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Nursing HomeMedicaid

Alta Vista Rehabilitation and Healthcare

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

510 Padredes Line Road, Brownsville, TX 78521100 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.6/5

based on 207 Google reviews

5
4
3
2
1
Alta Vista Rehabilitation and Healthcare Nursing Home in Brownsville, TX — Street View
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What this means for your family

This facility is an excellent choice for those prioritizing high-quality physical therapy and a compassionate, family-like nursing staff. However, families should closely monitor responsiveness to call lights and ensure that physician visits are occurring regularly, as some reviewers have noted delays in emergency response and infrequent doctor oversight.

Google Reviews

Google Reviews

207 reviews on Google
Alta Vista is widely praised by families for its compassionate nursing staff and highly effective rehabilitation and therapy services. While many residents find the environment warm and home-like, some families have reported serious concerns regarding delayed emergency responses, infrequent physician visits, and issues with hygiene and staffing during night shifts.

Quality Themes

Tap a score for details
Food3.0Staff9.0Clean6.0Activities8.0MedsN/AMemoryN/AComms7.0ValueN/A

Strengths

  • Compassionate and attentive nursing staff
  • Excellent rehabilitation and physical therapy services
  • Warm, home-like atmosphere
  • Friendly and professional administration

Concerns

  • Delayed response to medical emergencies and call lights (mentioned by 3 reviewers)
  • Issues with hygiene and cleanliness of residents (mentioned by 2 reviewers)
  • Inconsistent physician availability (mentioned by 2 reviewers)
  • Poor food quality (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'16(1)'20(4)'22(5)'24(54)'26(60)

Distribution · 165 analyzed

5
148
4
2
3
0
2
2
1
13
19 reviews posted between Apr 19, 2026Apr 30, 2026 · 19 were 5-star
19 reviews posted between Mar 5, 2026Mar 7, 2026 · 19 were 5-star
14 reviews posted between Jan 18, 2024Jan 20, 2024 · 14 were 5-star

How They Respond to Reviews

100%response rate
Good

The owner provides personalized responses that frequently use the reviewer's name and acknowledge specific details of the feedback. For negative reviews, they consistently use a professional, non-defensive tone and provide a direct phone number to facilitate offline resolution.

Questions for Your Tour

  • 1We've heard wonderful things about the compassion of your nursing staff; how do you ensure that level of attentive care is maintained during busy shifts?
  • 2With the excellent reputation your rehab and physical therapy services have, could you walk us through how a resident's personalized therapy plan is developed?
  • 3How does the team manage call light responses and ensure that residents receive timely assistance, especially during the night?
  • 4We'd love to hear more about the dining experience and what kind of nutritional variety is offered for daily meals.
  • 5What steps are in place to ensure consistent physician oversight and regular medical check-ins for all residents?
  • 6What kind of daily activities or social events are available to help residents stay engaged and enjoy the warm, home-like atmosphere here?

Personalized based on this facility's data


Key Review Excerpts

The nursing staff kept us informed about care and always took the time to answer questions. The therapy team was also excellent and worked hard to help our loved one regain strength and independence.

Rehab patient's family · 2026★★★★★

Don't ever send your relatives here. My mother went in to get strength back in her legs and is worse now than before, she got shingles within the first few days, left to sit in her dirty pull up for over an hour after calling for help several times

Long-term resident's family · 2026☆☆☆☆

The staff is incredibly kind, attentive, and professional. My mother in law has been living here for several months now, and we've seen a noticeable improvement in her mood and overall health.

Long-term resident's family · 2025★★★★★
Source: 207 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.21hrs
27%
Registered nurses for medical care
Total Nursing
3.22hrs
79%
All nurses + aides combined
Staff Turnover
37%
Lower is better (< 30% = good)
RN Turnover
50%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

16

measures

Mixed Results

1

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility8.1%
Better than Avg
Here
8.1%
US
19.4%
TX
14.2%
Cameron
16.0%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility5.9%
Better than Avg
Here
5.9%
US
15.4%
TX
9.4%
Cameron
8.6%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility9.4%
Better than Avg
Here
9.4%
US
14.4%
TX
16.1%
Cameron
13.6%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Cameron
98.1%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility8.8%
Better than Avg
Here
8.8%
US
15.3%
TX
14.9%
Cameron
13.6%
😔

Residents with depression symptoms

↓ Lower is better
This Facility7.2%
Mixed vs Avgs
Here
7.2%
US
12.1%
TX
2.5%
Cameron
2.0%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility98.2%
Better than Avg
Here
98.2%
US
81.8%
TX
89.2%
Cameron
95.9%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility91.6%
Better than Avg
Here
91.6%
US
79.7%
TX
88.0%
Cameron
90.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.4%
Better than Avg
Here
0.4%
US
1.6%
TX
1.5%
Cameron
0.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

11deficiencies
1penalties
Above state avg (9.1)
9 complaint-triggered
$23,735 in fines

Alta Vista Rehabilitation has 18 deficiencies across 6 surveys, with 6 triggered by family complaints regarding issues like inadequate care and failure to notify families of incidents. The most recurring problems involve care planning and assessments, medication management, and nursing staff competencies. While all deficiencies show correction dates, the pattern of repeated issues in care planning (appearing in multiple surveys) and complaint-driven investigations suggest ongoing quality concerns families should investigate further.

Mar 13, 2026Complaint
3
0552Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

0605Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

0761Potential for harm · IsolatedCorrected

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.

Nov 19, 2025Routine
11
0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0211Potential for harm · PatternCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0552Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0656Potential for harm · IsolatedCorrected

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.

0675Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Honor each resident's preferences, choices, values and beliefs.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Aug 27, 2025Complaint
1
0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Aug 22, 2024Routine
7
0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0372Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0695Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0656Potential for harm · IsolatedCorrected

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.

0657Potential for harm · IsolatedCorrected

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.

0726Potential for harm · IsolatedCorrected

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.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Jul 31, 2024Complaint
1
0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Sep 22, 2023Complaint
4
0580Immediate jeopardy · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0684Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0726Immediate jeopardy · IsolatedCorrected

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.

0842Potential for harm · IsolatedCorrected

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

Fine

Sep 22, 2023

$14,433

Ownership & Operations

Who Operates This Facility

Owner / Operator

Fannin County Hospital Authority

Organization Type

for profit

Management Company

BROWNSVILLE CARE ASSOCIATES, INC

Administrator

NORMA GUERRERO

Chain Affiliation

Chain Name

The Ensign Group

Chain Size

338 facilities nationwide

Chain avg rating: 2.9/5 · Rank 46 of 84

Ownership & Management

Owners

Fannin County Hospital Authority

Owner · Organization

100%

Key personnel

Guerrero, NormaContracted Managing EmployeeLenz, PaulContracted Managing EmployeeFitch, CraigOfficer / DirectorSanderson, ClarkOfficer / DirectorBrownsville Care Associates, INCManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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