nursing home in Brownsville, TX
Alta Vista Rehabilitation and Healthcare
510 Paredes Line Rd, Brownsville, TX 78521 · (956) 546-5358
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★1
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Alta Vista Rehabilitation and Healthcare at a glance
Alta Vista Rehabilitation and Healthcare is a 100-bed for-profit nursing home in Brownsville, Texas (Cameron County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.
Residents receive about 3.3 hours of nursing care per day (0.2 of them from registered nurses), close to the state average of 3.4 hours.
Its most recent standard health inspection (November 19, 2025) found 11 health citations. The Texas average is 9.4.
Federal regulators fined it 1 time in the past three years, totaling $14,433.
Nursing staff turnover is 36.4% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 100
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- The Ensign Group
- Medicare-certified since
- January 17, 1986
- Resident/family council
- Both
- County
- Cameron County
- CMS Certification Number
- 455625
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3.7 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 4 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 3.2 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.27 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.21 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.16 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.87 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 36.4% | 55.3% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 50% | 54.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 11 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 4 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 88.8 | 102 | 80.6 | Worse |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $14,433 | $44,141 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 2 | 1 | Average |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 100 | 113 | 107 | |
| Average residents per day | 77 | 76 | 86 | |
| Occupancy | 77.1% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 3% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 1.7% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 6.3% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.4% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 7.5% | 15.8% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 6% | 14% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 1.6% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 6.6% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 17.4% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 7.6% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 96.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.2% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 91.6% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 98.8% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 26 health deficiencies and 6 fire safety deficiencies in the inspection records CMS currently publishes. 4 citations involved actual harm, including 4 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 1, 2026 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected May 2, 2026 |
| March 13, 2026 Complaint | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Tag F0552 | D Potential harm, isolated | Corrected March 14, 2026 |
| March 13, 2026 Complaint | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected March 14, 2026 |
| March 13, 2026 Complaint | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 | D Potential harm, isolated | Corrected March 14, 2026 |
| November 19, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected December 3, 2025 |
| November 19, 2025 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected December 3, 2025 |
| November 19, 2025 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | E Potential harm, pattern | Corrected December 3, 2025 |
| November 19, 2025 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected December 3, 2025 |
| November 19, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected November 20, 2025 |
| November 19, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected November 20, 2025 |
| November 19, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected November 20, 2025 |
| November 19, 2025 Standard | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Tag F0552 | D Potential harm, isolated | Corrected November 20, 2025 |
| November 19, 2025 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected November 20, 2025 |
| November 19, 2025 Standard | Honor each resident's preferences, choices, values and beliefs. Quality of Life and Care Deficiencies · Tag F0675 | D Potential harm, isolated | Corrected November 20, 2025 |
| November 19, 2025 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected November 20, 2025 |
| August 27, 2025 Complaint | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected August 28, 2025 |
| August 22, 2024 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | F Potential harm, widespread | Corrected August 23, 2024 |
| August 22, 2024 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | F Potential harm, widespread | Corrected August 23, 2024 |
| August 22, 2024 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | E Potential harm, pattern | Corrected August 23, 2024 |
| August 22, 2024 Standard | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Tag F0726 | D Potential harm, isolated | Corrected August 23, 2024 |
| August 22, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | D Potential harm, isolated | Corrected August 23, 2024 |
| August 22, 2024 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected August 23, 2024 |
| August 22, 2024 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected August 23, 2024 |
| July 31, 2024 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected August 1, 2024 |
| September 22, 2023 Complaint | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Tag F0726 | J Immediate jeopardy, isolated | Corrected September 23, 2023 |
| September 22, 2023 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | J Immediate jeopardy, isolated | Corrected September 23, 2023 |
| September 22, 2023 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | J Immediate jeopardy, isolated | Corrected September 23, 2023 |
| September 22, 2023 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected September 23, 2023 |
| May 15, 2023 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | K Immediate jeopardy, pattern | Corrected May 19, 2023 |
| May 15, 2023 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected May 26, 2023 |
| May 15, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected May 26, 2023 |
| May 15, 2023 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected May 15, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $14,433 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| September 22, 2023 | Fine | $14,433 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| FANNIN COUNTY HOSPITAL AUTHORITY Organization | 5% or greater direct ownership interest | 100% | 01/01/2024 |
| BROWNSVILLE CARE ASSOCIATES, INC Organization | adp of the snf | NOT APPLICABLE | 09/29/2025 |
| CARETRUST GP LLC Organization | adp of the snf | NOT APPLICABLE | 01/01/2024 |
| CARETRUST REIT INC Organization | adp of the snf | NOT APPLICABLE | 01/01/2024 |
| CTR PARTNERSHIP LP Organization | adp of the snf | NOT APPLICABLE | 01/01/2024 |
| ENSIGN SERVICES INC Organization | adp of the snf | NOT APPLICABLE | 12/01/2009 |
| GUERRERO, NORMA Individual | adp of the snf | NOT APPLICABLE | 01/01/2024 |
| PAREDES HEALTH HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 01/01/2024 |
| ROBLES, LUIS Individual | adp of the snf | NOT APPLICABLE | 02/01/2025 |
| BURNAM, SOON Individual | corporate officer | NOT APPLICABLE | 01/01/2024 |
| KEETCH, CHAD Individual | corporate officer | NOT APPLICABLE | 03/01/2011 |
| SANDERSON, CLARK Individual | corporate officer | NOT APPLICABLE | 01/01/2024 |
| GUERRERO, NORMA Individual | managing control - governing body | NOT APPLICABLE | 01/01/2024 |
| ROBLES, LUIS Individual | managing control - governing body | NOT APPLICABLE | 02/01/2025 |
| BROWNSVILLE CARE ASSOCIATES, INC Organization | operational/managerial control | NOT APPLICABLE | 01/01/2024 |
| GUERRERO, NORMA Individual | operational/managerial control | NOT APPLICABLE | 01/01/2024 |
| ROBLES, LUIS Individual | operational/managerial control | NOT APPLICABLE | 02/01/2025 |
Other nursing homes near Alta Vista Rehabilitation and Healthcare
- ★★★★★2Below average
Las Alturas Nursing & Transitional Care Brownsvill
180 East Price Road, Brownsville, TX 78521 · 1.4 mi
For-profit · 122 beds
★★★★★3AverageEbony Lake Nursing and Rehabilitation Center
1001 Central Blvd, Brownsville, TX 78520 · 1.5 mi
Non-profit · 122 beds · Part of Wellsential Health
★★★★★4Above average- ★★★★★1Much below average
- ★★★★★2Below average
Brownsville Nursing and Rehabilitation Center
320 Lorenaly Dr, Brownsville, TX 78520 · 3.4 mi
Non-profit · 120 beds · Part of Wellsential Health
★★★★★1Much below average
Frequently asked questions
What is Alta Vista Rehabilitation and Healthcare's rating?
Alta Vista Rehabilitation and Healthcare has 2 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Alta Vista Rehabilitation and Healthcare receive?
Its most recent standard health inspection found 11 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Alta Vista Rehabilitation and Healthcare accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Alta Vista Rehabilitation and Healthcare?
It is for profit - corporation and part of The Ensign Group. The ownership section on this page lists the owners and managers reported to CMS.
Where is Alta Vista Rehabilitation and Healthcare and how do I contact it?
Alta Vista Rehabilitation and Healthcare is at 510 Paredes Line Rd, Brownsville, TX 78521. Phone: (956) 546-5358.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.