Las Alturas de Penitas
414 Liberty Blvd., Penitas, TX 78576 · Hidalgo County · 130 certified beds · avg 89 residents/day · certified since Jul 8, 2021
Part of chain: TOUCHSTONE COMMUNITIES (25 facilities, chain avg rating 2.9★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5
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 · Feb 1, 2025 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
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: Feb 2, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, repeated · Jan 26, 2024 · 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 (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Jan 29, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, repeated · Jan 26, 2024 · F-0692 · triggered by a complaint
The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Why it matters: Malnutrition and dehydration can quickly weaken a resident and lead to serious complications.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Jan 29, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, repeated · Dec 18, 2023 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Dec 20, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Oct 3, 2023 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
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: Oct 13, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (17)
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 28, 2026 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| May 28, 2026 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| May 28, 2026 | D · Potential for harm, one-off | 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. |
| May 28, 2026 | D · Potential for harm, one-off | The facility did not have a policy covering how food brought in by family and visitors is used and stored safely. |
| Mar 30, 2026 | 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. · from a complaint |
| Mar 12, 2025 | D · Potential for harm, one-off | 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. |
| Mar 12, 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. |
| Feb 1, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Feb 1, 2025 | 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 |
| Feb 1, 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. · from a complaint |
| Feb 1, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jan 26, 2024 | ▲ K · Immediate jeopardy, repeated | 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 |
| Jan 26, 2024 | ▲ K · Immediate jeopardy, repeated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint |
| Dec 18, 2023 | ▲ K · Immediate jeopardy, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Dec 18, 2023 | 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 |
| Dec 18, 2023 | D · Potential for harm, one-off | 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. |
| Oct 3, 2023 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 4 | 2 | K ▲ |
| 2024 | 2 | 2 | K ▲ |
| 2025 | 6 | 1 | J ▲ |
| 2026 | 5 | 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)
4 fines totaling $166,236.
| Date | Type | Amount / length |
|---|---|---|
| Feb 1, 2025 | Fine | $11,164 |
| Jan 26, 2024 | Fine | $51,887 |
| Dec 18, 2023 | Fine | $87,292 |
| Oct 3, 2023 | Fine | $15,893 |
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) | 3.09 | 3.46 | 3.95 | bottom 30% in Texas; bottom 17% in the U.S. |
| Registered Nurse hours | 0.35 | 0.44 | 0.69 | bottom 39% in Texas; bottom 15% in the U.S. |
| Weekend total nurse staffing | 2.75 | 3.04 | 3.50 | bottom 35% in Texas; bottom 18% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.26 | 0.34 | 0.48 | bottom 41% in Texas; bottom 24% in the U.S. |
| Total nursing staff turnover (%) | 35.1 | 55.3 | 45.8 | top 12% in Texas; top 24% in the U.S. |
| RN turnover (%) | 28.6 | 54.6 | 42.9 | top 15% in Texas; top 26% 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 3.31, RN 0.37, weekend 2.94. Staffing rating: 2/5.
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 |
|---|---|---|---|---|
| Val Verde County Hospital District | Organization | 5% or Greater Direct Ownership Interest | 100% | 03/01/2024 |
| Aegis Therapies, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 03/01/2024 |
| Campbell, Leslie | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2020 |
| Campbell, Leslie | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2020 |
| Carvajal Pharmacy LTC | Organization | ADP of the SNF | NOT APPLICABLE | 03/01/2024 |
| Castillo, Lynnea | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2024 |
| Castillo, Lynnea | Individual | ADP of the SNF | NOT APPLICABLE | 03/01/2024 |
| Fellbaum, Ernest | Individual | ADP of the SNF | NOT APPLICABLE | 07/17/2019 |
| Frost Bank | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 02/15/2024 |
| Gilcrease, Cynthia | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2024 |
| Gilcrease, Cynthia | Individual | ADP of the SNF | NOT APPLICABLE | 12/01/2016 |
| Hinojosa, Rosa | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/18/2024 |
| Hinojosa, Rosa | Individual | ADP of the SNF | NOT APPLICABLE | 03/18/2024 |
| Jurado, Jorge | Individual | Corporate Officer | NOT APPLICABLE | 01/26/2024 |
| Nutritious Lifestyles, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 03/01/2024 |
| Olivarez, Yvonne | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/06/2024 |
| Olivarez, Yvonne | Individual | ADP of the SNF | NOT APPLICABLE | 05/06/2024 |
| Plante & Moran PLLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/01/2024 |
| Sehlke, Bryon | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2024 |
| Sehlke, Bryon | Individual | ADP of the SNF | NOT APPLICABLE | 03/01/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "What are your rules for bringing in my family member's favorite foods, and how are they stored?"
- "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 |
|---|---|---|---|---|---|
| Mission Nursing and Rehabilitation Center | 8.6 mi | Mission, TX | ★★★★☆ | 4/5 | |
| Mission Valley Nursing and Transitional Care | 8.7 mi | Mission, TX | ★★★★☆ | 3/5 | |
| Village Healthcare and Rehabilitation | 11.3 mi | McAllen, TX | ★★★☆☆ | 2/5 | abuse |
| Briarcliff Nursing and Rehabilitation Center | 11.4 mi | McAllen, TX | ★☆☆☆☆ | 2/5 | abuse |
| Windsor Nursing and Rehabilitation Center of McAll | 13.3 mi | McAllen, TX | ★★★☆☆ | 4/5 | |
| Grand Terrace Rehabilitation and Healthcare | 13.6 mi | McAllen, TX | ★★★★★ | 5/5 | |
| McAllen Nursing Center | 14.2 mi | McAllen, TX | ★★☆☆☆ | 2/5 | |
| Alfredo Gonzalez Texas State Veterans Home | 14.4 mi | McAllen, TX | ★★☆☆☆ | 2/5 | abuse |
| McAllen Transitional Care Center | 14.9 mi | McAllen, TX | ★★★★☆ | 3/5 | |
| Windsor Las Palmas Nursing and Rehabilitation Cent | 14.9 mi | McAllen, TX | ★★★★★ | 5/5 | |
| Colonial Manor Advanced Rehab & Healthcare | 15.4 mi | Pharr, TX | ★☆☆☆☆ | 2/5 | |
| Edinburg Nursing and Rehabilitation Center | 15.8 mi | Edinburg, TX | ★★☆☆☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 745000.