Hearth Record

Brownsville Nursing and Rehabilitation Center

A nursing home in Brownsville, Texas 78520

320 Lorenaly Dr, Brownsville, Texas 78520. (956) 350-2252.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 28, 2026.

The last 24 months 42 citations in 9 months of the last 36. Last cited Jul 2026. Most serious: immediate jeopardy to health or safety (K). Every month

Each figure’s source sits beside it, in its section below.

What these words mean8
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Scope and severity (A to L)
CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
Nurse staffing hours
The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
Fines and payment denials
A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
Immediate jeopardy
CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
Capacity
The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

14 health citations at the latest inspection cycle

The Texas average is 9.6.

Last standard inspection Aug 12, 2025.

Most serious in three years: immediate jeopardy to health or safety (J), at a complaint inspection on Jul 15, 2025

Source:

CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

When those citations happened

42 citations in 9 months of the last 36. Last cited Jul 2026. Most serious: immediate jeopardy to health or safety (K). The last 3 years, to Nov 5, 2026.

42 citations by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

All 42 citations in the last three years

Grouped by inspection, newest first. Each carries , from A, the least serious, to L, the most. 29 came from complaint inspections.

Source:

CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Jul 23, 2026: complaint inspection2 citations

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

    Rule F0755. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 24, 2026.

  • Provide and implement an infection prevention and control program.

    Rule F0880. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 24, 2026.

Jul 17, 2026: complaint inspection1 citation

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

    Rule F0842. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 18, 2026.

Jul 10, 2026: complaint inspection1 citation

  • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Rule F0921. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 11, 2026.

Dec 8, 2025: complaint inspection3 citations

  • 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.

    Rule F0578. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 9, 2025.

  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Rule F0657. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 9, 2025.

  • Ensure services provided by the nursing facility meet professional standards of quality.

    Rule F0658. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 9, 2025.

Aug 31, 2025: complaint inspection1 citation

  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Rule F0684. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 1, 2025.

Aug 12, 2025: standard inspection7 citations

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

    Rule F0689. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 13, 2025.

  • Provide enough food/fluids to maintain a resident’s health.

    Rule F0692. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 13, 2025.

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

    Rule F0695. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 13, 2025.

  • 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.

    Rule F0761. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 13, 2025.

  • Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

    Rule F0808. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 13, 2025.

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

    Rule F0812. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 13, 2025.

  • Provide and implement an infection prevention and control program.

    Rule F0880. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 13, 2025.

Jul 15, 2025: complaint inspection12 citations

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

    Rule F0689. J: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Jan 2, 2025.

  • Ensure that residents are fully informed and understand their health status, care and treatments.

    Rule F0552. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 17, 2025.

  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Rule F0600. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 17, 2025.

  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Rule F0609. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 17, 2025.

  • Ensure each resident receives an accurate assessment.

    Rule F0641. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 17, 2025.

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

    Rule F0656. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 17, 2025.

  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Rule F0657. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 17, 2025.

  • Provide enough food/fluids to maintain a resident’s health.

    Rule F0692. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 17, 2025.

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

    Rule F0755. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 17, 2025.

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

    Rule F0756. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 17, 2025.

  • Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Rule F0757. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 17, 2025.

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

    Rule F0842. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 17, 2025.

May 8, 2025: complaint inspection3 citations

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

    Rule F0635. K: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: May 9, 2025.

  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Rule F0684. K: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: May 9, 2025.

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

    Rule F0842. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 9, 2025.

Sep 12, 2024: complaint inspection2 citations

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

    Rule F0656. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 13, 2024.

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

    Rule F0755. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 13, 2024.

Jun 27, 2024: standard inspection6 citations

  • Reasonably accommodate the needs and preferences of each resident.

    Rule F0558. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 28, 2024.

  • 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.

    Rule F0578. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 28, 2024.

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

    Rule F0656. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 28, 2024.

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

    Rule F0690. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 28, 2024.

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

    Rule F0695. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 28, 2024.

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

    Rule F0755. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 28, 2024.

Jun 27, 2024: standard and complaint inspection1 citation

  • Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted

    Rule F0655. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 28, 2024.

May 31, 2024: complaint inspection2 citations

  • Ensure each resident receives an accurate assessment.

    Rule F0641. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 1, 2024.

  • Have a policy regarding use and storage of foods brought to residents by family and other visitors.

    Rule F0813. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 1, 2024.

Feb 26, 2024: complaint inspection1 citation

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

    Rule F0842. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 27, 2024.

Is it certified, and in good standing?

  • Certified for Medicare and Medicaid since Dec 9, 2005.
  • Not on CMS’s special focus list.
  • No abuse icon from CMS.
  • No change of ownership in the last 12 months.
  • CMS lists its ownership as non profit, corporation.
  • 120 certified beds.
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Has it been fined or penalized?

  • 2 fines in the last three years, $57,708 in all.
  • No Medicare payment denials in the last three years.
  • 29 citations in the last three years came from complaint inspections.
Source:

CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Fines and payment denials, newest first
DateKindAmount
Jul 15, 2025Fine$10,361
May 8, 2025Fine$47,347

Who does the caring?

2.95 nurse hours per resident per day

The Texas average is 3.42.

CMS publishes staffing about four months after the fact.

Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

Staffing measures
MeasureThis homeTexas average
Nurse hours per resident per day2.953.42
Of which registered nurses0.330.44
At weekends2.572.99
Nursing staff turnover59.1%50.8%
Registered nurse turnover50%49.8%
Administrators who left1Not given

Who owns it?

  • Val Verde County Hospital District owns 100% directly since Apr 1, 2022; Regency IHS of Brownsville LLC owns 0% directly since Apr 1, 2022.
  • Regency IHS of Brownsville LLC and Regency Integrated Health Services LLC and Val Verde County Hospital District run it.
  • 23 owners or officers are people: Robin Palmer (on the governing body (managing control)); Darlington C Udeh (additional disclosable party (controls, leases property to, or provides services to the home)); Patricia Gibson (on the governing body (managing control)); Cris Diaz (on the governing body (managing control)); Barbara B Clapp (on the governing body (managing control)); Antonio Carvajal (on the governing body (managing control)); Javier Calderon (corporate officer, 0%); Luis Calderon (runs it (operational or managerial control)); Luis Calderon (additional disclosable party (controls, leases property to, or provides services to the home)); Veronica Gonzales (on the governing body (managing control)); Julio Otazo (on the governing body (managing control)); Nicole Kaufman (on the governing body (managing control)); Melissa Briseno (additional disclosable party (controls, leases property to, or provides services to the home)); Jorge Jurado (corporate officer, 0%); Jorge Jurado (on the governing body (managing control)); Daniel J Chartrand (corporate officer, 0%); Seferino Gomez (corporate officer, 0%); Daniel S Baird (on the governing body (managing control)); Lee Thomas Keenen (corporate officer, 0%); Donovan R Dekowski (runs it (operational or managerial control)); Donovan R Dekowski (additional disclosable party (controls, leases property to, or provides services to the home)); Daren A Cortese (on the governing body (managing control)); Elliot J Mandelbaum (on the governing body (managing control)).
  • Part of Wellsential Health (67 homes in CMS’s data).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Organisations CMS lists
OrganisationRoleShareSince
Val Verde County Hospital DistrictOwns 5% or more directly100%Apr 1, 2022
Csv Rhea Management Holdco, LLCOwns a share through other companies0%Apr 1, 2022
Reg Leased Opco LLCOwns a share through other companies0%Apr 1, 2022
Regency IHS of Brownsville LLCRuns it (operational or managerial control)Apr 1, 2022
Regency IHS of Brownsville LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Jun 17, 2025
Regency IHS of Brownsville LLCOwns a share directly0%Apr 1, 2022
Regency IHS Rehab LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Apr 1, 2022
Regency Texas Holdings LLCOwns a share through other companies0%Apr 1, 2022
Jack and Nancy Dwyer Workforce Development Center Inc.Owns a share through other companies0%Apr 1, 2022
Reg Operator Holdco LLCOwns a share through other companies0%Apr 1, 2022
Dwd TX Holdings LLCOwns a share through other companies0%Apr 1, 2022
Regency Integrated Health Services LLCRuns it (operational or managerial control)Apr 1, 2022
Regency Integrated Health Services LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Jun 17, 2025
Regency Integrated Health Services LLCOwns a share through other companies0%Apr 1, 2022
320 Lorenally Drive LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Apr 1, 2022
Val Verde County Hospital DistrictRuns it (operational or managerial control)Apr 1, 2022
Val Verde County Hospital DistrictAdditional disclosable party (controls, leases property to, or provides services to the home)Jun 17, 2025
Regency IHS Clinical Consulting, LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Apr 1, 2022

How do residents fare?

  • CMS rates its quality measures 4 of 5 (Texas average 3.8).
Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

CMS’s star ratings, from 1 to 5
MeasureRating
Overall rating1 of 5
Health inspections2 of 5
Staffing1 of 5
Quality measures4 of 5

How does it compare nearby?

  • Among the 12 nearest homes, within 17.0 miles, this one had the 3rd most health citations at the latest inspection cycle (14; the middle value was 12).
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

The 12 nearest, by straight-line distance
PlaceMiles awayCitations, latest cycle
Brownsville Nursing and Rehabilitation Center This nursing home14
Fox Hollow Post Acute2.116
Mesa Hills Post Acute2.423
Alta Vista Rehabilitation and Healthcare3.411
Ebony Lake Nursing and Rehabilitation Center3.612
Las Alturas Nursing & Transitional Care Brownsvill4.010
Spanish Meadows5.113
Sun Valley Rehabilitation and Healthcare Center16.44
Windsor Nursing and Rehabilitation Center of Harli16.612
Golden Palms Rehabilitation and Retirement17.07
Harlingen Nursing and Rehabilitation Center17.012
Treasure Hills Healthcare and Rehabilitation Cente17.08

What the record doesn’t say

  • Complaints that didn’t lead to a citation aren’t published.
  • Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
  • CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
  • Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.

Sources

  • Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).

    Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the home

The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

Every fact names its source.

Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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