Brownsville, TX

Ebony Lake Nursing And Rehabilitation Center

5-star overall rating with 4-star inspections with 8 recent health deficiencies

1001 Central Blvd, Brownsville, TX

(956) 541-0917

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

122

Certified beds

Average residents

85

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

Wellsential Health

Operator or chain grouping

Approved since

1996-09-11

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

67 facilities

Chain averages 3 overall / 3 health / 2 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.34

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

0.74

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

2.03

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

3.11

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.08

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

2.75

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.29

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.06

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.34

CMS adjusted RN staffing hours

Adjusted total hours

3.09

CMS adjusted total nurse staffing hours

Case-mix index

1.38

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

40%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

8,927

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

25.26

Composite VBP score used to determine payment impact.

Payment multiplier

0.9837

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Performance 21.29% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.

Healthcare-associated infections

4.78

Baseline 8.01% · Performance 6.42% · Measure score 4.78 · Achievement 4.75 · Improvement 4.78

Total nurse turnover

4.80

Baseline 47.54% · Performance 44.07% · Measure score 4.80 · Achievement 4.80 · Improvement 1.03

Adjusted total nurse staffing

0.52

Baseline 3.02 hours · Performance 3.23 hours · Measure score 0.52 · Achievement 0.52 · Improvement 0.26

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.08%	10.72% 0.4 pts worse	No Different than the National Rate · Eligible stays 68 · Observed rate 13.24% · Lower 95% interval 7.62%
Discharge to community	57.8%	50.57% 7.2 pts better	No Different than the National Rate · Eligible stays 59 · Observed rate 47.46% · Lower 95% interval 44.47%
Medicare spending per beneficiary	1.02	1.02 About the same
Drug regimen review with follow-up	77.78%	95.27% 17.5 pts worse	Numerator 28 · Denominator 36
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 36
Discharge self-care score	40%	53.69% 13.7 pts worse	Numerator 8 · Denominator 20
Discharge mobility score	45%	50.94% 5.9 pts worse	Numerator 9 · Denominator 20
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 36 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	6.42%	7.12% 0.7 pts better	No Different than the National Rate · Eligible stays 37 · Observed rate 5.41% · Lower 95% interval 3.7%
Staff COVID-19 vaccination coverage	2.93%	8.2% 5.3 pts worse	Numerator 6 · Denominator 205
Staff flu vaccination coverage	75.19%	42% 33.2 pts better	Numerator 100 · Denominator 133
Discharge function score	35%	56.45% 21.5 pts worse	Numerator 7 · Denominator 20
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.9%	97.1% 1.8 pts better	93.4% 5.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 95.8% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 98.9%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.6%	97.9% 0.7 pts better	95.5% 3.1 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.6%
Percentage of long-stay residents experiencing one or more falls with major injury	1.4%	3.3% 1.9 pts better	3.3% 1.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.4% · Q4 3.9% · 4Q avg 1.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	2.4%	2.7% 0.3 pts better	11.4% 9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 0.0% · Q3 3.2% · Q4 2.7% · 4Q avg 2.4%
Percentage of long-stay residents who lose too much weight	2.3%	3.3% 1 pts better	5.4% 3.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 0.0% · Q3 3.1% · Q4 4.3% · 4Q avg 2.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	14.9%	18.9% 4 pts better	19.6% 4.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.9% · Q2 14.5% · Q3 16.9% · Q4 12.7% · 4Q avg 14.9%
Percentage of long-stay residents who received an antipsychotic medication	4.8%	10.8% 6 pts better	16.7% 11.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 7.5% · Q3 3.4% · Q4 1.6% · 4Q avg 4.8% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	6.3%	15.4% 9.1 pts better	16.3% 10 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 13.0% · Q3 5.2% · Q4 0.0% · 4Q avg 6.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	15.1%	16.1% 1 pts better	14.9% 0.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 14.5% · Q2 24.1% · Q3 9.1% · Q4 13.1% · 4Q avg 15.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.5% 0.5 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	0.8% 0.8 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	12.7%	15.0% 2.3 pts better	19.8% 7.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 20.3% · Q2 14.5% · Q3 9.3% · Q4 7.2% · 4Q avg 12.7%
Percentage of long-stay residents with pressure ulcers	2.2%	4.2% 2 pts better	5.1% 2.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 3.1% · Q3 1.5% · Q4 0.0% · 4Q avg 2.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	89.7% 10.3 pts better	81.7% 18.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of short-stay residents who had an outpatient emergency department visit	13.5%	12.0% 1.5 pts worse	12.0% 1.5 pts worse	Short Stay · 20240701-20250630 · Adjusted 13.5% · Observed 17.2% · Expected 14.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.5% 1.5 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	96.9%	88.0% 8.9 pts better	79.7% 17.2 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 96.9%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	17.5%	25.9% 8.4 pts better	23.9% 6.4 pts better	Short Stay · 20240701-20250630 · Adjusted 17.5% · Observed 20.7% · Expected 28.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-09-26 · Fire 2024-09-26

8 health deficiencies

Top issue: Resident Assessment and Care Planning (4 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2023-06-30 · Fire 2023-06-30

3 health deficiencies

Top issue: Resident Rights (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2022-04-01 · Fire 2022-04-01

4 health deficiencies

Top issue: Infection Control (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-09-18

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2025-09-19

D · Potential for more than minimal harm 2025-09-18

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-09-19

D · Potential for more than minimal harm 2025-05-13

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-05-14

D · Potential for more than minimal harm 2025-05-13

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-05-14

D · Potential for more than minimal harm 2024-09-26

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-10-04

D · Potential for more than minimal harm 2024-09-26

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-10-04

D · Potential for more than minimal harm 2024-09-26

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-10-04

D · Potential for more than minimal harm 2024-09-26

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-10-04

D · Potential for more than minimal harm 2023-11-06

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2023-11-07

D · Potential for more than minimal harm 2023-06-30

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2023-07-01

D · Potential for more than minimal harm 2023-06-30

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2023-07-01

D · Potential for more than minimal harm 2023-06-30

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2023-07-01

D · Potential for more than minimal harm 2022-04-01

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2022-04-23

D · Potential for more than minimal harm 2022-04-01

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2022-04-23

D · Potential for more than minimal harm 2022-04-01

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-04-23

Penalties and ownership

What sits behind the stars

Ownership

Val Verde County Hospital District

5% Or Greater Direct Ownership Interest · Organization

100% 19 facilities 2022-04-01

Calderon, Javier