Medina Valley Health & Rehabilitation Center
Overall Five-Star: 4 in FY2025. Total nursing HPRD: 2.98 in FY2025. Operating margin: -0.2% in FY2025. Return to community: 44.9% in FY2026. Days cash on hand: 25 days in FY2025. Total operating revenue: $7.4M in FY2025. Total margin (including nonoperating): +5.9% in FY2025. Figures as filed; not audited by Astrelis.
A skilled nursing facility in Castroville, TX. It ran an operating loss of 0.2% in FY25 on $7.4M of operating revenue. It held 25 days of cash on hand. Operating margin improved from -7.7% in FY20 to -0.2% in FY25. Including nonoperating items, the all-in result was positive at 5.9%. On care, it carries a 4-star CMS quality rating. Its rate of potentially preventable readmissions is 9.5%. On the filed record it is running at an operating loss with strong measured quality. Source-reported context, not a recommendation.
The money
$ thousands · HCRIS cost-report basis · as filed, QA-gatedRatios tell you how this skilled nursing facility is doing. Statements tell you what kind of organization it is, and where the money comes from. Every figure below traces to a public cost-report filing, shown as filed. A ratio computes only when every input is reported in the filing (otherwise its cell states which input is Not reported in source); a year whose balance sheet does not reconcile is labeled, and its derived ratios read Astrelis calculation unavailable. Not audited by Astrelis.
| Line item | FY23 | FY24 | FY25 · 335 days |
|---|---|---|---|
| Patient revenue | 7,278 | 7,735 | 7,396 |
| Total operating revenue | 7,278 | 7,735 | 7,396 |
| Total operating expenses | 7,230 | 7,945 | 7,411 |
| Operating income | 48 | (210) | (14) |
| Operating margin % | +0.7% | -2.7% | -0.2% |
| Other non-operating, net | 448 | 368 | 481 |
| Net income | 497 | 158 | 467 |
| Net income % | +6.4% | +2.0% | +5.9% |
How it operates
quality & operational context · CMS public reportingThe metrics this skilled nursing facility type is judged on: care quality, patient experience, and scale. Each is labeled by provenance class and public source; descriptive context only, never a ranking or adequacy claim. Provenance labels: Reported value is copied from the named public source; Astrelis calculation is a formula applied to unchanged reported inputs, with the formula shown; Illustrative estimate is a benchmark gap, multiplier, or scenario — never a measurement.
Trajectory
The county this skilled nursing facility serves
-0.2% operating margin in FY25.
Operating margin improved 2.5 points vs FY24 — the briefing traces why, line by line.
Reserve The Board Briefing →A facility-specific dollar comparison cannot be calculated because a valid same-year peer pool was not reported. The report still includes all available facility measures, peer benchmarks, and a source-coverage inventory.
Reserve Performance Benchmark Report →The Board Briefing
Your facility and its world in 35+ board-ready pages, every measure benchmarked against its same-year peers.
SNF Performance Benchmark
Your facility against its matched peer cohort, every arithmetic benchmark difference dollarized against the cohort median.
Portfolio Performance Review
A roster-priced triage of the per-facility benchmarks: every facility on your roster, benchmarked and sorted. Requires only a CCN roster.
Cite this page
release 2321a4fc37a7 · 2026-10-22Astrelis Atlas, "Medina Valley Health & Rehabilitation Center", https://astrelis.co/providers/snf/675974, release 2321a4fc37a7 (2026-10-22). Figures as filed in the named public sources; not audited by Astrelis.
Machine-readable twin of this page: astrelis.co/providers/snf/675974.md (Markdown, the same figures with their fiscal years, pools and definitions). Last modified: release 2321a4fc37a7, 2026-10-22. Figures are as filed in the named public sources. Astrelis is not a CPA firm and performs no audit, review or attestation of any facility.