Texas·Cameron County·Brownsville

Las Alturas Nursing & Transitional Care Brownsville in Brownsville, Cameron County, Texas

Brownsville, Cameron County, Texas 78521

Status Medicare and Medicaid certifiedMedicare CCN 745049
HHSC license rosteras of November 9, 2026CMS nursing home filerelease October 28, 2026; processing date October 1, 2026CMS processing date for this home October 1, 2026

Location and contact

Address
180 East Price Road
Brownsville, TX 78521
Open map (OpenStreetMap)
Phone
(956) 303-2002
HHSC facility ID
111666
License number
313303

Medicare ratings

Star ratings below are copied from the CMS Provider Information file (official release October 28, 2026; processing date October 1, 2026). They are not assigned by NursingCareLookup. See how to read ratings and CMS Five-Star documentation.

Staffing hours

Hours are the facility’s reported nurse staffing hours per resident per day from the CMS file. The Texas average is computed on this site from Texas rows in that same file that include a numeric value. It is not copied from another website. Method: Methodology.

Staffing hours per resident per day
MeasureThis facilityTexas average (this site)
Total nurse staffing3.36 hours3.42 hours n=1,152
Registered nurse0.24 hours0.44 hours
LPN0.95 hours0.95 hours
Nurse aide2.18 hours2.03 hours
Weekend nurse staffing2.92 hours2.99 hours

0.05 hours below this site’s computed Texas average.

Total nursing staff turnover
50% (Texas average computed on this site: 50.8%, n=1,096)
RN turnover
—
Average residents per day
97.7
Certified beds (CMS)
122

Penalties in the CMS Provider Information file: 1 finetotaling $8,434; 1 total penalties. These are the figures CMS published in this release. Confirm current figures on Medicare.gov.

Fines and payment denials

Individual fines and payment denials below come from the CMS Penalties file (official release October 28, 2026; processing date October 1, 2026). Dates and amounts are copied as published. They can lag later actions or successful appeals. Confirm current figures on Medicare.gov.

CMS fines and payment denials
DateTypeFine amountPayment denial
June 12, 2025Fine · Fine ID 113941$8,434—

MDS quality measures

These figures are the four-quarter averages published in the CMS MDS Quality Measures file (official release October 28, 2026; measure period 2025Q3-2026Q2; processing date October 1, 2026). They are not a grade this site assigned. A “used in Five-Star” flag is the published CMS field that says whether that measure feeds the quality-measure star rating. Quarterly scores are collapsed under each measure. Official definitions are on the CMS Five-Star page.

CMS MDS quality measures, four-quarter averages
MeasureStayFour-quarter averageUsed in Five-Star QM rating
Percentage of long-stay residents whose need for help with daily activities has increased
Quarterly scores

Q1 5.3% · Q2 12.7% · Q3 24.1% · Q4 11.3% · Period 2025Q3-2026Q2 · Measure code 401

Long Stay13.3%Yes, as published by CMS
Percentage of long-stay residents with a catheter inserted and left in their bladder
Quarterly scores

Q1 0.0% · Q2 2.2% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 406

Long Stay0.5%Yes, as published by CMS
Percentage of long-stay residents with a urinary tract infection
Quarterly scores

Q1 0.0% · Q2 0.0% · Q3 2.6% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 407

Long Stay0.7%Yes, as published by CMS
Percentage of long-stay residents experiencing one or more falls with major injury
Quarterly scores

Q1 4.5% · Q2 5.5% · Q3 5.1% · Q4 3.7% · Period 2025Q3-2026Q2 · Measure code 410

Long Stay4.7%Yes, as published by CMS
Percentage of long-stay residents whose ability to walk independently worsened
Quarterly scores

Q1 10.9% · Q2 2.4% · Q3 16.6% · Q4 7.6% · Period 2025Q3-2026Q2 · Measure code 451

Long Stay9.6%Yes, as published by CMS
Percentage of long-stay residents with pressure ulcers
Quarterly scores

Q1 2.0% · Q2 3.8% · Q3 1.6% · Q4 1.9% · Period 2025Q3-2026Q2 · Measure code 479

Long Stay2.3%Yes, as published by CMS
Percentage of long-stay residents who received an antipsychotic medication
Quarterly scores

Q1 4.1% · Q2 5.3% · Q3 3.4% · Q4 1.7% · Period 2025Q3-2026Q2 · Measure code 481

Long Stay3.6%Yes, as published by CMS
Percentage of long-stay residents who lose too much weight
Quarterly scores

Q1 3.2% · Q2 1.4% · Q3 1.4% · Q4 1.4% · Period 2025Q3-2026Q2 · Measure code 404

Long Stay1.8%No, as published by CMS
Percentage of long-stay residents who have depressive symptoms
Quarterly scores

Q1 2.3% · Q2 2.0% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 408

Long Stay1.0%No, as published by CMS
Percentage of long-stay residents who were physically restrained
Quarterly scores

Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 409

Long Stay0.0%No, as published by CMS
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
Quarterly scores

Q1 100.0% · Q2 94.5% · Q3 94.9% · Q4 92.6% · Period 2025Q3-2026Q2 · Measure code 415

Long Stay95.3%No, as published by CMS
Percentage of long-stay residents who received an antianxiety or hypnotic medication
Quarterly scores

Q1 25.0% · Q2 24.6% · Q3 18.6% · Q4 14.7% · Period 2025Q3-2026Q2 · Measure code 452

Long Stay20.5%No, as published by CMS
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
Quarterly scores

Q1 — (CMS footnote 28) · Q2 — (CMS footnote 28) · Q3 — (CMS footnote 28) · Q4 — (CMS footnote 28) · Period 2025Q3-2026Q2 · Measure code 454

Long Stay85.9%No, as published by CMS
Percentage of long-stay residents with new or worsened bowel or bladder incontinence
Quarterly scores

Q1 24.6% · Q2 29.1% · Q3 29.7% · Q4 13.2% · Period 2025Q3-2026Q2 · Measure code 480

Long Stay24.0%No, as published by CMS
Percentage of short-stay residents who newly received an antipsychotic medication
Quarterly scores

Q1 0.0% · Q2 3.4% · Q3 2.6% · Q4 1.1% · Period 2025Q3-2026Q2 · Measure code 434

Short Stay1.7%Yes, as published by CMS
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
Quarterly scores

Q1 90.9% · Q2 60.4% · Q3 68.0% · Q4 73.0% · Period 2025Q3-2026Q2 · Measure code 430

Short Stay73.3%No, as published by CMS
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
Quarterly scores

Q1 — (CMS footnote 28) · Q2 — (CMS footnote 28) · Q3 — (CMS footnote 28) · Q4 — (CMS footnote 28) · Period 2025Q3-2026Q2 · Measure code 472

Short Stay61.2%No, as published by CMS

Inspection citations

21 health citations in the CMS file (9 from complaint surveys). Highest scope/severity letter in the file: J — Isolated, immediate jeopardy.

The list below is drawn from the CMS Health Deficiencies file. We show the tag, a plain-language reading of the scope and severity letter, whether the survey was a standard or complaint survey, the survey date, and whether CMS recorded a correction. We do not reprint the official deficiency narrative here. Read that text on TULIP or Medicare.gov. A facility may appeal a finding; a successful appeal can alter or remove a citation.

Scope and severity letters (A–L)

CMS assigns one letter from a grid of scope (how widely a problem was found) and severity (how serious the harm was or could be). The short labels below are our wording of that grid, not a different rating system.

Scope and severity letters used in CMS health citations
SeverityIsolatedPatternWidespread
Potential for minimal harmABC
No actual harm, potential for more than minimal harmDEF
Actual harmGHI
Immediate jeopardyJKL
2026 — 9 citations

Tag 0880D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: August 27, 2026

CMS records a correction date (September 23, 2026)

More detail

Infection Control Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0842D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: August 27, 2026

CMS records a correction date (September 23, 2026)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0812E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: August 27, 2026

CMS records a correction date (September 23, 2026)

More detail

Nutrition and Dietary Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0759D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: August 27, 2026

CMS records a correction date (September 23, 2026)

More detail

Pharmacy Service Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0711D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: August 27, 2026

CMS records a correction date (September 23, 2026)

More detail

Nursing and Physician Services Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0695D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: August 27, 2026

CMS records a correction date (September 23, 2026)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0609D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: August 27, 2026

CMS records a correction date (September 23, 2026)

More detail

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0755D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: June 24, 2026

CMS records a correction date (July 17, 2026)

More detail

Pharmacy Service Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0761D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: March 3, 2026

CMS records a correction date (March 12, 2026)

More detail

Pharmacy Service Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

2025 — 11 citations

Tag 0755D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: November 19, 2025

CMS records a correction date (December 5, 2025)

More detail

Pharmacy Service Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0880D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: July 1, 2025

CMS records a correction date (July 23, 2025)

More detail

Infection Control Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0695D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: July 1, 2025

CMS records a correction date (July 23, 2025)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0693D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: July 1, 2025

CMS records a correction date (July 23, 2025)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0656D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: July 1, 2025

CMS records a correction date (July 23, 2025)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0644D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: July 1, 2025

CMS records a correction date (July 23, 2025)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0628D

D — Isolated, potential for more than minimal harm

Complaint survey, Standard survey

Survey date: July 1, 2025

CMS records a correction date (July 23, 2025)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0578D

D — Isolated, potential for more than minimal harm

Complaint survey, Standard survey

Survey date: July 1, 2025

CMS records a correction date (July 23, 2025)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0558D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: July 1, 2025

CMS records a correction date (July 23, 2025)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0689J

J — Isolated, immediate jeopardy

Complaint survey

Survey date: June 12, 2025

Past non-compliance, as recorded by CMS (June 12, 2025)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0655D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: June 12, 2025

CMS records a correction date (July 1, 2025)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

2024 — 1 citation

Tag 0755D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: November 6, 2024

CMS records a correction date (November 29, 2024)

More detail

Pharmacy Service Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

License and identity (HHSC)

License effective
August 1, 2026
License expires
August 1, 2029
Initial license date
May 28, 2024
Facility licensed
Yes
Facility certified (HHSC)
Yes
Service type
MEDICARE/MEDICAID
Total licensed capacity
122 beds
Bed mix (HHSC)
Licensed only 0; Medicaid only 0; Medicare only 32; Medicare/Medicaid 90; ICF/IID 0
Alzheimer capacity
0
Administrator
Ramon Mendoza
Management company
Heritage Brownsville Health Development LLC

Ownership

Ownership below comes from the CMS file when a row joined on this home’s Medicare number. HHSC also records an owner and entity type; those appear after the CMS data. The HHSC entity type “HOSPITAL DISTRICT/AUTHORITY” is very common in the state roster and may not describe day-to-day control. It is not used as a headline here.

CMS ownership type: For profit - Corporation

CMS ownership records
NameRoleTypeShareAssociated
HEALTHCARE INVESTMENTS BROWNSVILLE LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganizationNO PERCENTAGE PROVIDEDsince 08/01/2024
HERITAGE BROWNSVILLE HEALTH DEVELOPMENT LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganizationNO PERCENTAGE PROVIDEDsince 06/21/2024
FELLBAUM 2023 DESCENDANTS TRUST5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization16%since 06/21/2024
JAN STUDER 2023 SPOUSAL TRUST5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization16%since 06/21/2024
KELLY FELLBAUM 2023 SPOUSAL TRUST5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization16%since 06/21/2024
STUDER 2023 DESCENDANTS TRUST5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization16%since 06/21/2024
THE BRYON AND RENA SEHLKE LIVING TRUST5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization16%since 06/01/2024
JEFFERSON BANK5% OR GREATER SECURITY INTERESTOrganizationNOT APPLICABLEsince 04/30/2024
TOUCHSTONE COMMUNITIES INCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 06/01/2024
CAMPBELL, LESLIEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 04/01/2024
CARDENAS, MARISAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 04/01/2024
CASTILLO, LYNNEAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 04/01/2024
20 more CMS ownership records
Additional CMS ownership records
NameRoleTypeShareAssociated
GILCREASE, CYNTHIAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 04/01/2024
MENDOZA, ROMANOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 04/01/2024
SEHLKE, BRYONOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/21/2024
ZUROVEC, DARRELLOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 04/01/2024
FELLBAUM 2023 DESCENDANTS TRUSTADP OF THE SNFOrganizationNOT APPLICABLEsince 06/21/2024
HEALTHCARE INVESTMENTS BROWNSVILLE LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 06/21/2024
JAN STUDER 2023 SPOUSAL TRUSTADP OF THE SNFOrganizationNOT APPLICABLEsince 06/21/2024
KELLY FELLBAUM 2023 SPOUSAL TRUSTADP OF THE SNFOrganizationNOT APPLICABLEsince 06/21/2024
STUDER 2023 DESCENDANTS TRUSTADP OF THE SNFOrganizationNOT APPLICABLEsince 06/21/2024
THE BRYON AND RENA SEHLKE LIVING TRUSTADP OF THE SNFOrganizationNOT APPLICABLEsince 06/01/2024
TOUCHSTONE COMMUNITIES INCADP OF THE SNFOrganizationNOT APPLICABLEsince 07/13/2025
TRIDENT HEALTH SERVICES INCADP OF THE SNFOrganizationNOT APPLICABLEsince 06/21/2024
CAMPBELL, LESLIEADP OF THE SNFIndividualNOT APPLICABLEsince 04/01/2024
CARDENAS, MARISAADP OF THE SNFIndividualNOT APPLICABLEsince 04/01/2024
CASTILLO, LYNNEAADP OF THE SNFIndividualNOT APPLICABLEsince 04/01/2024
GILCREASE, CYNTHIAADP OF THE SNFIndividualNOT APPLICABLEsince 04/01/2024
MENDOZA, ROMANADP OF THE SNFIndividualNOT APPLICABLEsince 04/01/2024
RODRIGUEZ, JAIROADP OF THE SNFIndividualNOT APPLICABLEsince 04/01/2024
SEHLKE, BRYONADP OF THE SNFIndividualNOT APPLICABLEsince 06/21/2024
ZUROVEC, DARRELLADP OF THE SNFIndividualNOT APPLICABLEsince 04/01/2024
HHSC owner fields
Owner (HHSC)
Val Verde County Hospital District
Type of entity (HHSC)
HOSPITAL DISTRICT/AUTHORITY

Public data compiled by NursingCareLookup, not an endorsement or a recommendation, and not medical or legal advice. This site is not affiliated with HHSC, CMS, or Medicare. Figures can lag events at the facility, including surveys, corrections, and successful appeals (an appeal can alter or remove a citation). Verify current facts on TULIP and Medicare.gov, and visit in person before you decide. HHSC roster as of November 9, 2026 (America/Chicago). CMS file: official release October 28, 2026; processing date October 1, 2026.