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Nursing homeFAID #12114

Grand Terrace Rehabilitation and Healthcare

812 W. Houston Ave., MCALLEN, TX, 78501
(956) 682-6331
ensignservices.net
93 licensed beds
★★★★★5/5CMS Five-Star overall5/5 health inspections2/5 staffing5/5 quality measuresSource: CMS Care Compare

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Public record summary

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Bed capacity
93
CMS facility ID
455586
Care type
Nursing home
County
Hidalgo
Facility name
Grand Terrace Rehabilitation and Healthcare
Street address
812 W. Houston Ave.
City / state / ZIP
Mcallen, TX 78501
Phone
(956) 682-6331
Website
ensignservices.net

About this facility — Grand Terrace Rehabilitation and Healthcare

Grand Terrace Rehabilitation and Healthcare is a Medicare/Medicaid-certified skilled nursing facility in Mcallen, Texas. It is licensed for 93 beds — below the median for skilled nursing facilities in Texas (120 beds).

It is one of 29 senior care facilities in Mcallen and 1,178 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Grand Terrace Rehabilitation and Healthcare 16 times across 13 inspections in the last three years; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
The Ensign Group
Ownership type
For profit - Corporation

Registered owners & officers

Fannin County Hospital Authority
Direct owner — 100% stake — since 2023
Alam, Khursheed
Governing body · Operational control · Additional disclosable party — since 2024
Burnam, Soon
Officer — since 2023
Caretrust Gp Llc
Additional disclosable party — since 2023
Caretrust Reit Inc
Additional disclosable party — since 2023
Ctr Partnership Lp
Additional disclosable party — since 2023
Ensign Services Inc
Additional disclosable party — since 2009
Guzman, Nefi
Governing body · Operational control · Additional disclosable party — since 2023
Keetch, Chad
Officer — since 2011
Mcallen Care Associates, Inc.
Operational control · Additional disclosable party — since 2023
Rio Grande Health Holdings Llc
Additional disclosable party — since 2023
Sanderson, Clark
Officer — since 2023

Regulatory standing

Federal court records
11 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1985-08-21
CMS overall rating
5 of 5 stars
Health deficiencies
9 at the last standard inspection
Federal fines
None on record
Last standard inspection
2026-02-19
Nurse staffing
3.6 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$506 per day (≈ $15,380/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
73% Medicaid · 9% Medicare · 18% private/other
Occupancy
77% (fiscal year 2023)
Vs. state median
83% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
93
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

CleanNo food-safety or dietary citations in the last three years of federal inspections.
2026-06-17Health inspectionComplaint-triggered2 citations
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-06-18
F-0732
C · No harm foundFrom a complaint
Post nurse staffing information every day.
Corrected 2026-06-18
2026-05-08Health inspectionComplaint-triggered1 citation
F-0558
D · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2026-05-10
7 earlier / fire-safety inspections (13 citations)
2026-02-19Health inspection3 citations
F-0552
D · No harm found
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2026-02-20
F-0605
D · No harm found
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2026-02-20
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-02-20
2025-12-08Health inspectionComplaint-triggered1 citation
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-12-09
2025-12-04Health inspectionComplaint-triggered1 citation
F-0761
D · No harm foundFrom a complaint
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 2025-12-05
2025-11-19Health inspectionComplaint-triggered1 citation
F-0761
D · No harm foundFrom a complaint
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 2025-11-20
2024-11-20Health inspectionComplaint-triggered1 citation
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-11-22
2024-11-08Health inspectionComplaint-triggered1 citation
F-0921
D · No harm foundFrom a complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-11-10
2023-08-31Health inspection5 citations
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-09-01
F-0677
E · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-09-01
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-09-01
F-0693
D · No harm found
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.
Corrected 2023-09-01
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-09-01
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 455586.

Inside your report

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Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 16 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
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Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered