Las Alturas Nursing & Transitional Care

Name: Las Alturas Nursing & Transitional Care
Address: 4301 North Bartlett Avenue, Laredo, TX, 78041, US
Telephone: 9566150456

4301 North Bartlett Avenue, Laredo, TX 78041 · Webb County · 138 certified beds · avg 131 residents/day · certified since May 24, 2019

Part of chain: TOUCHSTONE COMMUNITIES (25 facilities, chain avg rating 2.9★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.05

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · 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.

All citations in the current public record (22)

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
Mar 1, 2026	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint
Feb 11, 2026	E · Potential for harm, repeated	The facility did not provide safe and appropriate pain management for a resident who needed it.
Feb 11, 2026	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.
Feb 11, 2026	E · Potential for harm, repeated	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 11, 2026	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.
Feb 11, 2026	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.
Feb 11, 2026	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Feb 11, 2026	D · Potential for harm, 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.
Feb 11, 2026	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Feb 11, 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.
Feb 11, 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.
Dec 30, 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
Nov 21, 2024	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Nov 21, 2024	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 21, 2024	D · Potential for harm, one-off	The facility did not make sure the resident's doctor reviewed their care and wrote, signed, and dated progress notes and orders at each required visit.
Nov 21, 2024	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
Nov 21, 2024	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.
Oct 31, 2024	E · Potential for harm, 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
Oct 31, 2024	E · Potential for harm, repeated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Oct 31, 2024	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. · from a complaint
Oct 11, 2024	D · Potential for harm, 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
Aug 31, 2023	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

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (5 → 10).

Year	Citations	Worst severity that year
2023	1	D
2024	9	E
2025	1	D
2026	11	E

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)

No fines or payment denials in the published 3-year window.

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)	3.05	3.46	3.95	bottom 26% in Texas; bottom 15% in the U.S.
Registered Nurse hours	0.34	0.44	0.69	bottom 39% in Texas; bottom 14% in the U.S.
Weekend total nurse staffing	2.65	3.04	3.50	bottom 26% in Texas; bottom 14% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.30	0.34	0.48	top 49% in Texas; bottom 31% in the U.S.
Total nursing staff turnover (%)	49.2	55.3	45.8	top 43% in Texas; bottom 39% in the U.S.
RN turnover (%)	45.5	54.6	42.9	top 39% in Texas; bottom 43% 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 3.13, RN 0.35, weekend 2.73. 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
Val Verde County Hospital District	Organization	5% or Greater Direct Ownership Interest	100%	03/01/2022
Aegis Therapies, INC.	Organization	ADP of the SNF	NOT APPLICABLE	03/01/2022
Alonzo, Gloria	Individual	Operational/Managerial Control	NOT APPLICABLE	12/18/2025
Alonzo, Gloria	Individual	ADP of the SNF	NOT APPLICABLE	12/18/2025
Benavides, Luis	Individual	ADP of the SNF	NOT APPLICABLE	03/01/2019
Campbell, Leslie	Individual	Operational/Managerial Control	NOT APPLICABLE	03/01/2022
Campbell, Leslie	Individual	ADP of the SNF	NOT APPLICABLE	03/01/2022
Carvajal Pharmacy LTC	Organization	ADP of the SNF	NOT APPLICABLE	03/01/2022
Castillo, Lynnea	Individual	Operational/Managerial Control	NOT APPLICABLE	03/01/2022
Castillo, Lynnea	Individual	ADP of the SNF	NOT APPLICABLE	03/01/2022
CTVD Holdings LTD	Organization	ADP of the SNF	NOT APPLICABLE	03/01/2022
Fellbaum, Ernest	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	07/12/2025
Gilcrease, Cynthia	Individual	Operational/Managerial Control	NOT APPLICABLE	03/01/2022
Gilcrease, Cynthia	Individual	ADP of the SNF	NOT APPLICABLE	03/01/2022
Jurado, Jorge	Individual	Corporate Officer	NOT APPLICABLE	01/26/2024
Laredo Operator 2 LTD.	Organization	Operational/Managerial Control	NOT APPLICABLE	03/01/2022
Laredo Operator 2 LTD.	Organization	ADP of the SNF	NOT APPLICABLE	08/08/2025
Laredo Realty, LTD.	Organization	ADP of the SNF	NOT APPLICABLE	03/01/2022
Nutritious Lifestyles, INC.	Organization	ADP of the SNF	NOT APPLICABLE	03/01/2022
Plante & Moran PLLC	Organization	ADP of the SNF	NOT APPLICABLE	03/01/2022

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
"How do you assess and manage residents' pain, especially for those who have trouble communicating?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"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
Laredo Medical Center	0.4 mi	Laredo, TX	★★★★★	5/5
Laredo Nursing and Rehabilitation Center	1.4 mi	Laredo, TX	★☆☆☆☆	1/5
Laredo West Nursing and Rehabilitation Center	1.6 mi	Laredo, TX	★☆☆☆☆	1/5	abuse
Laredo South Nursing and Rehabilitation Center	1.8 mi	Laredo, TX	★★★★☆	4/5
La Frontera Nursing & Rehabilitation	2.3 mi	Laredo, TX	★★★☆☆	4/5

Compare this facility with the 3 closest →

All facilities in Laredo →

Facility data as of CMS processing date 2026-08-01. CCN 676465.

The Care File

Visit checklist — Las Alturas Nursing & Transitional Care

4301 North Bartlett Avenue, Laredo, TX 78041 · 9566150456

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
☐ "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 676465 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)