Treasure Hills Healthcare and Rehabilitation Cente

Name: Treasure Hills Healthcare and Rehabilitation Cente
Address: 2204 PEASE ST, Harlingen, TX, 78550, US
Telephone: 9564252812

2204 Pease St, Harlingen, TX 78550 · Cameron County · 120 certified beds · avg 92 residents/day · certified since Sep 3, 2002

Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.27

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 (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
Jun 10, 2026	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Jun 10, 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. · from a complaint
Dec 10, 2025	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Dec 10, 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.
Dec 10, 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.
Dec 10, 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.
Dec 10, 2025	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 10, 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 21, 2025	E · Potential for harm, repeated	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
Aug 21, 2025	D · Potential for harm, one-off	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. · from a complaint
Aug 21, 2025	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
Jun 18, 2025	E · Potential for harm, repeated	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
Jun 18, 2025	E · Potential for harm, repeated	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 20, 2024	E · Potential for harm, repeated	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
Sep 20, 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.
Sep 20, 2024	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.
Sep 20, 2024	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Sep 20, 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.
Sep 20, 2024	D · Potential for harm, one-off	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Aug 15, 2024	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
Aug 15, 2024	D · Potential for harm, one-off	The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. · from a complaint
Feb 5, 2024	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint
Feb 5, 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
Feb 5, 2024	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
Jun 16, 2023	D · Potential for harm, one-off	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.
Jun 16, 2023	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.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (6 → 6).

Year	Citations	Worst severity that year
2023	2	D
2024	11	E
2025	11	E
2026	2	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)

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)	3.27	3.46	3.95	bottom 46% in Texas; bottom 25% in the U.S.
Registered Nurse hours	0.30	0.44	0.69	bottom 30% in Texas; bottom 10% in the U.S.
Weekend total nurse staffing	2.74	3.04	3.50	bottom 34% in Texas; bottom 18% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.12	0.34	0.48	bottom 5% in Texas; bottom 3% in the U.S.
Total nursing staff turnover (%)	37.7	55.3	45.8	top 16% in Texas; top 30% in the U.S.
RN turnover (%)	37.5	54.6	42.9	top 26% in Texas; top 42% 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 3.59, RN 0.33, weekend 3.00. 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: 4/5 · long-stay residents: 5/5 · short-stay residents: 4/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Fannin County Hospital Authority	Organization	5% or Greater Direct Ownership Interest	—	12/01/2023
Black Ridge Canyon Healthcare LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	12/01/2023
Black Ridge Canyon Healthcare LLC	Organization	ADP of the SNF	NOT APPLICABLE	04/27/2025
Burnam, Soon	Individual	Corporate Officer	NOT APPLICABLE	12/01/2023
Ensign Services INC	Organization	ADP of the SNF	NOT APPLICABLE	12/01/2023
Gutierrez, Amy	Individual	Managing Control - Governing Body	NOT APPLICABLE	12/01/2023
Gutierrez, Amy	Individual	Operational/Managerial Control	NOT APPLICABLE	12/01/2023
Gutierrez, Amy	Individual	ADP of the SNF	NOT APPLICABLE	04/27/2025
Littleton Health Holdings LLC	Organization	ADP of the SNF	NOT APPLICABLE	12/02/2023
Rodriguez, Jose	Individual	Managing Control - Governing Body	NOT APPLICABLE	03/01/2024
Rodriguez, Jose	Individual	ADP of the SNF	NOT APPLICABLE	04/27/2025
Sanderson, Clark	Individual	Corporate Officer	NOT APPLICABLE	12/01/2023
Standard Bearer Healthcare Op, LP	Organization	ADP of the SNF	NOT APPLICABLE	12/02/2023
The Ensign Group INC	Organization	ADP of the SNF	NOT APPLICABLE	12/02/2023

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 we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How do you keep residents' medical records accurate, complete, and secure?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"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
Golden Palms Rehabilitation and Retirement	0.3 mi	Harlingen, TX	★★★★☆	4/5
Sun Valley Rehabilitation and Healthcare Center	0.7 mi	Harlingen, TX	★★★★★	5/5
Harlingen Nursing and Rehabilitation Center	0.7 mi	Harlingen, TX	★★★☆☆	2/5
Windsor Nursing and Rehabilitation Center of Harli	0.8 mi	Harlingen, TX	★★★★★	4/5
Windsor Atrium	1.7 mi	Harlingen, TX	★★☆☆☆	2/5
Veranda Rehabilitation and Healthcare	11.4 mi	Harlingen, TX	★★★★★	4/5
Mid Valley Nursing & Rehabilitation	12.8 mi	Mercedes, TX	★★☆☆☆	2/5
Brownsville Nursing and Rehabilitation Center	17.0 mi	Brownsville, TX	★☆☆☆☆	2/5
Windsor Nursing and Rehabilitation Center of Wesla	18.8 mi	Weslaco, TX	★★☆☆☆	3/5
Mesa Hills Post Acute	19.1 mi	Brownsville, TX	★★★☆☆	3/5
Fox Hollow Post Acute	19.1 mi	Brownsville, TX	★☆☆☆☆	1/5
Valley Grande Manor	19.4 mi	Weslaco, TX	★☆☆☆☆	1/5	abuse

Compare this facility with the 3 closest →

All facilities in Harlingen →

Facility data as of CMS processing date 2026-08-01. CCN 675933.

The Care File

Visit checklist — Treasure Hills Healthcare and Rehabilitation Cente

2204 Pease St, Harlingen, TX 78550 · 9564252812

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

Questions for the administrator:

☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "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 675933 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)