PlainNursing
CMS Nursing Home Compare · August 2026

La Vida Serena Nursing and Rehabilitation

711 Kings Way, Del Rio, TX 78840

La Vida Serena Nursing and Rehabilitation, a 120-bed for profit - limited liability company nursing facility in Del Rio, TX, holds a 3-star CMS overall rating - right around the 3.0-star national average, ranking #551 of 1,165 rated homes in TX on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 8307740698

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3 / 5
Average · CMS overall · nat'l 3.0
#551 of 1,165
In-state rank among rated TX homes
2.87
Well below average · nurse hrs/day · nat'l 3.86
21
Inspection findings · 2 serious

The verdict

La Vida Serena Nursing and Rehabilitation, a 120-bed for profit - limited liability company nursing facility in Del Rio, TX, holds a 3-star CMS overall rating - right around the 3.0-star national average, ranking #551 of 1,165 rated homes in TX on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.

3 / 5
CMS overall · national 3.0
#551 of 1,165
In-state rank among rated TX homes
2.87
Nurse hrs/resident-day · national 3.86
21
Inspection findings · 2 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 1,177 TX nursing homes split by ownership sector

This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

4/5

Staffing

1/5

Quality Measures

3/5

Long-Stay Quality

3/5

Facility Information

Provider Number
675800
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
120
Residents
68
In Hospital
No
County
Val Verde
Last Inspection
Dec 12, 2025

Staffing Data

How the 2.87 total nursing hours per resident-day are staffed:

RN Hours
0.25 (nat'l avg: 0.69)
LPN Hours
0.88
CNA Hours
1.75
Total Nursing Hours
2.87 (nat'l avg: 3.86)
PT Hours
0.07

What the CMS Record Reveals About La Vida Serena Nursing and Rehabilitation

According to CMS Nursing Home Compare, La Vida Serena Nursing and Rehabilitation ranks #551 of 1,165 rated nursing homes in TX on overall stars (tie-broken by health+staffing+quality, then fewer fines). La Vida Serena Nursing and Rehabilitation operates 120 certified beds in Del Rio, TX with approximately 68 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars (health inspection 4★ · staffing 1★ · quality 3★).

The inspection file contains 21 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. CMS enforcement records show 1 penalty totaling $8K levied against this facility. Per resident day, this facility reports 2.87 total nursing hours (national average 3.86) and 0.25 RN hours.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, La Vida Serena Nursing and Rehabilitation falls into a category where comparative context matters.

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (21 most recent)

D - Isolated - Minimal harm Dec 12, 2025 Tag: 0842

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 15, 2025

D - Isolated - Minimal harm Dec 12, 2025 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Dec 15, 2025

D - Isolated - Minimal harm Dec 12, 2025 Tag: 0656

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 15, 2025

E - Pattern - Minimal harm Dec 12, 2025 Tag: 0921

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

Category: Environmental Deficiencies

Corrected: Jan 16, 2026

E - Pattern - Minimal harm Dec 12, 2025 Tag: 0865

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

Category: Administration Deficiencies

Corrected: Dec 20, 2025

E - Pattern - Minimal harm Dec 12, 2025 Tag: 0565

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

Category: Resident Rights Deficiencies

Corrected: Dec 15, 2025

D - Isolated - Minimal harm May 8, 2025 Tag: 0609

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 9, 2025

G - Isolated - Actual harm May 8, 2025 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Mar 9, 2025

G - Isolated - Actual harm May 8, 2025 Tag: 0657

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 9, 2025

D - Isolated - Minimal harm Sep 19, 2024 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Sep 20, 2024

D - Isolated - Minimal harm Sep 19, 2024 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 20, 2024

C - Widespread - No harm Jul 11, 2024 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Jul 12, 2024

E - Pattern - Minimal harm Jul 11, 2024 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 12, 2024

D - Isolated - Minimal harm Aug 16, 2023 Tag: 0808

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.

Category: Nutrition and Dietary Deficiencies

Corrected: Sep 29, 2023

D - Isolated - Minimal harm Aug 16, 2023 Tag: 0677

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

Category: Quality of Life and Care Deficiencies

Corrected: Sep 29, 2023

D - Isolated - Minimal harm Aug 16, 2023 Tag: 0656

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 29, 2023

E - Pattern - Minimal harm Aug 16, 2023 Tag: 0921

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

Category: Environmental Deficiencies

Corrected: Sep 29, 2023

E - Pattern - Minimal harm Aug 16, 2023 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Sep 29, 2023

D - Isolated - Minimal harm Aug 3, 2023 Tag: 0609

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 1, 2023

D - Isolated - Minimal harm Aug 3, 2023 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 1, 2023

E - Pattern - Minimal harm Aug 3, 2023 Tag: 0842

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 1, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 20.2% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.9% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 29.4% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 6.8% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 4.0% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 2.5% No
Percentage of long-stay residents who have depressive symptoms Long Stay 1.9% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 1.0% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 11.6% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 100.0% No

Penalty History 1 penalties totaling $8K

Date Type Amount
May 8, 2025 Fine $8K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for La Vida Serena Nursing and Rehabilitation, both outside TX so the neighborhoods are not the same-state geography list below.

What the CMS records show for La Vida Serena Nursing and Rehabilitation

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The TX registry aggregates state averages and the highest-rated homes in this cohort. View TX registry
  • Peer homes near 120 beds show how CMS stars vary at a similar scale in TX. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for La Vida Serena Nursing and Rehabilitation?
La Vida Serena Nursing and Rehabilitation has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (4★), staffing levels (1★), and quality measures (3★).
Where does La Vida Serena Nursing and Rehabilitation rank among nursing homes in TX?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), La Vida Serena Nursing and Rehabilitation ranks 551st among 1,165 rated nursing homes in TX (#551 of 1,165). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at La Vida Serena Nursing and Rehabilitation?
La Vida Serena Nursing and Rehabilitation reports 2.87 total nursing hours per resident day (national average: 3.86). RN hours are 0.25 per resident day (national average: 0.69).
How many beds does La Vida Serena Nursing and Rehabilitation have?
La Vida Serena Nursing and Rehabilitation has 120 certified beds with approximately 68 residents. The facility is located at 711 Kings Way, Del Rio, TX 78840.
Does La Vida Serena Nursing and Rehabilitation have any deficiencies on record?
Yes, La Vida Serena Nursing and Rehabilitation has 21 deficiencies on record from recent inspections. Of these, 2 are classified as causing actual harm or jeopardy.
Has La Vida Serena Nursing and Rehabilitation received any fines or penalties?
Yes, La Vida Serena Nursing and Rehabilitation has received 1 penalties totaling $8K.
Who owns La Vida Serena Nursing and Rehabilitation?
La Vida Serena Nursing and Rehabilitation is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was La Vida Serena Nursing and Rehabilitation last inspected?
The most recent health inspection for La Vida Serena Nursing and Rehabilitation was on Dec 12, 2025. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for La Vida Serena Nursing and Rehabilitation?
La Vida Serena Nursing and Rehabilitation is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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