Las Alturas Nursing & Transitional Care Brownsvill — nursing home in Brownsville, TX

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 122 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 97.7 CMS, MDS-derived
CMS Certification Number: 745049
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jun 21, 2024
Ownership type: For profit - Corporation
Operator (legal business name): Heritage Brownsville Health Development LLC
CMS chain: Not part of a CMS-reported chain
Phone: (956) 303-2002
Resident & family council: None
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

11

latest Aug 27, 2026

Citations

21

21 health · 0 fire

Harm or worse

1

1 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L·
Actual harm	G·	H·	I·
Potential harm	D19	E1	F·
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

1

$8,434

Payment denials

0

Latest

Jun 12, 2025

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 745049
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 122
First approved: Jun 21, 2024
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Texas.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Aug 27, 2026	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Aug 27, 2026	Health	Health Complaint, Health Standard	7	Potential harm	—	Open →
Jun 24, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Mar 3, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Nov 19, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Jul 1, 2025	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Jul 1, 2025	Health	Health Complaint, Health Standard	8	Potential harm	—	Open →
Jun 12, 2025	Health	Health Complaint	2	Immediate jeopardy	—	Open →
Nov 6, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Jun 21, 2024	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Jun 21, 2024	Health	Health Standard	0	No citations	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Jun 12, 2025	Civil money penalty (fine)	$8,434	—	745049\|Fine\|113941

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L·
Actual harm	G·	H·	I·
Potential harm	D19	E1	F·
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Aug 27, 2026	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Sep 23, 2026	Complaint
Aug 27, 2026	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 23, 2026
Aug 27, 2026	F-0711	Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Nursing and Physician Services Deficiencies · Staffing & supervision	D · Potential harm Isolated	Corrected Sep 23, 2026
Aug 27, 2026	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Sep 23, 2026
Aug 27, 2026	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Sep 23, 2026
Aug 27, 2026	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 23, 2026
Aug 27, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Sep 23, 2026
Jun 24, 2026	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jul 17, 2026	Complaint
Mar 3, 2026	F-0761	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Mar 12, 2026	Complaint
Nov 19, 2025	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Dec 5, 2025	Complaint
Jul 1, 2025	F-0558	Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jul 23, 2025
Jul 1, 2025	F-0578	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jul 23, 2025	Complaint
Jul 1, 2025	F-0628	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jul 23, 2025	Complaint
Jul 1, 2025	F-0644	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 23, 2025
Jul 1, 2025	F-0656	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 · Clinical care	D · Potential harm Isolated	Corrected Jul 23, 2025
Jul 1, 2025	F-0693	Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 23, 2025
Jul 1, 2025	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 23, 2025
Jul 1, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Jul 23, 2025
Jun 12, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	J · Immediate jeopardy Isolated	Past non-compliance Jun 12, 2025	Complaint
Jun 12, 2025	F-0655	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 1, 2025	Complaint
Nov 6, 2024	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Nov 29, 2024	Complaint

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 2.8

Health inspectionsstate 2.8

Staffingstate 1.9

Quality measuresstate 3.8

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.36

State avg 3.42US avg 3.90

Registered nurse (RN)0.24

State avg 0.44US avg 0.69

Licensed practical nurse0.95

State avg 0.94US avg 0.86

Nurse aide2.18

State avg 2.03US avg 2.35

Weekend total nurse2.92

State avg 2.99US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.39 (case-mix index 1.39).

Staff turnover

Total nursing staff turnover50.0%

State avg 50.8%US avg 45.3%

Registered nurse turnoverNot reported

State avg 49.8%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Aug 27, 2026
Cycle 1 health score: 44
Total weighted score: 48

Operating entity

Heritage Brownsville Health Development LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

32

Organizations

10

Individuals

15

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Healthcare Investments Brownsville LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	not provided	Aug 1, 2024
Heritage Brownsville Health Development LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	not provided	Jun 21, 2024
Fellbaum 2023 Descendants Trust	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	16%	Jun 21, 2024
Jan Studer 2023 Spousal Trust	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	16%	Jun 21, 2024
Kelly Fellbaum 2023 Spousal Trust	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	16%	Jun 21, 2024
Studer 2023 Descendants Trust	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	16%	Jun 21, 2024
The Bryon and Rena Sehlke Living Trust	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	16%	Jun 1, 2024

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Healthcare Investments Brownsville LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	not provided	Aug 1, 2024
Heritage Brownsville Health Development LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	not provided	Jun 21, 2024
Fellbaum 2023 Descendants Trust	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	16%	Jun 21, 2024
Jan Studer 2023 Spousal Trust	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	16%	Jun 21, 2024
Kelly Fellbaum 2023 Spousal Trust	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	16%	Jun 21, 2024
Studer 2023 Descendants Trust	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	16%	Jun 21, 2024
The Bryon and Rena Sehlke Living Trust	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	16%	Jun 1, 2024
Touchstone Communities Inc	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jun 1, 2024
Leslie Campbell	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2024
Marisa Cardenas	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2024
Lynnea Castillo	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2024
Cynthia Gilcrease	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2024
Roman Mendoza	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2024
Bryon Sehlke	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jun 21, 2024
Darrell Zurovec	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2024
Jefferson Bank	Organization	Mortgage / security interest	5% OR GREATER SECURITY INTEREST	not provided	Apr 30, 2024
Fellbaum 2023 Descendants Trust	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jun 21, 2024
Healthcare Investments Brownsville LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jun 21, 2024
Jan Studer 2023 Spousal Trust	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jun 21, 2024
Kelly Fellbaum 2023 Spousal Trust	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jun 21, 2024
Studer 2023 Descendants Trust	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jun 21, 2024
The Bryon and Rena Sehlke Living Trust	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jun 1, 2024
Touchstone Communities Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jul 13, 2025
Trident Health Services Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jun 21, 2024
Leslie Campbell	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2024
Marisa Cardenas	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2024
Lynnea Castillo	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2024
Cynthia Gilcrease	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2024
Roman Mendoza	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2024
Jairo Rodriguez	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2024
Bryon Sehlke	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jun 21, 2024
Darrell Zurovec	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2024

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 180 East Price Road, Brownsville, TX 78521
ZIP: 78521
County: Cameron County FIPS 48061
State: Texas
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Alta Vista Rehabilitation and Healthcare 510 Paredes Line Rd, Brownsville, TX 78521 CCN 455625	2.3 km	100	May 1, 2026	281 IJ	—
Fox Hollow Post Acute 310 America Drive, Brownsville, TX 78526 CCN 676398	3.1 km	126	Jul 24, 2026	314 IJ	$55k
Mesa Hills Post Acute 901 Wildrose Ln, Brownsville, TX 78520 CCN 455423	4.3 km	166	Aug 28, 2026	541 IJ2 open	$5,734
Ebony Lake Nursing and Rehabilitation Center 1001 Central Blvd, Brownsville, TX 78520 CCN 675635	4.7 km	122	Apr 29, 2026	24	—
Spanish Meadows 440 E Ruben Torres Blvd, Brownsville, TX 78520 CCN 455802	5.3 km	119	Jul 23, 2026	421 IJ	$11k
Brownsville Nursing and Rehabilitation Center 320 Lorenaly Dr, Brownsville, TX 78520 CCN 676083	6.5 km	120	Jul 23, 2026	483 IJ	$58k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	745049	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	745049	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 745049

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction