Alta Vista Rehabilitation and HealthcareCMS ratings, inspections and fines
- Address
- 510 Paredes Line Rd, Brownsville, TX 78521
- CCN
- 455625
- Ownership type
- For-profit, corporation
- Certified beds
- 100
- Chain
- The Ensign Group
- Residents per day
- 77
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Alta Vista Rehabilitation and Healthcare an overall rating of 2 of 5 stars. The last standard survey was on 19 Nov 2025. The latest survey cycle has 12 health citations. The median for nursing homes in Texas is 8. CMS lists 1 fine of $14,433 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Cameron County median | Texas median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 2 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 2.0 | 2.0 | 2.9 |
| Quality measure rating | 5 | 5.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 14 homes in the county, 1,177 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Texas median |
|---|---|---|---|
| Cycle 1 (latest) | 19 Nov 2025 | 12 | 8 |
| Cycle 2 | 22 Aug 2024 | 5 | 8 |
| Cycle 3 | No date | 9 | 8 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | L0 | ||
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 12 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 1 May 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 2 May 2026 |
| 13 Mar 2026 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Complaint investigation | 14 Mar 2026 |
| 13 Mar 2026 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Complaint investigation | 14 Mar 2026 |
| 13 Mar 2026 | F0761 | 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. | D | Complaint investigation | 14 Mar 2026 |
| 19 Nov 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 20 Nov 2025 |
| 19 Nov 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 20 Nov 2025 |
| 19 Nov 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 20 Nov 2025 |
| 19 Nov 2025 | F0675 | Honor each resident's preferences, choices, values and beliefs. | D | Standard survey | 20 Nov 2025 |
| 19 Nov 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 20 Nov 2025 |
| 19 Nov 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 20 Nov 2025 |
| 19 Nov 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 20 Nov 2025 |
| 27 Aug 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 28 Aug 2025 |
Survey cycle 2: 5 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 22 Aug 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 23 Aug 2024 |
| 22 Aug 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 23 Aug 2024 |
| 22 Aug 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 23 Aug 2024 |
| 22 Aug 2024 | F0726 | 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. | D | Standard survey | 23 Aug 2024 |
| 22 Aug 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 23 Aug 2024 |
Survey cycle 3: 9 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 31 Jul 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 1 Aug 2024 |
| 22 Sep 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | Complaint investigation | 23 Sep 2023 |
| 22 Sep 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 23 Sep 2023 |
| 22 Sep 2023 | F0726 | 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. | J | Complaint investigation | 23 Sep 2023 |
| 22 Sep 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 23 Sep 2023 |
| 15 May 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 26 May 2023 |
| 15 May 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 15 May 2023 |
| 15 May 2023 | F0760 | Ensure that residents are free from significant medication errors. | K | Standard survey | 19 May 2023 |
| 15 May 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 26 May 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 22 Sep 2023 | Fine | $14,433 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Texas median | Texas average (CMS) |
|---|---|---|---|
| All nurse staff | 3.27 | 3.30 | 3.39 |
| Registered nurses (RN) | 0.21 | 0.40 | 0.43 |
| Licensed practical nurses (LPN) | 0.90 | 0.95 | |
| Nurse aides | 2.16 | 2.00 | |
| All nurse staff, weekends | 2.87 | 2.90 | 2.98 |
- Nurse staff turnover in a year
- 36.4%
- Nurse staff turnover, Texas median
- 52.1%
- RN turnover in a year
- 50.0%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 7.5% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.4% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.0% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.2% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 6.0% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.7% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 6.3% | 8.3% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- Fannin County Hospital Authority
- Chain
- The Ensign Group (342 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Fannin County Hospital Authority | 5% or greater direct ownership interest | 100% | 1 Jan 2024 |
| Brownsville Care Associates, Inc | Operational/managerial control | 1 Jan 2024 | |
| Brownsville Care Associates, Inc | Adp of the snf | 29 Sep 2025 | |
| Caretrust GP LLC | Adp of the snf | 1 Jan 2024 | |
| Caretrust REIT Inc | Adp of the snf | 1 Jan 2024 | |
| Ctr Partnership LP | Adp of the snf | 1 Jan 2024 | |
| Ensign Services Inc | Adp of the snf | 1 Dec 2009 | |
| Paredes Health Holdings LLC | Adp of the snf | 1 Jan 2024 |
The site shows organisations only. It does not show the names of persons.
Other homes in Cameron County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Mesa Hills Post Acute | Brownsville | 3 of 5 | 13 | $5,734 | 6 May 2025 | |
| Las Alturas Nursing & Transitional Care Brownsvill | Brownsville | 3 of 5 | 11 | $8,434 | 1 Jul 2025 | |
| Ebony Lake Nursing and Rehabilitation Center | Brownsville | 4 of 5 | 14 | $0 | 15 Jan 2026 | |
| Fox Hollow Post Acute | Brownsville | 1 of 5 | 14 | $60,256 | 22 Jan 2026 | |
| Spanish Meadows | Brownsville | 2 of 5 | 13 | $11,001 | 29 Jan 2026 | |
| Brownsville Nursing and Rehabilitation Center | Brownsville | 1 of 5 | 11 | $57,708 | 12 Aug 2025 | |
| Sun Valley Rehabilitation and Healthcare Center | Harlingen | 5 of 5 | 4 | $0 | 9 Jul 2025 | |
| Windsor Nursing and Rehabilitation Center of Harli | Harlingen | 5 of 5 | 10 | $0 | 12 Jun 2025 | |
| Golden Palms Rehabilitation and Retirement | Harlingen | 4 of 5 | 7 | $15,997 | 15 Apr 2026 | |
| Harlingen Nursing and Rehabilitation Center | Harlingen | 3 of 5 | 10 | $6,016 | 24 Feb 2026 | |
| Treasure Hills Healthcare and Rehabilitation Cente | Harlingen | 3 of 5 | 11 | $0 | 10 Dec 2025 | |
| Windsor Atrium | Harlingen | 2 of 5 | 17 | $23,154 | 29 Aug 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Texas Health and Human Services: complaint and incident intakeThe complaint page of the State Survey Agency for Texas, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Alta Vista Rehabilitation and Healthcare (CCN 455625). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/alta-vista-rehabilitation-and-healthcare-brownsville-tx-455625/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Alta Vista Rehabilitation and Healthcare last inspected?
- The latest inspection with a citation in the CMS record was on 1 May 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 22 Aug 2024.
- Who operates Alta Vista Rehabilitation and Healthcare?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain The Ensign Group. The CMS ownership file names Brownsville Care Associates, Inc for operational or managerial control. This site does not show the names of persons.
- Is Alta Vista Rehabilitation and Healthcare a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 6 homes in Texas as Special Focus Facilities and 30 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.