180 East Price Road, Brownsville, TX 78521 (opens Google Maps) · Cameron County · (956) 303-2002· 122 certified beds · avg 97 residents/day · certified since Jun 21, 2024 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 3/5 · how star ratings work →
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 quality measures from resident assessments and claims.
▲ Immediate jeopardy, isolated · Jun 12, 2025 · 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): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Jun 12, 2025 (Past Non-Compliance)
Showing the latest 3 of 14 inspection findings. Open the full record below to read every finding.
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 F-0755
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 F-0761
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 F-0755
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jun 24, 2026 | D · Potential for more than minimal harm, isolated | 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 · F-0755 |
| Mar 3, 2026 | D · Potential for more than minimal harm, isolated | 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 · F-0761 |
| Nov 19, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0755 |
| Jul 1, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0558 |
| Jul 1, 2025 | D · Potential for more than minimal harm, isolated | 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. · from a complaint · F-0578 |
| Jul 1, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). · from a complaint · F-0628 |
| Jul 1, 2025 | D · Potential for more than minimal harm, isolated | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · F-0644 |
| Jul 1, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
| Jul 1, 2025 | D · Potential for more than minimal harm, isolated | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. · F-0693 |
| Jul 1, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0695 |
| Jul 1, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| Jun 12, 2025 | ▲ J · Immediate jeopardy, isolated | 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 · F-0689 |
| Jun 12, 2025 | D · Potential for more than minimal harm, isolated | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · from a complaint · F-0655 |
| Nov 6, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0755 |
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 1 | 0 | D |
| 2025 | 11 | 1 | J ▲ |
| 2026 | 2 | 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.
How to file a complaint about care →
1 fine totaling $8,434.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
| Date | Type | Amount / length |
|---|---|---|
| Jun 12, 2025 | Fine | $8,434 |
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Texas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.45 | 3.46 | 3.95 | top 39% in Texas; bottom 34% in the U.S. |
| Registered Nurse hours | 0.25 | 0.44 | 0.69 | bottom 16% in Texas; bottom 5% in the U.S. |
| Weekend total nurse staffing | 3.05 | 3.04 | 3.50 | top 38% in Texas; bottom 34% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.09 | 0.34 | 0.48 | bottom 1% in Texas; bottom 1% in the U.S. |
| Total nursing staff turnover (%) | — | 55.3 | 45.8 | — |
| RN turnover (%) | — | 54.6 | 42.9 | — |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 0.24, weekend 2.93.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.31 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 2/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Las Alturas Nursing & Transitional Care Brownsvill. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Fellbaum 2023 Descendants Trust | Organization | 5% or Greater Indirect Ownership Interest | 16% | 06/21/2024 |
| Healthcare Investments Brownsville LLC | Organization | 5% or Greater Direct Ownership Interest | — | 08/01/2024 |
| Heritage Brownsville Health Development LLC | Organization | 5% or Greater Direct Ownership Interest | — | 06/21/2024 |
| Jan Studer 2023 Spousal Trust | Organization | 5% or Greater Indirect Ownership Interest | 16% | 06/21/2024 |
| Kelly Fellbaum 2023 Spousal Trust | Organization | 5% or Greater Indirect Ownership Interest | 16% | 06/21/2024 |
| Studer 2023 Descendants Trust | Organization | 5% or Greater Indirect Ownership Interest | 16% | 06/21/2024 |
| The Bryon and Rena Sehlke Living Trust | Organization | 5% or Greater Indirect Ownership Interest | 16% | 06/01/2024 |
| Campbell, Leslie | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2024 |
| Campbell, Leslie | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2024 |
| Cardenas, Marisa | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2024 |
| Cardenas, Marisa | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2024 |
| Castillo, Lynnea | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2024 |
| Castillo, Lynnea | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2024 |
| Fellbaum 2023 Descendants Trust | Organization | ADP of the SNF | NOT APPLICABLE | 06/21/2024 |
| Gilcrease, Cynthia | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2024 |
| Gilcrease, Cynthia | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2024 |
| Healthcare Investments Brownsville LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/21/2024 |
| Jan Studer 2023 Spousal Trust | Organization | ADP of the SNF | NOT APPLICABLE | 06/21/2024 |
| Jefferson Bank | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 04/30/2024 |
| Kelly Fellbaum 2023 Spousal Trust | Organization | ADP of the SNF | NOT APPLICABLE | 06/21/2024 |
Showing 20 of 32 parties CMS has on file for this facility; 12 are not displayed. The full list is in the CMS Ownership dataset.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Alta Vista Rehabilitation and Healthcare | 1.4 mi | Brownsville, TX | ★★☆☆☆ | 2/5 | |
| Fox Hollow Post Acute | 1.9 mi | Brownsville, TX | ★☆☆☆☆ | 1/5 | |
| Mesa Hills Post Acute | 2.7 mi | Brownsville, TX | ★★★☆☆ | 3/5 | |
| Ebony Lake Nursing and Rehabilitation Center | 3.0 mi | Brownsville, TX | ★★★★☆ | 3/5 | |
| Spanish Meadows | 3.3 mi | Brownsville, TX | ★★☆☆☆ | 3/5 | |
| Brownsville Nursing and Rehabilitation Center | 4.0 mi | Brownsville, TX | ★☆☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
CMS records place this facility in Cameron, TX — 14 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 745049.
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