If you are running out of options, go somewhere else. Trach/Ventilator/Dialysis, go somewhere else. If your relative gets sick, to sick to be treated at this Nursing Home, you will have to deal with the pathetic Hospital Doctors at Valley Baptist Brownsville. No one should ever send their Family member to Valley Grande Manor, they are a Nursing home, that should deal with people that just need to be helped out of bed and walked down the hall two or three times a day, not People thats on Dialysis or Trach Collor or Ventilation,they are simply not good at it or lazy. Once you go south of Corpus Christi, the idology goes south too, the people are different, its like they have no heart, no compassion, its some kind of city wide cult. If your family member gets too sick to be treated at Valley Grande Manor, they will end up at Valley Baptist Brownsville Hospital, where they will be met by Jack Kevorkian, Dr. Madi, who will try and force you to make your loved one DNR against your wishes