Alta Vista Rehabilitation And Healthcare
510 PADREDES LINE ROAD, Brownsville, TX, 78521
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: The Ensign Group
- Certified beds
- 100 · avg 78 residents/day
- Total nursing staff turnover
- 31.6% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $23,735 total
State licensing & capacity
- License number
- 311819
- Service type
- Medicare/medicaid
- Licensed capacity
- 100 beds
- Bed type breakdown
- 100 Medicaid/Medicare
- Current license effective
- January 1, 2024
- Current license expires
- January 1, 2027
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Fannin County Hospital Authority (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Brownsville Care Associates, Inc
- Administrator
- Norma Guerrero
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the The Ensign Group chain — 329 facilities across 17 states. Chain-wide average overall rating 3.2 / 5.
Disclosed owners (7 on record)
- Brownsville Care Associates, Inc
Operational/managerial Control · since 2024
- Clark r Sanderson
Corporate Officer · since 2024
- Craig Fitch
Corporate Officer · since 2024
- Fannin County Hospital Authority
5% or Greater Direct Ownership Interest · 100% · since 2024
- Norma Guerrero
Contracted Managing Employee · since 2024
- Paul a Lenz
Contracted Managing Employee · since 2024
+ 1 additional owner on the federal record.
Recent change of ownership
January 2024 (2 years ago) · acquired from Alta Vista Rehabilitation And Healthcare
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 16)
- D0641·Aug 27, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- D0812·Aug 22, 2024
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0726·Aug 22, 2024
Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- E0695·Aug 22, 2024
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- D0657·Aug 22, 2024
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D0656·Aug 22, 2024
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D0609·Jul 31, 2024Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D0842·Sep 22, 2023Complaint
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Federal penalties
By year
- 20232 fines · $24K
Most recent events
- Sep 22, 2023Fine · $14K
- May 15, 2023Fine · $9,302
Largest single fine on record: $14K.
Fire-safety citations
2 Life-Safety-Code citations on file. Most recent: Aug 22, 2024. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Alta Vista Rehabilitation And Healthcare is a 100-bed nursing home in Brownsville, Cameron County, licensed for Medicare and Medicaid. CMS rates it 3 stars overall, with a 2-star staffing rating and a 2-star health inspection rating — but a 5-star quality-measures rating, the highest available. Managed by Brownsville Care Associates under the Ensign Group, it operates at roughly 78% of licensed capacity. The license is active through January 2027.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates this facility 2 stars on staffing — in the bottom third of Texas nursing homes on that measure, a tier shared by about 32% of facilities statewide. Each resident receives roughly 193 minutes of nursing care per day, about 48 minutes less than at a 4-star-staffing facility in Texas. Residents here tend to need more hands-on care than at a typical facility — less mobile or more medically complex on average — so those minutes stretch thinner than the raw number suggests.
About 3 in 10 nursing staff left in the past year. That puts turnover below the 25th-percentile cutoff for Texas — better than roughly three-quarters of nursing homes in the state. A lower number here means residents are less likely to cycle through unfamiliar caregivers.
Two CMS fines totaling $23,735 have been issued — above the Texas state median of $20,699 per fine event, and above the $0 baseline that about 30% of Texas facilities maintain. The health inspection rating is 2 stars, which tracks with the fine history.
Quality measures rate 5 stars — the highest available — on both long-stay and short-stay measures. These measures reflect documented outcomes: things like whether residents' pain was managed, whether they developed pressure wounds, or whether short-stay residents were able to return home. A 5-star outcome rating alongside a 2-star staffing rating is an uncommon pairing and represents two distinct dimensions of the facility's record.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing coverage on weekends
Weekend nursing hours here average 2.85 hours per resident per day — lower than the reported weekday figure; ask how staffing levels differ Saturday through Sunday.
RN presence during a typical shift
Reported registered-nurse hours come to about 18 minutes per resident per day; ask how many hours a licensed RN is physically on the floor each day.
What drove the two CMS fines
Two fines totaling $23,735 were issued; ask what the cited deficiencies were and what changes were made in response.
How outcomes are maintained with current staffing
Quality-measure ratings are 5 stars while staffing rates 2 stars; ask how care planning and oversight are structured to sustain those outcomes.
Resident and family council access
Both a Resident Council and a Family Council are on record; ask how often each meets and how concerns raised there reach management.
Current bed availability
The facility is running at about 78% of its 100 licensed beds; ask whether the unit or room type you need has openings now or a waitlist.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.