Fox Hollow Post Acute
310 AMERICA DRIVE, Brownsville, TX, 78526
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 - Limited Liability company
- Certified beds
- 126 · avg 117 residents/day
- Total nursing staff turnover
- 42.5% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 80% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · 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 · $12,373 total
State licensing & capacity
- License number
- 307302
- Service type
- Medicare/medicaid
- Licensed capacity
- 126 beds
- Bed type breakdown
- 36 Medicare-only · 90 Medicaid/Medicare
- Current license effective
- May 1, 2025
- Current license expires
- May 1, 2028
- Initial license date
- June 13, 2016
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Uvalde County Hospital Authority (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Brownsville Snf, Llc
- Administrator
- Paul Garate Quiroz
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Disclosed owners (14 on record)
- Juan Antonio Gonzales
Corporate Director · since 2022
- Paul Garate
W-2 Managing Employee · since 2021
- Brownsville Snf, Llc
Operational/managerial Control · since 2019
- Thomas j Nordwick
Corporate Officer · since 2019
- Uvalde County Hospital Authority
5% or Greater Direct Ownership Interest · 100% · since 2019
- Terri Contreras
Corporate Officer · since 2019
+ 8 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, 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 25)
- E0812·Jan 22, 2026
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0761·Jan 22, 2026
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D0759·Jan 22, 2026
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
- D0695·Jan 22, 2026
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- D0690·Jan 22, 2026
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D0656·Jan 22, 2026
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.
- D0558·Jan 22, 2026
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
- D0839·Nov 19, 2025Complaint
Administration Deficiencies
Employ staff that are licensed, certified, or registered in accordance with state laws.
Federal penalties
By year
- 20251 fine · $8,281
- 20241 fine · $4,092
Most recent events
- Oct 14, 2025Fine · $8,281
- Apr 6, 2024Fine · $4,092
Largest single fine on record: $8,281.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Fox Hollow Post Acute is a 126-bed Medicare/Medicaid nursing home in Brownsville, Cameron County, operating at roughly 93% of licensed capacity. CMS rates it 1 star overall — the lowest tier — with a 1-star staffing rating and a 2-star health inspection rating. Its quality-measure scores are stronger: 4 stars overall, with a 5-star rating for long-stay residents. The license is active through May 2028.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star — the bottom tier among Texas nursing homes, a threshold roughly 38% of facilities in the state share. Each resident receives about 190 minutes of nursing care per day, which is approximately 51 minutes less than at a 4-star-staffing facility in Texas. Registered nurse coverage is particularly thin at 9 minutes per resident per day, compared to 37 minutes at a 4-star-staffing facility in the state. Residents here also require more hands-on care than at a typical facility — less mobile or medically more complex on average — so those staffing hours stretch thinner than the raw minutes suggest.
RN turnover is the one staffing metric flagged as a signal: roughly 8 in 10 registered nurses left in the past year. A long-stay resident is likely to cycle through multiple primary RNs over the course of a year.
Two CMS fines totaling $12,373 have been assessed; the state median across fined facilities is $20,699, and about 30% of Texas nursing homes have had no fines at all.
The quality-measure ratings diverge from the staffing and inspection scores. Long-stay residents — those living here for 90 days or more — rate 5 stars on documented care outcomes. Short-stay residents rate 3 stars. The overall quality-measure rating is 4 stars. These scores are drawn from clinical records rather than inspection visits.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
RN coverage on a typical day
With a reported 9 minutes of registered nurse time per resident per day, ask how many RNs are scheduled per shift and what happens when an RN calls out.
RN retention over the past year
About 8 in 10 RNs left in the past year — ask what has changed to address that turnover and who currently holds the charge-nurse role on each shift.
Staffing on weekends
CMS data shows weekend nursing hours run slightly below the already-low weekday average; ask specifically how many nurses and aides are scheduled Saturday and Sunday.
Waitlist and bed availability
The facility is running at roughly 93% of its 126 licensed beds — ask whether there is a current waitlist and how long the typical wait has been.
Family Council status
The facility has a Resident Council but no Family Council; ask whether families have a structured way to raise concerns and how often staff respond to resident-council feedback.
Management company's role day to day
The licensee is a hospital district authority, but day-to-day management is handled by Brownsville SNF, LLC — ask which entity sets staffing levels and oversees care plans.
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.