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Nursing HomeMedicaid Investigative

Fox Hollow Post Acute

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

310 America Drive, Brownsville, TX 78526126 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.2/5

based on 115 Google reviews

5
4
3
2
1
Fox Hollow Post Acute Nursing Home in Brownsville, TX — Street View
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5/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (9 vs median 8.0)
  • High RN turnover (80%)

Bottom 25% in Texas · Critically understaffed (RN) · $12,373 in fines

Source: Medicare data

What this means for your family

This facility is an excellent choice for patients needing intensive physical or speech therapy, as the clinical teams are frequently praised for their expertise. However, families should maintain frequent visits and check in regularly, as some reviewers have noted delays in call light responses and concerns regarding staffing levels during certain shifts.

Google Reviews

Google Reviews

115 reviews on Google
Fox Hollow Post Acute is highly regarded by many families for its exceptional physical and speech therapy teams and its compassionate nursing staff. While many reviewers praise the facility's cleanliness and the warmth of the caregivers, there are recurring concerns regarding inconsistent staffing levels and slow response times to call lights.

Quality Themes

Tap a score for details
Food5.0Staff7.0Clean9.0Activities6.0Meds3.0MemoryN/AComms5.0ValueN/A

Strengths

  • Compassionate and professional therapy teams
  • Clean and well-maintained facility
  • Attentive and caring nursing staff
  • Strong communication from administration during recovery

Concerns

  • Slow response times to call lights (mentioned by 3 reviewers)
  • Understaffing and high patient-to-staff ratios (mentioned by 4 reviewers)
  • Inconsistent communication regarding medical updates (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'16(1)'18(4)'20(3)'22(10)'24(6)'26(11)

Distribution · 123 analyzed

5
91
4
5
3
4
2
2
1
21
17 reviews posted between Feb 1, 2023Feb 4, 2023 · 15 were 5-star
13 reviews posted between Oct 28, 2025Oct 30, 2025 · average 3.5

How They Respond to Reviews

87%response rate
Good

The owner provides highly personalized and empathetic responses to positive reviews, often mentioning specific staff members and patient details. For negative reviews, they maintain a professional tone, acknowledging the issue and, in several cases, providing a direct contact number for the administrator to resolve the conflict.

Questions for Your Tour

  • 1I noticed some families have shared how much they appreciate the communication from your administration during recovery; how do you ensure that family members stay updated on medical changes as they happen?
  • 2Since the therapy team is highly regarded here, could you tell me more about how the therapists work with residents to help them regain their independence?
  • 3What specific protocols do you have in place to ensure call lights are answered promptly, especially during the busier night shifts?
  • 4How does the nursing team manage medication schedules to ensure everything is administered accurately and on time?
  • 5Can you describe what a typical day looks like for residents in terms of social activities and group engagement?
  • 6In the event of a medical emergency after hours, what is the process for notifying the family and coordinating with doctors?

Personalized based on this facility's data


Key Review Excerpts

The entire staff from Admissions (David and Bernice), nursing (Jessica, +++), the Business Office (Erika) and many others where all professional, friendly, knowledgeable, responsive and caring.

Rehab patient's family · 2025★★★★★

The therapist made sure mom was ready to go back home safely and walking. The CNA’s were prompt every morning making sure she was bathed and dressed ready to go.

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

During the last two months of my husband's life, they cared for him with an abundance of kindness and love that made all the difference.

End-of-life care family member · 2025★★★★★
Source: 115 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.19hrs
25%
Registered nurses for medical care
Total Nursing
3.20hrs
78%
All nurses + aides combined
Staff Turnover
44%
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
4/ 5
Better Than Avg

14

measures

Worse Than Avg

1

measures

Mixed Results

2

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility7.0%
Better than Avg
Here
7.0%
US
19.5%
TX
18.4%
Cameron
18.1%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility3.0%
Better than Avg
Here
3.0%
US
15.4%
TX
9.4%
Cameron
8.8%
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.5%
Better than Avg
Here
1.5%
US
12.1%
TX
2.5%
Cameron
2.5%

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

🚶

Residents whose walking got worse

↓ Lower is better
This Facility8.3%
Better than Avg
Here
8.3%
US
15.3%
TX
14.9%
Cameron
13.7%
💉

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 bladder or bowel control got worse

↓ Lower is better
This Facility13.3%
Better than Avg
Here
13.3%
US
19.4%
TX
14.2%
Cameron
15.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility99.1%
Better than Avg
Here
99.1%
US
79.7%
TX
88.0%
Cameron
89.8%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.9%
Better than Avg
Here
99.9%
US
81.8%
TX
89.2%
Cameron
95.8%
💊

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

10deficiencies
2penalties
Above state avg (9.1)
13 complaint-triggered
$12,373 in fines

Nearly half of Fox Hollow's deficiencies stem from family complaints, indicating ongoing resident concerns. The facility shows recurring problems with care planning, resident rights, and bathroom/bladder care across multiple years from 2023-2026. While all violations have been corrected according to state records, the persistent pattern of similar issues and frequency of complaint-driven inspections suggest families should carefully evaluate care quality and communication practices before placement.

Mar 6, 2026Complaint
1
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.

Jan 22, 2026Routine
7
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.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each 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.

0690Potential for harm · IsolatedCorrected

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.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

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, 2025Complaint
1
0839Potential for harm · IsolatedCorrected

Administration Deficiencies

Employ staff that are licensed, certified, or registered in accordance with state laws.

Oct 14, 2025Complaint
1
0689Immediate jeopardy · 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.

Dec 15, 2024Complaint
1
0625Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Oct 30, 2024Routine
5
0695Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0635Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

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.

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.

Federal Penalties

Fine

Oct 14, 2025

$8,281

Fine

Apr 6, 2024

$4,092

Ownership & Operations

Who Operates This Facility

Owner / Operator

Uvalde County Hospital Authority

Organization Type

for profit

Management Company

BROWNSVILLE SNF, LLC

Administrator

PAUL GARATE QUIROZ

Ownership & Management

Owners

Uvalde County Hospital Authority

Owner · Organization

100%

Key personnel

Garate, PaulW-2 Managing EmployeeElliott, BenjaminOfficer / DirectorFaglie, KellyOfficer / DirectorGaitonde, GajananOfficer / DirectorGonzales, HectorOfficer / Director
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.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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