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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.
Burrowed in the peaceful town of Brownsville, TX, Ebony Lake Nursing and Rehabilitation Center is a dedicated senior living community offering skilled nursing, memory care, therapy and rehabilitation, hospice and palliative care, and home health services. A wide array of spacious and comfortable accommodations with several floor plans are available for its residents based on their preferences. With a highly skilled and compassionate team, the community ensures that its residents are given with round-the-clock utmost care and and support.
Having top-tier care and services focused on physical and mental health, residents can receive cardiac, care, diabetes care and management and stroke care for skilled nursing. As for therapy and rehabilitation, aquatic therapy, occupation therapy, physical therapy, and speech therapy are some of the services being offered. Equipped with the right tools and people, seniors can enjoy worry-free care and support with Ebony Lake Nursing and Rehabilitation Center.
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 248th out of 289 homes in Texas. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
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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.
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20m per day | ▼ 23% State avg: 26m per day · National avg: 41m per day |
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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.
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44m per day | ▼ 23% State avg: 57m per day · National avg: 52m per day |
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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.
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2h 2m per day | ■ Avg State avg: 2h 1m per day · National avg: 2h 21m per day |
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Weekend Total Nursing
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.
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2h 34m per day | ▼ 14% State avg: 2h 59m per day · National avg: 3h 26m per day |
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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.
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3m per day | ▼ 25% State avg: 4m per day · National avg: 4m per day |
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Weekend RN
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.
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17m per day | ▼ 19% State avg: 21m per day · National avg: 29m per day |
Ebony Lake Nursing and Rehabilitation Center is administrated by Nanette D Spear.
Key information about the people who lead and staff this community.
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.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Texas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
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This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
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Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
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17 | 6 | This facility has 183% more total citations than a typical Texas nursing home (17 vs. TX avg 6).↑ 183% worse |
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Citations per year
Average citations per year since 2022.
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4.3 | 1.5 | This facility has 187% more citations per year than a typical Texas nursing home (4.3 vs. TX avg 1.5).↑ 187% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on September 18, 2025, identified deficiencies related to residents’ privacy and incomplete clinical record documentation. Earlier inspections showed a pattern of issues with clinical documentation, medication administration, respiratory care, infection control, and resident privacy. Complaint investigations substantiated concerns about medication errors, inadequate wound and respiratory care, privacy violations, and incomplete medical records, but no fines or enforcement actions were listed in the available reports. The facility provided staff training in response to some findings, and while deficiencies have appeared consistently, the issues generally involve documentation, care procedures, and infection control rather than immediate jeopardy or license actions. There is no clear trend of improvement or worsening, as deficiencies have been noted across multiple areas over time.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsTexas average 7.4
Last Health inspection on Sep 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.
9 of 15 citations resulted from standard inspections; 5 of 15 resulted from complaint investigations; and 1 of 15 came from combined inspections (standard and complaint).
100% better than Texas average
Texas average: 2
100% better than Texas average
Texas average: 0.4
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
30% worse than Texas average
6% better than Texas average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hours
No 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.
8.9 hours
No 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.
9.1 hours
No contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
892 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 29 | 0 | 29 | 13,878 | 92 | 100% | 9.1 |
| Licensed Practical Nurse | 15 | 0 | 15 | 3,921 | 92 | 100% | 8.9 |
| Medication Aide/Technician | 9 | 0 | 9 | 2,186 | 92 | 100% | 7.4 |
| RN Director of Nursing | 4 | 0 | 4 | 1,875 | 78 | 85% | 8.3 |
| Registered Nurse | 7 | 0 | 7 | 1,819 | 91 | 99% | 8.7 |
| Other Dietary Services Staff | 2 | 0 | 2 | 817 | 87 | 95% | 7.8 |
| Nurse Practitioner | 1 | 0 | 1 | 541 | 65 | 71% | 8.3 |
| Administrator | 1 | 0 | 1 | 537 | 65 | 71% | 8.3 |
| Dietitian | 1 | 0 | 1 | 486 | 67 | 73% | 7.3 |
| Mental Health Service Worker | 2 | 0 | 2 | 462 | 59 | 64% | 7.6 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 418 | 60 | 65% | 7 |
| Physical Therapy Assistant | 0 | 1 | 1 | 388 | 59 | 64% | 6.6 |
| Nurse Aide in Training | 3 | 0 | 3 | 150 | 10 | 11% | 8.3 |
| Occupational Therapy Aide | 0 | 1 | 1 | 52 | 9 | 10% | 5.8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 35 | 6 | 7% | 5.8 |
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
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.
5.3
38% better than Texas average
Texas average: 8.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
12.6
21% better than Texas average
Texas 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
13.4%
17% better than Texas average
Texas average: 16.2%
Percent of long-stay residents whose ability to move independently worsened
8.7%
46% better than Texas average
Texas average: 16.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
15.9%
In line with Texas average
Texas average: 15.7%
Percent of long-stay residents experiencing one or more falls with major injury
0.4%
89% better than Texas average
Texas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
2.9%
34% better than Texas average
Texas average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Texas average
Texas average: 0.8%
Percent of long-stay residents who lose too much weight
1.2%
65% better than Texas average
Texas average: 3.5%
Percent of long-stay residents who have depressive symptoms
2.2%
25% better than Texas average
Texas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
4.2%
47% better than Texas average
Texas average: 7.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.9%
In line with Texas average
Texas average: 97.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.7%
In line with Texas average
Texas average: 97.9%
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
100.0%
11% better than Texas average
Texas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.4%
72% better than Texas average
Texas average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.9%
10% better than Texas average
Texas average: 88.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
17.5%
32% better than Texas average
Texas average: 25.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
13.5%
13% worse than Texas average
Texas average: 12.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Texas average
Texas average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
40.0%
25% worse than Texas average
Texas average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
57.8%
14% better than Texas average
Texas average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
26% of new residents, usually for short-term rehab.
58% of new residents, often for short stays.
16% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
75
Residents meet regularly to discuss policies, care quality, 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.
Historical financial and operational data for Ebony Lake Nursing and Rehabilitation Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #238 / 297Payroll — State benchmarkedThis home is ranked 238th out of 297 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total Residents: 122
Building Type: Single-story
Transportation Services
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
1.7 miles from city center
Estimated distance in miles from Brownsville's city center to Ebony Lake Nursing and Rehabilitation Center's address, calculated via Google Maps.
Add your location
Ebony Lake Nursing and Rehabilitation Center is located in Brownsville, Texas.
Here are the financial assistance programs available to residents in Texas.
The information below is reported by the Texas Health and Human Services Commission.
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| Veranda 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). |
Harlingen | 100 | 81.2% | +28% | 2.96 | -24% | -18% | $8.0k | 12 | 2.4 | 1 | 87 | 33 | Harlingen Healthcare, Inc. | $13.9M | $5.6M | 40.6% | 455925 | ||||
| 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 | +18% | -18% | $0 | 15 | 2.5 | - | 88 | 63 | Regency Ihs Of Ebony Lake LLC | $7.3M | $3.6M | 49.2% | 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 | 85.0% | +34% | 3.26 | -44% | -10% | $23.7k | 16 | 2.7 | 4 | 85 | 71 | Brownsville Care Associates, Inc | $12.1M | $5.0M | 41.3% | 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 | -78% | -25% | $16.6k | 22 | 2.8 | 4 | 80 | 25 | Alice Roel | $13.1M | $4.8M | 36.3% | 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 | -7% | -27% | $87.8k | 40 | 4.0 | 3 | 111 | 34 | Regency Ihs Of Brownsville LLC | $10.5M | $4.2M | 40.3% | 676083 |
Ebony Lake Nursing and Rehabilitation Center is in the Los Ebanos neighborhood of Brownsville.
The legal owner and operator of Ebony Lake Nursing and Rehabilitation Center is Val Verde County Hospital District.
Ebony Lake Nursing and Rehabilitation Center has a walk score of 63. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to TX state health department records, Ebony Lake Nursing and Rehabilitation Center's license number is 308572.
According to TX state health department records, Ebony Lake Nursing and Rehabilitation Center's license expires on January 4, 2028.
Nanette D Spear is the administrator of Ebony Lake Nursing and Rehabilitation Center.
Ebony Lake Nursing and Rehabilitation Center has 122 beds.
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