietary

  • Potential for harm · D April 14, 2026

    Provide and implement an infection prevention and control program.

    Corrected April 15, 2026 · Infection Control

  • Potential for harm · E January 29, 2026 · found via complaint

    Protect each resident from the wrongful use of the resident's belongings or money.

    Corrected February 2, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D November 19, 2025 · found via complaint

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected November 21, 2025 · Quality of Life and Care

  • Potential for harm · D February 12, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected February 14, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D February 12, 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 14, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D January 16, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected January 20, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E November 17, 2023

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Corrected December 15, 2023 · Resident Rights

  • Potential for harm · E November 17, 2023 · found via complaint

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Corrected December 15, 2023 · Resident Rights

  • Potential for harm · D November 17, 2023 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected December 15, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D November 17, 2023 · found via complaint

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected December 15, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D November 17, 2023 · found via complaint

    Provide activities to meet all resident's needs.

    Corrected December 15, 2023 · Quality of Life and Care

  • Potential for harm · E November 17, 2023 · found via complaint

    Ensure the activities program is directed by a qualified professional.

    Corrected December 15, 2023 · Quality of Life and Care

  • Potential for harm · E November 17, 2023 · found via complaint

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

    Corrected December 15, 2023 · Administration

  • Potential for harm · D November 17, 2023 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected December 15, 2023 · Infection Control

  • Potential for harm · E November 17, 2023 · found via complaint

    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

    Corrected December 15, 2023 · Administration

  • Immediate jeopardy · J November 3, 2023 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected November 3, 2023 · Quality of Life and Care

  • Potential for harm · E November 3, 2023 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected November 10, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E November 3, 2023 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected November 10, 2023 · Pharmacy Service

Federal penalties

DateTypeAmount / length
November 3, 2023Fine$7,582

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676346 · certified since November 9, 2013. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.