Velarion Records

The 340B register and hospital finances — joined, watched daily, delivered.

Skilled nursing facility · CMS certification number 745049

Las Alturas Nursing & Transitional Care Brownsvill

Brownsville, Texas · Medicare and Medicaid

Certified beds, as filed in Care Compare: 122

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for 21 June 2024 to 31 December 2024 — a reporting period of 193 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 27 June 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$4,234,670CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,236,568CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,998,102CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,189,849CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,191,747CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income−$1,191,747CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,191,747 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components122CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components23,668CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days2,749CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days5,566CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days356CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components8,671CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges85CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges145CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges13CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components243CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days32.34CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days38.39CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days35.68CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1432820, read from the public cost report file SNF10FY2024.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
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
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
FELLBAUM 2023 DESCENDANTS TRUSTADP OF THE SNFOrganizationNOT APPLICABLEsince 06/21/2024
GILCREASE, CYNTHIAADP OF THE SNFIndividualNOT APPLICABLEsince 04/01/2024
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
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
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
ZUROVEC, DARRELLADP OF THE SNFIndividualNOT APPLICABLEsince 04/01/2024
CAMPBELL, LESLIEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 04/01/2024
CARDENAS, MARISAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 04/01/2024
CASTILLO, LYNNEAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 04/01/2024
GILCREASE, CYNTHIAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 04/01/2024
MENDOZA, ROMANOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 04/01/2024
SEHLKE, BRYONOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/21/2024
TOUCHSTONE COMMUNITIES INCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 06/01/2024
ZUROVEC, DARRELLOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 04/01/2024

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of HERITAGE BROWNSVILLE HEALTH DEVELOPMENT LLC (enrollment ID O20240528001535).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
HEALTHCARE INVESTMENTS BROWNSVILLE LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST808/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
HERITAGE BROWNSVILLE HEALTH DEVELOPMENT LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1006/21/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
FELLBAUM 2023 DESCENDANTS TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST166/21/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
JAN STUDER 2023 SPOUSAL TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST166/21/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
KELLY FELLBAUM 2023 SPOUSAL TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST166/21/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
STUDER 2023 DESCENDANTS TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST166/21/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
THE BRYON AND RENA SEHLKE LIVING TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST166/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
JEFFERSON BANKOrganization5% OR GREATER SECURITY INTERESTCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/30/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
BRYON SEHLKEIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/21/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CYNTHIA GILCREASEIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DARRELL D ZUROVECIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
FELLBAUM 2023 DESCENDANTS TRUSTOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/21/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
HEALTHCARE INVESTMENTS BROWNSVILLE LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/21/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
JAIRO RODRIGUEZIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JAN STUDER 2023 SPOUSAL TRUSTOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/21/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
KELLY FELLBAUM 2023 SPOUSAL TRUSTOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/21/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
LESLIE D CAMPBELLIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LYNNEA CASTILLOIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARISA CARDENASIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ROMAN MENDOZAIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
STUDER 2023 DESCENDANTS TRUSTOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/21/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
THE BRYON AND RENA SEHLKE LIVING TRUSTOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
TOUCHSTONE COMMUNITIES INCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/13/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
TRIDENT HEALTH SERVICES INCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/21/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.OrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/13/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.OrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/13/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.OrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.IndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/21/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.OrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/21/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.OrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/13/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.IndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/21/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.OrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/13/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.OrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/13/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.OrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/21/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
BRYON SEHLKEIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/21/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CYNTHIA GILCREASEIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DARRELL D ZUROVECIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LESLIE D CAMPBELLIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LYNNEA CASTILLOIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARISA CARDENASIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ROMAN MENDOZAIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TOUCHSTONE COMMUNITIES INCOrganizationOPERATIONAL/MANAGERIAL CONTROL06/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: No

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
11 July 20251 July 2025110
221 June 202421 June 202430

From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.

Deficiencies cited

14 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
24 June 2026HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DYesDeficient, Provider has date of correction17 July 2026
3 March 2026HealthF 0761Pharmacy Service DeficienciesEnsure 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.DYesDeficient, Provider has date of correction12 March 2026
19 November 2025HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DYesDeficient, Provider has date of correction5 December 2025
1 July 2025HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.DNoDeficient, Provider has date of correction23 July 2025
1 July 2025HealthF 0578Resident Rights DeficienciesHonor 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.DYesDeficient, Provider has date of correction23 July 2025
1 July 2025HealthF 0628Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DYesDeficient, Provider has date of correction23 July 2025
1 July 2025HealthF 0644Resident Assessment and Care Planning DeficienciesCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DNoDeficient, Provider has date of correction23 July 2025
1 July 2025HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correction23 July 2025
1 July 2025HealthF 0693Quality of Life and Care DeficienciesEnsure 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.DNoDeficient, Provider has date of correction23 July 2025
1 July 2025HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DNoDeficient, Provider has date of correction23 July 2025
1 July 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correction23 July 2025
12 June 2025HealthF 0655Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDYesDeficient, Provider has date of correction1 July 2025
12 June 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JYesPast Non-Compliance12 June 2025
6 November 2024HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DYesDeficient, Provider has date of correction29 November 2024

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
12 June 2025Fine$8,434113941

From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Corporation
Legal Business NameHERITAGE BROWNSVILLE HEALTH DEVELOPMENT LLC
Date First Approved to Provide Medicare and Medicaid Services2024-06-21
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishCameron
Telephone Number9563032002
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilNone
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds122
Average Number of Residents per Day97.2
Overall Rating3
Health Inspection Rating4
QM Rating4
Long-Stay QM Rating5
Short-Stay QM Rating2
Processing Date2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

Get an email when this record changes

One email a day naming what moved on Las Alturas Nursing & Transitional Care Brownsvill: the field, the value before, the value after, and the date of the file that first showed it.

The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.

On 1 July 2026: KELLY FELLBAUM 2023 SPOUSAL TRUST no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. That is one line of the alert.

What the alerts are, and what a day of them looks like, is on the alerts page.

See a sample

Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.

The citable document for Las Alturas Nursing & Transitional Care Brownsvill

This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Texas at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.

Read the citable document for this facility →

Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 745049.