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.
based on 207 Google reviews

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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 detailsStrengths
- 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
Distribution · 165 analyzed
How They Respond to Reviews
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.”
“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”
“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.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
16
measures
1
measures
Residents whose bladder or bowel control got worse
Residents on antipsychotic medication
Residents needing more daily help over time
Residents vaccinated for pneumonia
Residents whose walking got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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, 2026Complaint3
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
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.
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, 2025Routine11
Smoke Deficiencies
Provide properly protected cooking facilities.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
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.
Quality of Life and Care Deficiencies
Honor each resident's preferences, choices, values and beliefs.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Aug 27, 2025Complaint1
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Aug 22, 2024Routine7
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
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.
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.
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.
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, 2024Complaint1
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, 2023Complaint4
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.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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.
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
Fannin County Hospital Authority
for profit
BROWNSVILLE CARE ASSOCIATES, INC
NORMA GUERRERO
Chain Affiliation
The Ensign Group
338 facilities nationwide
Chain avg rating: 2.9/5 · Rank 46 of 84
Ownership & Management
Owners
Fannin County Hospital Authority
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
207 reviews from families & visitors
Official Website
Visit altavistarehab.net
Medicare data downloads
Original nursing home datasets
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