Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around October 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Sun Valley Rehabilitation And Healthcare Center during CMS and state inspections, most recent first.
A resident with a documented Anxiety Disorder and an active prescription for Buspirone did not have this diagnosis reflected in her quarterly MDS assessment. The MDS nurse acknowledged the omission as an oversight and stated there was no system in place to ensure assessment accuracy. The DON confirmed the diagnosis should have been included.
A deficiency was cited when a resident's care plan did not include all necessary components, such as measurable timetables and specific actions, resulting in incomplete planning and documentation for the resident's care.
Surveyors found that five influenza vaccine single-dose, pre-filled syringes were stored past their expiration date. Both an RN and the DON acknowledged the vaccines were expired and should have been discarded, but had not been. The DON also confirmed there was no facility policy addressing expiration dates for medications or vaccines.
A nurse failed to don a gown, as required by enhanced barrier precautions, before entering a resident's room and handling the resident's foley catheter. The resident had multiple infection risks, including wounds and indwelling devices, and was under physician-ordered precautions to prevent MDRO transmission. The nurse acknowledged forgetting to wear the gown, despite facility policy and CDC guidelines requiring both gown and gloves for such care activities.
The facility failed to update a resident's care plan to include the use of an alarm guard, despite an order being given. The resident, who had severe cognitive impairment and multiple diagnoses, was transferred from a secured unit to the general population. The care plan was not revised until weeks later, potentially placing the resident at risk.
Failure to Accurately Document Active Diagnosis in MDS Assessment
Penalty
Summary
The facility failed to ensure that a resident's assessment accurately reflected her current diagnoses. Specifically, a quarterly Minimum Data Set (MDS) assessment did not include a diagnosis of Anxiety for a female resident who had a documented history of Anxiety Disorder, as well as other conditions such as Unspecified Dementia, Type 2 Diabetes Mellitus, Muscle Weakness, Hypertension, and Major Depressive Disorder. The resident was actively receiving Buspirone, an anti-anxiety medication, as ordered by her physician, and this was reflected in both the physician order summary and the medication administration record. During interviews, the MDS nurse confirmed responsibility for completing the MDS assessments and acknowledged that the omission of the Anxiety diagnosis was an oversight. The nurse also stated there was no system in place to ensure the accuracy of completed MDS assessments. The DON confirmed the resident's diagnosis of Anxiety and agreed that it should have been included in the MDS. Facility policy and CMS guidelines require that active diagnoses be accurately documented in the MDS, but this was not followed in this instance.
Incomplete Care Plan Lacking Measurable Actions
Penalty
Summary
A deficiency was identified due to the failure to develop and implement a complete care plan that addresses all of a resident's needs. The care plan lacked measurable timetables and specific actions, resulting in incomplete documentation and planning for the resident's care. This omission was observed during the review of resident records and care planning documentation, where surveyors noted the absence of comprehensive and individualized planning to meet the resident's assessed needs.
Expired Influenza Vaccines Found During Storage Review
Penalty
Summary
The facility failed to ensure that all drugs and biologicals, specifically influenza vaccine single-dose, pre-filled syringes, were stored and labeled in accordance with accepted professional principles, including the presence of appropriate accessory and cautionary instructions and expiration dates. During an observation, five out of five influenza vaccine syringes were found to be past their expiration date. Interviews with an RN and the DON confirmed that the vaccines were expired and should have been discarded, but had not been. The DON also acknowledged that the facility did not have a policy addressing the handling of expired medications or vaccines, and that the only available policy on medication administration did not mention expiration dates.
Failure to Follow Enhanced Barrier Precautions During Resident Care
Penalty
Summary
A deficiency occurred when a licensed vocational nurse (LVN) failed to follow enhanced barrier precautions for a resident who was at high risk for infection. The resident, a male with diagnoses including acute hematogenous osteomyelitis, end stage renal failure, dependence on dialysis, and severe sepsis with septic shock, was under physician-ordered enhanced barrier precautions due to multiple risk factors such as pressure wounds, cellulitis, a foley catheter, and a dialysis access permcath. The care plan and physician orders specified that staff were to use gowns and gloves during high contact care activities to reduce the risk of multidrug-resistant organism (MDRO) transmission. During an observation, the LVN entered the resident's room, which was clearly marked for enhanced barrier precautions, and donned gloves but failed to put on a gown before approaching the resident and handling the foley catheter tubing and balloon inflation port. The LVN later acknowledged forgetting to don the gown, despite understanding the requirement to wear both gloves and gown before entering the room for contact with the resident. Facility policy and CDC guidelines both require the use of appropriate personal protective equipment (PPE), including gowns and gloves, for all interactions that may involve contact with the resident or their environment under transmission-based precautions.
Failure to Update Care Plan for Resident with Alarm Guard
Penalty
Summary
The facility failed to develop and implement a comprehensive person-centered care plan for Resident #31, who had severe cognitive impairment and multiple diagnoses including dementia, diabetes, cognitive communication deficit, and anxiety disorder. Despite an order for an alarm guard to be placed on the resident's left arm and later on the left ankle, the care plan was not updated to reflect this change until several weeks later. This delay in updating the care plan was confirmed through interviews with the Director of Nursing (DON) and the MDS Coordinator, who admitted that the care plan was not revised immediately after the order was given. Resident #31 was transferred from a secured unit to the general population due to increased dependency on Hoyer lift transfers. The resident's care plan initially did not include the use of an alarm guard, which was only added after a significant change status MDS assessment was completed. The MDS Coordinator acknowledged that the care plan should have been updated sooner to reflect the new order for the alarm guard. This oversight could potentially place the resident at risk of injury from wandering in an unsafe environment, as the care plan did not accurately reflect the resident's current needs and interventions.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Harlingen
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Windsor Atrium | 0.5 mi | — | 3 | 0 |
| Golden Palms Rehabilitation And Retirement | 0.7 mi | — | 5 | 0 |
| Treasure Hills Healthcare And Rehabilitation Cente | 0.7 mi | — | 7 | 0 |
| Windsor Nursing And Rehabilitation Center Of Harli | 0.7 mi | — | 2 | 0 |
| Harlingen Nursing And Rehabilitation Center | 1.3 mi | — | 11 | 1 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.