Alta Vista Rehabilitation and Healthcare
510 Paredes Line Rd, Brownsville, TX 78521 · Cameron County · 100 certified beds · avg 77 residents/day · certified since Jan 17, 1986
Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Sep 22, 2023 · F-0580 · triggered by a complaint
The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Why it matters: A family could learn about a serious injury or decline days later, after the chance to act has passed.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Sep 23, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Sep 22, 2023 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Sep 23, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Sep 22, 2023 · F-0726 · triggered by a complaint
The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Why it matters: Undertrained caregivers are more likely to miss warning signs and make care mistakes.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Sep 23, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, repeated · May 15, 2023 · F-0760
The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Why it matters: A serious medication error can cause real harm, hospitalization, or worse.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: May 19, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (26)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 1, 2026 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Mar 13, 2026 | D · Potential for harm, one-off | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. · from a complaint |
| Mar 13, 2026 | D · Potential for harm, one-off | The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. · from a complaint |
| Mar 13, 2026 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint |
| Nov 19, 2025 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Nov 19, 2025 | D · Potential for harm, one-off | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. |
| Nov 19, 2025 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Nov 19, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Nov 19, 2025 | D · Potential for harm, one-off | The facility did not honor residents' individual preferences, choices, values, and beliefs in their daily life and care. |
| Nov 19, 2025 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Nov 19, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Aug 27, 2025 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint |
| Aug 22, 2024 | E · Potential for harm, repeated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Aug 22, 2024 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Aug 22, 2024 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Aug 22, 2024 | D · Potential for harm, one-off | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. |
| Aug 22, 2024 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jul 31, 2024 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Sep 22, 2023 | ▲ J · Immediate jeopardy, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Sep 22, 2023 | ▲ J · Immediate jeopardy, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Sep 22, 2023 | ▲ J · Immediate jeopardy, one-off | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint |
| Sep 22, 2023 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| May 15, 2023 | ▲ K · Immediate jeopardy, repeated | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| May 15, 2023 | E · Potential for harm, repeated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| May 15, 2023 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| May 15, 2023 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (5 → 7).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 8 | 4 | K ▲ |
| 2024 | 6 | 0 | E |
| 2025 | 8 | 0 | E |
| 2026 | 4 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $14,433.
| Date | Type | Amount / length |
|---|---|---|
| Sep 22, 2023 | Fine | $14,433 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Texas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 2.87 | 3.46 | 3.95 | bottom 15% in Texas; bottom 10% in the U.S. |
| Registered Nurse hours | 0.19 | 0.44 | 0.69 | bottom 6% in Texas; bottom 2% in the U.S. |
| Weekend total nurse staffing | 2.52 | 3.04 | 3.50 | bottom 17% in Texas; bottom 10% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.17 | 0.34 | 0.48 | bottom 12% in Texas; bottom 7% in the U.S. |
| Total nursing staff turnover (%) | 36.4 | 55.3 | 45.8 | top 14% in Texas; top 27% in the U.S. |
| RN turnover (%) | 50.0 | 54.6 | 42.9 | top 41% in Texas; bottom 39% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.27, RN 0.21, weekend 2.87. Staffing rating: 1/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Fannin County Hospital Authority | Organization | 5% or Greater Direct Ownership Interest | 100% | 01/01/2024 |
| Brownsville Care Associates, INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2024 |
| Brownsville Care Associates, INC | Organization | ADP of the SNF | NOT APPLICABLE | 09/29/2025 |
| Burnam, Soon | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2024 |
| 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 | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2024 |
| Guerrero, Norma | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2024 |
| Guerrero, Norma | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
| Keetch, Chad | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2011 |
| Paredes Health Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
| Robles, Luis | Individual | Managing Control - Governing Body | NOT APPLICABLE | 02/01/2025 |
| Robles, Luis | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2025 |
| Robles, Luis | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2025 |
| Sanderson, Clark | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "How do you explain health changes and treatment options to residents and their families?"
- "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Mesa Hills Post Acute | 1.4 mi | Brownsville, TX | ★★★☆☆ | 3/5 | |
| Las Alturas Nursing & Transitional Care Brownsvill | 1.4 mi | Brownsville, TX | ★★★☆☆ | 4/5 | |
| Ebony Lake Nursing and Rehabilitation Center | 1.5 mi | Brownsville, TX | ★★★★☆ | 3/5 | |
| Fox Hollow Post Acute | 1.7 mi | Brownsville, TX | ★☆☆☆☆ | 1/5 | |
| Spanish Meadows | 2.2 mi | Brownsville, TX | ★★☆☆☆ | 3/5 | |
| Brownsville Nursing and Rehabilitation Center | 3.4 mi | Brownsville, TX | ★☆☆☆☆ | 2/5 | |
| Sun Valley Rehabilitation and Healthcare Center | 19.7 mi | Harlingen, TX | ★★★★★ | 5/5 | |
| Windsor Nursing and Rehabilitation Center of Harli | 19.9 mi | Harlingen, TX | ★★★★★ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 455625.