Nursing HomeMedicaid

Ebony Lake Nursing and Rehabilitation Center

Strong Medicare quality ratings; public reviewers often praise compassionate and attentive nursing staff. Still worth an in-person visit.

1001 Central Blvd, Brownsville, TX 78520|122 beds|Licensed & active

4/5

Medicare

Inspection

Quality

Staffing

Google rating

4.8/5

based on 363 Google reviews

(956) 541-0917 Directions Website

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2flags

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Public Medicare Flags to Review

These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.

Low staffing rating (2/5 stars)
Above-median findings in the latest survey (14 vs median 8)

No Medicare penalties on record

Source: Medicare data

What this means for your family

Ebony Lake Nursing and Rehabilitation Center has a strong overall Medicare rating. Public reviewers frequently mention: compassionate and attentive nursing staff and effective rehabilitation and physical therapy. Review the component ratings and current source records before deciding.

Google Reviews

363 public Google reviews available

Families considering Ebony Lake can expect highly compassionate nursing and rehabilitation services, with frequent praise for specific staff members like Cristina Garza and Rita Maldonado. While many reviewers highlight a warm, home-like atmosphere, there are serious, critical reports regarding medication errors, unresponsive call bells, and potential neglect.

Quality Themes

Tap a score for details

Strengths

Compassionate and attentive nursing staff
Effective rehabilitation and physical therapy
Welcoming and professional administration
Clean and well-maintained environment

Concerns

Unresponsive nurse call system and staff (mentioned by 2 reviewers)
Medication management errors
Potential for resident neglect or malnutrition
Staffing shortages/understaffing (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

Distribution · 206 analyzed

197

⚡88 reviews posted between Aug 12, 2022 – Aug 20, 2022 · 88 were 5-star

⚡78 reviews posted between Aug 28, 2022 – Sep 1, 2022 · 77 were 5-star

⚡75 reviews posted between Aug 14, 2022 – Aug 20, 2022 · 75 were 5-star

How They Respond to Reviews

100%response rate

Good

The owner provides highly personalized responses to positive reviews, often mentioning specific staff members by name. For negative reviews, they use a consistent template to acknowledge the concern and redirect the conversation to a private email address.

Questions for Your Tour

1We were so impressed by how much the administration engages with families through your review responses; how can we best stay in touch with the leadership team regarding our loved one's care?
2With such a high rating for your rehabilitation and physical therapy services, could you tell us more about how the therapy plan is customized for a resident's specific recovery goals?
3What specific protocols are in place to ensure medication is administered accurately and on schedule every day?
4How does the nursing team manage call bells and response times during the night shifts to ensure no resident is left waiting?
5What kind of daily activities or social outings are available to help residents stay engaged and connected with one another?
6In the event of a sudden medical change or an emergency after hours, what is the immediate process for notifying the family and coordinating care?

Personalized based on this facility's data

Key Review Excerpts

“The therapy has made the difference of being able to walk again with never a moment of despair. Meals are balanced and thoughful.”

Rehab patient · 2025★★★★★

“My dad was there for 2 weeks and worst experience ever.they weren’t providing my dad with the correct medication.ended up with sores in his legs and mouth. Nurses walked way when he rang the emergency button.”

Long-term resident's family · 2025★☆☆☆☆

“The office administration staff went above and beyond to help expedite all the paperwork and answered all of our questions regarding the transition process.”

Long-term resident's family · 2023★★★★★

Source: 206 Google reviews in the current analysis set; Google reports 363 total

Staffing

Staffing Hours

per resident/day · Medicare public data

RN Hours

0.32hrs

43%

Registered nurses for medical care

Total Nursing

3.32hrs

81%

All nurses + aides combined

Staff Turnover

37%

Lower is better (< 30% = good)

RN Turnover

29%

Lower is better (< 30% = good)

Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.

Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.

Quality Measures

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

Medicare Rating

5/ 5

Better Than Avg

measures

Mixed Results

measures

Long-Stay Residents

Residents whose walking got worse

↓ Lower is better

This Facility4.0%

Better than Avg

Here

4.0%

15.3%

14.9%

Cameron

11.5%

Residents on antipsychotic medication

↓ Lower is better

This Facility4.3%

Better than Avg

Here

4.3%

15.5%

9.4%

Cameron

7.0%

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility8.4%

Better than Avg

Here

8.4%

19.4%

14.2%

Cameron

15.0%

Residents with depression symptoms

↓ Lower is better

This Facility1.5%

Better than Avg

Here

1.5%

12.1%

2.5%

Cameron

2.2%

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

Residents vaccinated for pneumonia

↑ Higher is better

This Facility100.0%

Better than Avg

Here

100.0%

93.4%

96.9%

Cameron

98.0%

Residents on anti-anxiety or sleep medication

↓ Lower is better

This Facility13.5%

Better than Avg

Here

13.5%

19.5%

18.4%

Cameron

16.1%

Short-Stay Residents (Rehab / Post-Acute)

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility100.0%

Better than Avg

Here

100.0%

81.8%

89.2%

Cameron

95.6%

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility96.9%

Better than Avg

Here

96.9%

79.8%

88.0%

Cameron

91.6%

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility0.0%

Better than Avg

Here

0.0%

1.6%

1.5%

Cameron

1.0%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

Detailed Medicare record · up to 3-year lookback

24findings in history

Latest survey: 14 · well above TX avg (9.1)

13 complaint-triggered findings

Families have filed complaints triggering 6 of 15 deficiencies at this facility, with recurring issues in medical record confidentiality appearing across multiple surveys from 2023 to 2025. The facility has also had problems with medication management and care planning, though all violations have been corrected according to state records. The pattern of repeated medical record deficiencies and complaint-driven inspections suggests families should carefully evaluate privacy practices and overall care quality during their visit.

Apr 29, 2026Complaint4 findings

0580Potential for harm · 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.

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.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Mar 25, 2026Complaint2 findings

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

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.

Feb 18, 2026Complaint1 finding

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.

Jan 15, 2026Routine5 findings

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0800Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Sep 18, 2025Complaint2 findings

0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

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.

May 13, 2025Complaint2 findings

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.

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.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Val Verde County Hospital District

Organization Type

for profit

Management Company

REGENCY IHS OF EBONY LAKE, LLC

Administrator

NANETTE D SPEAR

Chain Affiliation

Chain Name

Wellsential Health

Chain Size

68 facilities nationwide

Chain avg rating: 2.8/5 · Rank 1 of 67 (Highest rating)

Ownership & Management

Owners

Val Verde County Hospital District

Owner · Organization

100%

Regency Ihs of Ebony Lake LLC

Owner · Organization

Csv Rhea Management Holdco, LLC