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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Nestled in the welcoming community of Brownsville, TX, Alta Vista Rehabilitation and Healthcare is an inviting senior living community that provides memory care, skilled nursing, short-term rehabilitation care, and long-term care services. With a highly equipped and empathetic team, residents can receive personalized care plans catering to their immediate interests and needs. In terms of memory care, the community provides the best care for those with cognitive conditions like Alzheimer’s disease and dementia through its advanced Integrated Cognitive Program.
Dedicated to providing exceptional services, residents can receive immediate care and support from its expert physical therapists, occupational therapists, speech therapists, and language pathologists. The Alta Vista Rehabilitation and Healthcare is ideal for seniors seeking for the utmost care and support.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 155th out of 240 homes in Texas.| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 18m per day | ▼ 31% State avg: 26m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 49m per day | ▼ 14% State avg: 57m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 6m per day | ▲ 4% State avg: 2h 1m per day · National avg: 2h 21m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 47m per day | ▼ 7% State avg: 2h 59m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 4m per day | ■ Avg State avg: 4m per day · National avg: 4m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 14m per day | ▼ 33% State avg: 21m per day · National avg: 29m per day |
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
24% of new residents, usually for short-term rehab.
64% of new residents, often for short stays.
12% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #112 / 252Payroll — state benchmarkedThis home is ranked 112th out of 252 homes in Texas.Shows total annual staff payroll benchmarked to the Texas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Higher than the Texas average: 63.5%Alta Vista Rehabilitation and Healthcare is administrated by Norma Guerrero.
Key information about the people who lead and staff this community.
Total Residents: 100
Building Type: Single-story
Ways to qualify for care at this community, including accepted programs.
This facility is certified for eligible Medicaid services.
This facility is certified for eligible Medicare services.
In Texas, the Health and Human Services Commission (HHSC) is the primary regulatory body that conducts unannounced inspections and publishes quality reports for all long-term care homes.
The data displayed corresponds to the last 5 years.
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.
Texas average: 6 citations
Texas average: 2 health citations
Texas average: 6 life safety citations
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Texas average: 32 deficiencies
Penalties or interventions imposed by state regulators when facilities do not comply with quality, safety, or regulatory standards.
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Texas average: 1 enforcement action
The most recent inspection on August 27, 2025, identified deficiencies related to inaccurate coding of resident falls in the Minimum Data Set assessments. Earlier inspections showed a pattern of issues with care planning, nursing competency, timely reporting, and communication, including a substantiated complaint involving delayed reporting of abuse and an Immediate Jeopardy citation for failure to notify about a significant change in a resident’s condition. Main themes across reports included incomplete or inaccurate care plans, medication and respiratory care errors, delayed reporting of incidents, and documentation shortcomings. Complaint investigations were mostly substantiated, with notable findings involving delayed abuse reporting and failure to promptly communicate critical health changes, though enforcement actions such as suspensions and a resignation were limited. The inspection history suggests ongoing challenges with documentation and care planning, with no clear trend of improvement in recent years.
Texas average 7.4
Last Health inspection on Aug 2025
Texas average 25.9
Texas average 3.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
10 of 16 citations resulted from standard inspections; and 6 of 16 resulted from complaint investigations.
100% worse than Texas averageTexas average: 2
0
100% better than Texas averageTexas average: 0.4
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Aug 27, 2025
Corrected
Issues related to the availability and quality of nursing staff and the care they provide.
Aug 22, 2024
Corrected
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 22, 2024
Corrected
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Aug 22, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Alta Vista Rehabilitation and Healthcare is located in Brownsville, Texas.
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2.8 miles from city center
Estimated distance in miles from Brownsville's city center to Alta Vista Rehabilitation and Healthcare's address, calculated via Google Maps.
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
15% worse than Texas averageTexas average ratio: 1.51:1
11% worse than Texas averageTexas average: 8.1 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursNo contractors work on this role.
Total hours from contractors
0 contractor hours this quarter
No contractor roles were reported this quarter.
| Certified Nursing Assistant | 31 | 0 | 31 | 12,988 | 91 | 100% | 7.3 |
| Licensed Practical Nurse | 13 | 0 | 13 | 5,165 | 91 | 100% | 7.4 |
| Speech Language Pathologist | 13 | 0 | 13 | 2,545 | 90 | 99% | 5.6 |
| Medication Aide/Technician | 6 | 0 | 6 | 2,157 | 91 | 100% | 9.6 |
| Qualified Social Worker | 6 | 0 | 6 | 1,601 | 88 | 97% | 5.2 |
| Dental Services Staff | 3 | 0 | 3 | 1,520 | 65 | 71% | 8 |
| Physical Therapy Aide | 6 | 0 | 6 | 1,479 | 78 | 86% | 6.6 |
| RN Director of Nursing | 4 | 0 | 4 | 1,258 | 73 | 80% | 8.7 |
| Registered Nurse | 5 | 0 | 5 | 830 | 66 | 73% | 8.7 |
| Physical Therapy Assistant | 3 | 0 | 3 | 627 | 68 | 75% | 7 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 626 | 71 | 78% | 6.1 |
| Dietitian | 1 | 0 | 1 | 566 | 62 | 68% | 9.1 |
| Administrator | 1 | 0 | 1 | 488 | 61 | 67% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 477 | 53 | 58% | 9 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 465 | 45 | 49% | 8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 450 | 67 | 74% | 6.7 |
| Nurse Aide in Training | 1 | 0 | 1 | 86 | 11 | 12% | 7.8 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
81Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.5
24% better than Texas averageTexas average: 8.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.0
19% better than Texas averageTexas average: 16.0
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
17.7%
10% worse than Texas averageTexas average: 16.2%
Percent of long-stay residents whose ability to move independently worsened
11.1%
31% better than Texas averageTexas average: 16.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
10.1%
35% better than Texas averageTexas average: 15.7%
Percent of long-stay residents experiencing one or more falls with major injury
0.4%
88% better than Texas averageTexas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
1.4%
68% better than Texas averageTexas average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Texas averageTexas average: 0.8%
Percent of long-stay residents who lose too much weight
2.0%
43% better than Texas averageTexas average: 3.5%
Percent of long-stay residents who have depressive symptoms
8.6%
200% worse than Texas averageTexas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
3.8%
51% better than Texas averageTexas average: 7.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Texas averageTexas average: 97.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Texas averageTexas average: 97.9%
Number of hospitalizations per 1,000 long-stay resident days.
2.58
21% worse than Texas averageTexas average: 2.13
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.79
35% worse than Texas averageTexas average: 2.07
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.2%
10% better than Texas averageTexas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Texas averageTexas average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
91.6%
In line with Texas averageTexas average: 88.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
22.8%
12% better than Texas averageTexas average: 25.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
12.0%
In line with Texas averageTexas average: 12.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Texas averageTexas average: 0.8%
Rate of successful return to home or community from a skilled nursing facility.
67.0%
32% better than Texas averageTexas average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
70% lower than Texas averageTexas average: $80K
20% fewer fines than Texas averageTexas average: 2.5
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Texas averageTexas average: 0.2
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 22, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 15, 2023Last updated: Jan 2026
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| Ebony Lake Nursing and Rehabilitation Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Brownsville (Los Ebanos) | 122 | 59.3% | -7% | 2.98 | +11% | -18% | 0 | 15 | 2.5 | - | 88 | 63 | Regency Ihs Of Ebony Lake Llc | $7.3M | $2.8M | 38.9% | 675635 | ||||
| Alta Vista Rehabilitation and Healthcare |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Brownsville (Los Ebanos) | 100 | 82.0% | +29% | 3.26 | -36% | -10% | 2 | 16 | 2.7 | 4 | 80 | 71 | Brownsville Care Associates, Inc | $12.1M | $4.5M | 36.8% | 455625 | ||||
| Mid Valley Nursing & Rehabilitation |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Mercedes | 123 | 75.3% | +19% | 2.72 | -77% | -25% | 2 | 22 | 2.8 | 4 | 80 | 25 | Roel, Alice | $13.1M | $3.5M | 26.3% | 676414 | ||||
| Brownsville Nursing and Rehabilitation Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Brownsville | 120 | 81.2% | +28% | 2.64 | +20% | -27% | 2 | 40 | 4.0 | 3 | 111 | 34 | Regency Ihs Of Brownsville Llc | $10.5M | $3.2M | 30.9% | 676083 |
Historical financial and operational data for Alta Vista Rehabilitation and Healthcare based on CMS SNF Cost Reports.
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Alta Vista Rehabilitation and Healthcare is in the Los Ebanos neighborhood of Brownsville.
The legal owner and operator of Alta Vista Rehabilitation and Healthcare is Fannin County Hospital Authority.
Alta Vista Rehabilitation and Healthcare has a walk score of 71. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to TX state health department records, Alta Vista Rehabilitation and Healthcare's license number is 311819.
According to TX state health department records, Alta Vista Rehabilitation and Healthcare's license expires on January 1, 2027.
Norma Guerrero is the administrator of Alta Vista Rehabilitation and Healthcare.
Alta Vista Rehabilitation and Healthcare has 100 beds.
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