Non profit - Corporation · 122 certified beds · CMS number 675635

Ebony Lake Nursing and Rehabilitation Center, Brownsville, TX

CMS records 24 health deficiencies at Ebony Lake Nursing and Rehabilitation Center in Brownsville, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jan 15, 2026. The highest severity cited is E (no actual harm, potential for more than minimal harm). CMS lists no fines or payment denials in the last three years.

Inspections and deficiencies

CMS findings for Ebony Lake Nursing and Rehabilitation Center as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Ebony Lake Nursing and Rehabilitation Center may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare

Most recent cycle (14 deficiencies)

Standard inspection Jan 15, 2026. CMS counts 14 health deficiencies and 0 fire safety deficiencies in this cycle.

Apr 29, 2026 · Complaint inspection

4 deficiencies, highest D

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 30, 2026

F689 · Accident prevention and supervision

Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 30, 2026

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 30, 2026

F580 · Telling residents and families about changes

Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 30, 2026

Mar 25, 2026 · Complaint inspection

2 deficiencies, highest D

F842 · Complete, confidential medical records

Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Mar 26, 2026

F578 · Refusing treatment and advance directives

Requirement cited (CMS): 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.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Mar 26, 2026

Feb 18, 2026 · Complaint inspection

1 deficiency, highest D

F761 · Drug labeling and secure storage

Requirement cited (CMS): 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.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Feb 19, 2026

Jan 15, 2026 · Standard inspection

5 deficiencies, highest E

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 29, 2026

F812 · Food safety and sanitation

Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jan 29, 2026

F800 · Nourishing, well-balanced diet

Requirement cited (CMS): Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 29, 2026

F761 · Drug labeling and secure storage

Requirement cited (CMS): 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.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jan 29, 2026

F760 · No significant medication errors

Requirement cited (CMS): Ensure that residents are free from significant medication errors.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 29, 2026

Sep 18, 2025 · Complaint inspection

2 deficiencies, highest D

F842 · Complete, confidential medical records

Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Sep 19, 2025

F583 · Personal privacy and confidential records

Requirement cited (CMS): Keep residents' personal and medical records private and confidential.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Sep 19, 2025
Previous cycle: 6 deficiencies (standard inspection Sep 26, 2024)

Standard inspection Sep 26, 2024. CMS counts 6 health deficiencies and 0 fire safety deficiencies in this cycle.

May 13, 2025 · Complaint inspection

2 deficiencies, highest D

F842 · Complete, confidential medical records

Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 14, 2025

F755 · Pharmacy services and a consultant pharmacist

Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 14, 2025

Sep 26, 2024 · Standard + complaint inspection

4 deficiencies, highest D

F842 · Complete, confidential medical records

Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Oct 4, 2024

F812 · Food safety and sanitation

Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Oct 4, 2024

F695 · Respiratory and oxygen care

Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Oct 4, 2024

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Oct 4, 2024
Earlier cycle: 4 deficiencies (standard inspection Jun 30, 2023)

Standard inspection Jun 30, 2023. CMS counts 4 health deficiencies and 0 fire safety deficiencies in this cycle.

Nov 6, 2023 · Complaint inspection

1 deficiency, highest D

F842 · Complete, confidential medical records

Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Nov 7, 2023

Jun 30, 2023 · Standard inspection

3 deficiencies, highest D

F690 · Bladder, bowel, and catheter care

Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 1, 2023

F584 · Safe, clean, homelike surroundings

Requirement cited (CMS): 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.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 1, 2023

F583 · Personal privacy and confidential records

Requirement cited (CMS): Keep residents' personal and medical records private and confidential.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 1, 2023

Tags cited in more than one inspection

6 tags cited on more than one inspection date at Ebony Lake Nursing and Rehabilitation Center; each date counts once and does not mean the same incident. PNC = past non-compliance.

TagInspectionsDates
F842 Complete, confidential medical records5Mar 25, 2026; Sep 18, 2025; May 13, 2025; Sep 26, 2024; Nov 6, 2023
F583 Personal privacy and confidential records2Sep 18, 2025; Jun 30, 2023
F656 Comprehensive person-centered care plan2Apr 29, 2026; Sep 26, 2024
F761 Drug labeling and secure storage2Feb 18, 2026; Jan 15, 2026
F812 Food safety and sanitation2Jan 15, 2026; Sep 26, 2024
F880 Infection prevention and control program2Apr 29, 2026; Jan 15, 2026

Fines and payment denials

CMS lists no fines or payment denials for this nursing home in the last three years.

Staffing and CMS ratings

Total nurse staff hours per resident per day
3.32 h (about the same as the Texas median of 3.27 h)
RN hours per resident per day
0.34 h (below the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
2.95 h
Nursing staff turnover
31.4% (Texas median 52.1%)
Administrators who left
0
CMS overall rating
4 of 5
Health inspection rating
3 of 5
Staffing rating
2 of 5
Quality measure rating
5 of 5

CMS figures for Ebony Lake Nursing and Rehabilitation Center, copied as published; Texas medians are ours.

Facility details

Address
1001 Central Blvd, Brownsville, TX 78520
Phone
(956) 541-0917
County
Cameron
Accepts
Medicare and Medicaid
Ownership
Non profit - Corporation
Chain (CMS)
Wellsential Health
Certified beds
122
Average residents per day
84.2
In Medicare/Medicaid since
Sep 11, 1996
Inside a hospital
No
Continuing care retirement community
No
Resident and family council
Resident
Sprinklers in all required areas
Yes

Questions to ask on a visit

Based on the tags cited most often here.

  • Does the home use electronic health records, and can families get access through a portal? (F842, cited 5 times)
  • How do staff protect residents' privacy during bathing, dressing, and treatments? (F583, cited 2 times)
  • How are a resident's goals and preferences written into the care plan? (F656, cited 2 times)
  • How are medications stored and secured on each unit? (F761, cited 2 times)

Other nursing homes in Brownsville and the same chain

Source

CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.

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