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Nursing homeFAID #14270

La Vida Serena Nursing and Rehabilitation

711 KINGS WAY, DEL RIO, TX, 78840

(830) 774-0698

www.lavidaserenanursing.com

120 licensed beds

CMS rates La Vida Serena Nursing and Rehabilitation 3 out of 5 overall. Federal inspectors issued 32 citations across 8 inspections in the last three years, with $8,404 in fines. Listing last updated 2026-11-06.

★★★★★3/5CMS Five-Star overall4/5 health inspections1/5 staffing3/5 quality measuresSource: CMS Care Compare

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Photo of LA VIDA SERENA NURSING AND REHABILITATION

Photo via Google · La Vida Serena Nursing & Rehabilitation

Address

711 Kings Way

Del Rio, TX 78840

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Public record summary

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Bed capacity

120

CMS facility ID

675800

Care type

Nursing home

County

Val Verde

Facility name

La Vida Serena Nursing and Rehabilitation

Street address

711 KINGS WAY

City / state / ZIP

Del Rio, TX 78840

Phone

(830) 774-0698

Website

www.lavidaserenanursing.com

About this facility — La Vida Serena Nursing and Rehabilitation

La Vida Serena Nursing and Rehabilitation is a Medicare/Medicaid-certified skilled nursing facility in Del Rio, Texas. It is licensed for 120 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 5 senior care facilities in Del Rio and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Creative Solutions in Healthcare, a group of 150 facilities on this site.

Federal inspectors have cited La Vida Serena Nursing and Rehabilitation 32 times across 8 inspections in the last three years, including 1 food-safety citation, and CMS has imposed $8,404 in fines. 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 November 6, 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

Creative Solutions In Healthcare

Ownership type

For profit - Limited Liability company

Registered owners & officers

Blake, Gary

Operational control — since 2012

Blake, Malisa

Operational control — since 2012

Creative Solutions In Healthcare Inc

Operational control — since 2012

Huggins, Linda

Managing employee — since 2012

Regulatory standing

Federal court records

4 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1999-05-01

CMS overall rating

3 of 5 stars

Health deficiencies

6 at the last standard inspection

Federal fines

$8,404 total

Last standard inspection

2025-12-12

Nurse staffing

3.0 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$254 per day (≈ $7,720/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

74% Medicaid · 8% Medicare · 18% private/other

Occupancy

59% (fiscal year 2023)

Vs. state median

8% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

120

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily Open 24 hours

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.

2025-12-12Health inspection6 citations

F-0565

E · No harm found

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2025-12-15

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 2025-12-15

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 2025-12-15

F-0842

D · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-12-15

F-0865

E · No harm found

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2025-12-20

F-0921

E · No harm found

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2026-01-16

2025-05-08Health inspectionComplaint-triggered3 citations

F-0609

D · No harm foundFrom a complaint

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

Corrected 2025-05-09

F-0657

G · Actual harmFrom a 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 2025-05-09

F-0689

G · Actual harmFrom a complaint

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

Corrected 2025-03-09

6 earlier / fire-safety inspections (23 citations)

2024-09-19Health inspection2 citations

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2024-09-20

F-0684

D · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-09-20

2024-07-11Health inspectionComplaint-triggered2 citations

F-0641

E · No harm foundFrom a complaint

Ensure each resident receives an accurate assessment.

Corrected 2024-07-12

F-0732

C · No harm foundFrom a complaint

Post nurse staffing information every day.

Corrected 2024-07-12

2023-08-16Health 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 2023-09-29

F-0677

D · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-09-29

F-0760

E · No harm found

Ensure that residents are free from significant medication errors.

Corrected 2023-09-29

F-0808

D · No harm foundFood safety

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

Corrected 2023-09-29

F-0921

E · No harm found

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2023-09-29

2025-12-12Fire-safety inspection7 citations

K-0324

F · No harm found

Provide properly protected cooking facilities.

Corrected 2025-12-18

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2026-01-20

K-0351

D · No harm found

Install an approved automatic sprinkler system.

Corrected 2025-12-17

K-0372

E · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2026-01-05

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2025-12-18

K-0918

E · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-12-18

K-0923

E · No harm found

Have proper medical gas storage and administration areas.

Corrected 2025-12-19

2024-09-19Fire-safety inspection4 citations

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-09-24

K-0372

E · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-09-24

K-0374

E · No harm found

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-09-24

K-0920

E · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2024-10-14

2023-08-16Fire-safety inspection3 citations

K-0324

D · No harm found

Provide properly protected cooking facilities.

Corrected 2023-09-15

K-0511

D · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2023-09-15

K-0923

E · No harm found

Have proper medical gas storage and administration areas.

Corrected 2023-09-15

Federal penalties

2025-05-08Fine$8,404

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 675800.

Quality of care & staffing

How it compares in Texas.

Inspection citations, 3 years

More than 45% of nursing homes in the state

State median: 33

Federal fines, 3 years

$8,404

More than 37% of nursing homes in the state

State median: $15,642

Nurse staffing, hours per resident per day

3.0

Higher than 22% of nursing homes in the state

State median: 3.3

Nursing staff turnover, annual

49%

Higher than 46% of nursing homes in the state

State median: 50%

Resident outcomes

On 21 federal quality measures, this facility does better than the Texas average on 12 and worse on 4. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	19.3%	15.8%	13.5%	Worse than state
Lose too much weight	2.5%	2.9%	5.1%	Better than state
With a catheter inserted and left in their bladder	0.0%	0.3%	0.7%	Better than state
With a urinary tract infection	0.0%	0.8%	1.5%	Better than state
Have depressive symptoms	2.4%	2.3%	13.5%	Near state average
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	2.5%	3.2%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	100.0%	96.4%	93.7%	Near state average
Ability to walk independently worsened	45.8%	12.9%	12.7%	Worse than state
Received an antianxiety or hypnotic medication	0.5%	17.8%	19.5%	Better than state
Assessed and appropriately given the seasonal influenza vaccine	100.0%	97.0%	95.3%	Near state average
With pressure ulcers	7.1%	3.7%	4.5%	Worse than state
With new or worsened bowel or bladder incontinence	9.0%	12.5%	18.3%	Better than state
Received an antipsychotic medication	3.4%	9.8%	15.4%	Better than state
Hospitalizations per 1000 long-stay resident days	2.02	2.05	1.81	Near state average
Outpatient emergency department visits per 1000 long-stay resident days	3.34	1.97	1.69	Worse than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	100.0%	88.7%	82.3%	Better than state
Newly received an antipsychotic medication	0.0%	1.4%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	100.0%	85.4%	80.1%	Better than state
Were rehospitalized after a nursing home admission	19.9%	25.5%	23.4%	Better than state
Had an outpatient emergency department visit	12.5%	12.2%	11.8%	Near state average

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0656 2 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F-0689 2 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0921 2 inspections. Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
K-0324 2 inspections. Provide properly protected cooking facilities.
K-0372 2 inspections. Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K-0923 2 inspections. Have proper medical gas storage and administration areas.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

Licensing: Texas Health and Human Services
File a complaint: 800-458-9858 · Online
Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Val Verde Regional Medical Center, about 2.8 miles. CMS rating 3 of 5.
Fort Duncan Medical Center, about 56 miles. CMS rating 3 of 5.
Uvalde Memorial Hospital, about 71 miles. CMS rating 3 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Val Verde Nursing and Rehabilitation Center, Del Rio, about 3.3 miles. CMS rating 2 of 5.
Del Rio Nursing and Rehabilitation Center, Del Rio, about 3.5 miles. CMS rating 3 of 5.
Eagle Pass Nursing and Rehabilitation, Eagle Pass, about 55 miles. CMS rating 4 of 5.
La Hacienda De Paz Rehabilitation and Care Center, Eagle Pass, about 55 miles. CMS rating 3 of 5.
Maverick Nursing and Rehabilitation Center, Eagle Pass, about 56 miles. CMS rating 3 of 5.

Visitor reviews

What people say on Google.

4.275 ratings on Google

★★★★★Sharon Levrie · 2026-02-28 · via Google
“There are truly no words that feel big enough to express how grateful my family is of you Jessica De Hoyos. Thank you for the compassion, kindness, and love you showed my mom Maria Cecilia Ortiz every single day. You went far beyond your duties-you cared for her with patience, dignity and genuine warmth. You were always there when she needed comfort, and you were always there for me when I neede…”

★★★★★elva hernandez · 2026-03-11 · via Google
“We were in a car accident on march the 10 my mom end up with 6 broken ribs i do not live here but my daughter does she help me to get my mom into the nursing home the same night she will have to stay until her ribs hill but i am very happy with the staff everybody is very friendly and helpful.”

★★★★★Johnny Garcia · 2026-01-30 · via Google
“I was very pleased with the facility. The entire staff displayed very caring behavior and super attentive!”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

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Inspection citations — last 5 years

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Civil & criminal lawsuits

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Active civil suits

Federal dockets

CDC infection data

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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 2026-11-06

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

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