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Hidalgo Nursing and Rehabilitation Center

⌖ Edinburg, TX · Hidalgo County
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Medicare overall rating 1 of 5 stars
Certified beds126
Medicare / MedicaidMedicare & Medicaid
OwnershipGovernment (hospital district)

About Hidalgo Nursing and Rehabilitation Center

Hidalgo Nursing and Rehabilitation Center is a 126-bed government-run nursing home in Edinburg, TX. Medicare rates it 1 out of 5 stars overall (much below average); the average in Texas is 2.7.

  • Inspections: 10 problems at its last full inspection (Apr 2026), close to the Texas average of 9.4. None of its recent citations were for residents being harmed.
  • Staffing: nurses and aides spend about 3 hr 19 min a day with each resident, about the same as the Texas average of 3 hr 23 min. About 42% of nursing staff left in the past year.
  • Fines: $7,582 in federal fines in the last three years.

Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology

Key details

Facility nameHidalgo Nursing And Rehabilitation Center
LocationHidalgo County, Texas
Address4503 S Sugar Rd, Edinburg, TX 78539 · Hidalgo County
Medicare provider number676346
Ownership typeGovernment (hospital district)
Operating companyWellsential Health · 67 homes
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceNovember 9, 2013 (12 years)
✓ Medicare✓ Medicaid

Certified for Medicaid; ask whether a Medicaid bed is available.

Quality & inspections

Explore this facility's official Medicare inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.

Overall rating1 of 5Much below average
Health inspections2 of 5Below average
Quality measures4 of 5Above average
Staffing1 of 5Much below average

Ratings and inspection data on this page come directly from Medicare's public records and are never altered for any paid listing. Medicare data as of September 2026.

What Medicare found

2 strengths and 2 things to ask about in Medicare's inspection, fine and staffing records for this home. 2 care-quality measures are worse than the state average in the rehab and long-term care section below.

Strengths

  • Serious health citationsNone since Nov 2025No citations for actual harm or immediate jeopardy since Nov 2025.
    Strength
  • Nursing staff turnover42% a yearTexas average: 55%
    Strength

About average

  • Health citations at last inspection10 (Apr 2026)Texas average: 9.4.
    About average
  • Nurse staffing per resident3 hr 19 min a dayTexas average: 3 hr 23 min
    About average
  • Registered nurse time per resident26 min a dayTexas average: 26 min
    About average

Things to ask about

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  • Abuse citationOn recordMedicare shows this icon when a home was cited for abuse, neglect or exploitation in recent inspections. Ask what happened and what changed.
    Ask about this
  • Fines and penalties1 fine totaling $7,582Federal penalties from the last three years, most recently in Nov 2023 (about 2 years ago). The national average is $30,972 per home.
    Worth asking about

Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Texas average. Problems may have been corrected since; ask the home about anything listed here. How we choose these

Short-term rehab or long-term care?

Medicare rates these separately, and many homes are better at one than the other.

Short-term rehab

For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.

Medicare quality rating: 4 of 5 (above average)

  • Sent back to the hospital23.0%State average: 25.7%
    About average
  • Needed an emergency room visit12.9%State average: 12.3%
    About average
  • Newly given antipsychotic drugs0.3%State average: 1.5%
    Better than average

Physical therapist time: about 3 minutes a day per resident, averaged across all residents, including long-term residents who get little or no therapy. That is less than the state average of 4 minutes. It is not one person’s therapy schedule; if rehab is the goal, ask how many therapy sessions a week to expect.

Long-term care

For residents who live at the home for months or years.

Medicare quality rating: 4 of 5 (above average)

  • Falls with a major injury4.3%State average: 3.3%
    Worse than average
  • Pressure sores (bedsores)3.2%State average: 3.8%
    About average
  • Given antipsychotic drugs12.4%State average: 9.6%
    Worse than average
  • Hospital stays per 1,000 resident days2.6State average: 2.2
    About average

Source: Medicare (CMS) quality measures, compared with the Texas average. Lower is better for every rate shown.

Who pays, and how full it is

Most residents here have their care paid by Medicaid. In Texas, Medicaid pays for 66% of resident days at a typical home.

  • 73% Medicaid
  • 6% Medicare
  • 21% Private pay, insurance and other
Beds in use, on average74%Texas typical: 67%
Facility operating cost per resident day$327Texas typical: $270

Shares of resident days, from the home’s Medicare cost report for the year ending June 2025. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.

Ratings over time

Its overall Medicare rating is 1 star now, down from 2 stars in January 2019. It has ranged from 1 to 4 stars and changed 15 times.

Overall rating1★
Health inspections2★
Staffing1★
Quality of care4★
Nurse hours per resident per day3.3
20192020202120222023202420252026
Show the values by year
MonthOverallInspectionsStaffingQualityNurse hours
Jan 201921153.5
Jan 202012123.4
Jan 202122234.2
Jan 202234133.5
Jan 202344224.0
Jan 202445123.5
Feb 202513113.3
Feb 202644153.4
Sep 202612143.3

Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology

See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home

From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.

Inspection summary

How this facility compares to state and national averages on CMS-reported problems.

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Three-survey history

Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.

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Family reviews

No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.

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