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Fox Hollow Post Acute

310 America Drive, Brownsville, TX 78526 · Cameron County · (956) 574-3400

126 certified beds, about 124 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2016

Inside a hospital Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 676398 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on January 22, 2026, inspectors cited 7 health deficiencies (the Texas average is 9.4, the national average 9.2).

Of 31 health citations since July 2023, 4 were rated as actual harm or immediate jeopardy to residents (4 immediate jeopardy).

CMS lists 4 fines totaling $60,256 in the last three years; the largest was $31,528, and the latest is dated June 4, 2026.

Nurses and nurse aides worked 3.02 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.17 of those hours.

47.0% of nursing staff left within the year CMS measured (Texas average 55.3%).

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 31 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
4J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
24D
3E
0F
Potential for minimal harm
0A
0B
0C
July 24, 2026Complaint inspection · 2 citations
  1. D
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    F726 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 25, 2026
    Inspectors wroteBased on observation, interview and record review, the facility nursing staff failed to demonstrate competencies and skill-sets to care for residents' needs, as identified through resident assessment, and described in the plan of care, for 1 of 4 (Resident #1) residents reviewed. The facility failed to ensure CNA A continuously monitored and maintained proper positioning while sitting in her wheelchair for Resident #1. This deficient practice could place residents affect residents at risk of not receiving care and services to meet their needs.
  2. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 25, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure residents were free of significant medication errors for 1 of 3 residents (Resident #2) reviewed for medications. Facility failed to administer physician ordered medications Lisinopril and Clopidogrel Bisulfate to Resident #2 on 07/12/26. This failure could place residents at risk of delay in care, worsening of health conditions, adverse reactions, hospitalization, and death.
June 27, 2026Complaint inspection · 1 citation
  1. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 19, 2026
    Inspectors wroteBased on observation, interview and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with resident needs, that included measurable objectives and time frames to meet a resident's medical, nursing, and mental and psychosocial needs, for 1 of 4 residents (Resident #1) reviewed for care plans. The facility failed to ensure Resident #1's care plan reflected he no longer used an air mattress. This failure could place the residents at risk of not receiving appropriate interventions and care to meet their current needs.
June 4, 2026Complaint inspection · 1 citation
  1. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure each resident receives adequate supervision and assistance devices to prevent accidents for 1 (Residents #1) of 5 residents reviewed for accidents and supervision. The facility failed to ensure Resident #1 who had a previous history of elopement, received adequate supervision to prevent elopement. Resident #1 exited from the facility front entrance on 05/02/26 at around 8:40 PM. Resident was found roughly 2 miles from facility on a busy 2-way street that did not have a sidewalk and returned to the facility about 5 hours after he eloped. The non-compliance was identified as past non-compliance. The Immediate Jeopardy began on 05/02/26 and ended on 05/04/26. The facility had corrected the noncompliance before the survey began. [...]
May 2, 2026Complaint inspection · 2 citations
  1. J
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 18, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered- care plan, and the resident's choices for 1 (Resident #1) of 3 residents reviewed for quality of care. The facility failed to treat a confirmed infection despite two provider orders, resulting in septic shock and death, with no evidence of clinical follow-up or intervention An Immediate Jeopardy (IJ) was identified on [DATE]. While the IJ was removed on [DATE], the facility remained out of compliance at a scope of isolated and a severity level of no actual harm with a potential for more than minimal harm that is not immediate jeopardy, due to the facility's need to evaluate the effectiveness of the corrective systems. [...]
  2. J
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 18, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure residents were free of significant medication errors for 1 of 3 Residents (Resident #1) reviewed for antibiotic medication. Facility failed to acquire and administer physician ordered antibiotics to treat Resident #1's identified UTI. On [DATE] R#1was sent to hospital, admitted with septic shock and expired on [DATE]. An Immediate Jeopardy (IJ) was identified on [DATE]. While the IJ was removed on [DATE], the facility remained out of compliance at a scope of isolated with a potential for more than minimal harm, due to the facility's need to evaluate the effectiveness of the corrective systems. This failure could place residents at risk of delay in care, worsening of health conditions, adverse reactions, hospitalization, and death.
March 6, 2026Complaint inspection · 1 citation
  1. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 8, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the resident environment remained as free of accident hazards as possible for 1 of 3 linen carts (600 hallway linen cart) reviewed for accidents and hazards: The facility failed to ensure 600 hallway linen cart did not have disposable razors in top of linen cart. This failure could place residents at risk of harm or injury and contribute to avoidable accidents and a decline in health.
January 22, 2026Standard inspection · 7 citations
  1. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 12, 2026
    Inspectors wroteBased on observations, interviews, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for kitchen sanitation. The facility failed to ensure food was properly labeled and dated. The facility failed to clean the equipment properly. This failure placed all residents who ate food served by the kitchen at risk of cross contamination and food-borne illness. Findings Include:Observation of the juice machine on 01/20/26 at 8:27 AM revealed one of the spouts had a green substance around the entire rim. Observation of the walk-in refrigerator on 01/20/26 at 8:31 AM revealed a plastic container of tomatoes and a plastic container of oranges, not labeled or dated indicating when it was received. [...]
  2. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 12, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents received services in the facility with reasonable accommodation of each resident's needs, for two residents (Resident #1 and Resident #2), of twenty-eight residents reviewed for call light access. Residents #1 and #2's call light was placed out of reach of Resident #1 and Resident #2 while in bed. This failure could place residents at risk for not being able to call for assistance from staff.
  3. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 12, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident that included measurable objectives and time frames to meet a resident's medical, nursing, mental and psychosocial needs, for 1 Resident (Resident#72) of 3 residents reviewed for care plans. The facility did not develop and implement a comprehensive person-centered care plan to address Resident#72's behaviors. These failures could place all 121 residents in the facility at risk for their mental and psychosocial needs not being met.
  4. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 12, 2026
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a resident who was incontinent of bladder received appropriate treatment and services to prevent urinary tract infections and restore continence to the extent possible for 1 of 3 residents (Resident#116) reviewed for indwelling catheters. The facility failed to prevent Resident#116's urinary catheter tubing (bag) from touching the floor. This failure could place residents at risk for cross contamination and urinary tract infections.
  5. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 12, 2026
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure that a resident who needs respiratory care was provided such care, consistent with professional standards of practice for 2 of 4 residents (Resident#132 and Resident #3) reviewed for oxygen in that: 1. Resident #132 received oxygen at 2 LPM via nasal cannula without a physician's order. 2. The facility failed to ensure Resident #3's oxygen was administered at the correct setting of 3 LPM on [DATE] as ordered by the physician. These deficient practices could affect the residents who received oxygen continuously and could result in residents receiving incorrect or inadequate oxygen support and could result in a decline in health.
  6. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 12, 2026
    Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure a medication error rate below 5% for 27 medication administration opportunities with 3 errors resulting in a 11.11% medication error rate, for 2 of 5 residents (Resident #92 and Resident #56) reviewed for medication administration. 1. The MA failed to check Resident #92's pulse prior to the administration of his medications Amiodarone (used to regulate rapid and/or irregular heart rhythms) and Metoprolol (used to treat high blood pressure, chronic chest pain, and to improve survival following a heart attack) as ordered by the physician during medication pass observation on 01/21/2026 at 7:50 a.m. 2. [...]
  7. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 12, 2026
    Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure drugs and biologicals were stored and labeled in accordance with currently accepted professional principle, and included the appropriate accessory and cautionary instructions and the expiration date when applicable for 2 of 6 medication carts (400 hallway nurse cart and 100 hallway cart). 1. The facility failed to ensure that the 400 hall nurses medication cart was locked and secured when LVN G left the medication cart unlocked and unsecured on [DATE]. 2. The OTC medication in the 100 hallway Medication Cart did not have an opened date written on the bottle. These failures could place residents at risk of injury if medications left unsecured were consumed, drug diversion, and not receiving the therapeutic effects of the medication or treatment.
November 19, 2025Complaint inspection · 1 citation
  1. D
    Employ staff that are licensed, certified, or registered in accordance with state laws.
    F839 · Administration · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 20, 2025
    Inspectors wroteBased on interview and record review the facility failed to ensure before allowing an individual to serve as a nurse aide, registry verification was received that the individual had met competency evaluation requirements for 1 of 3 employees (CNA A) reviewed for nurse aide registry verification. The facility failed to ensure CNA A had a current nurse aide certification while employed at the facility, while actively providing care for residents. This failure could place residents at risk of not being provided the appropriate care.
October 14, 2025Complaint inspection · 1 citation
  1. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 15, 2025
    Inspectors wroteBased on observations, interviews, and record reviews the facility failed to ensure the resident environment remains as free of hazards as is possible; and each resident received adequate supervision and assistance devices to prevent accidents for 1 (Residents #1) of 4 residents reviewed for accidents and supervision. On 8/29/25 Resident #1, while being transferred by CNA A and CNA B via mechanical lift from bed to wheelchair, hit her left foot against the mast of the mechanical lift. CNA A failed to protect Resident #1's feet during the mechanical lift transfer. Resident #1's x-ray results: acute third digit proximal phalanx shaft and neck fracture (The largest and longest phalanx bone, it is the base of the toe.) An Immediate Jeopardy was identified on 10/10/2025. The Immediate Jeopardy template was provided to the facility on [DATE] at 02:59 p.m. [...]
December 15, 2024Complaint inspection · 1 citation
  1. D
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    F625 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 2, 2025
    Inspectors wroteBased on interview and record review, the facility failed to provide the resident and resident representative written notice which specifies the duration of the bed-hold policy for 1 (Resident #1) of 2 resident reviewed for bed-holds. The facility failed to provide bed-hold notification to Resident #1 when she was discharged to the hospital. This failure could place residents at risk of being improperly discharged and placed in unsafe conditions.
October 30, 2024Standard inspection, Complaint inspection · 6 citations
  1. E
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 1, 2024
    Inspectors wroteBased on observations, interviews, and record review the facility failed to ensure a resident who needed respiratory care was provided such care, consistent with professional standards of practice, the comprehensive person-centered care plan and the residents' goals and preferences for 3 of 5 residents (Resident #79, Resident #260, and Resident #261) reviewed for respiratory care. 1. The facility failed to ensure Resident #260, and Resident #261 received oxygen at the prescribed rate. 2. The facility failed to ensure Resident #79 had appropriate orders to receive oxygen. These failures could place residents at risk for respiratory distress.
  2. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 1, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to establish an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 of 8 residents (Resident #79) observed for infection control issues in that: 1. Wound care LVN M did not put on PPE when she entered Resident #79's room who was on contact precautions. 2. The AD did not change gloves while handling food and then touched the handles of a resident's wheelchair before returning to the task of handling food again. This deficient practice could place residents at-risk for infection due to improper infection control practices.
  3. D
    Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
    F635 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 1, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure at the time a resident is admitted , the facility had physician orders for the resident's immediate care and needs for 1 of 8 residents (Resident #79) reviewed for complete and accurate medical records. The facility failed to obtain orders for oxygen for Resident #79. This failure placed the resident at risk for not receiving the appropriate physician ordered care.
  4. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 1, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure the assessment accurately reflected the resident's status for 1 (Resident #1) of 8 residents reviewed for accuracy of assessments. The facility failed to ensure Resident #1's Discharge MDS reflected resident's falls. These failures could place residents at risk for improper care due to inaccurate records.
  5. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 1, 2024
    Inspectors wroteBased on Observation, interview and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights, that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment for 2 residents (Resident #79 and Resident #100) of 8 residents, reviewed for care plans, in that: 1. The facility failed to ensure Resident #79's care plan completed on 9/27/2024 and 10/15/24 reflected resident received oxygen therapy. 2. The facility failed to develop a comprehensive person-centered care plan for Resident #100's diagnosis of Alzheimer's disease once the MDS assessment was completed. [...]
  6. D
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 1, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to store, prepare and distribute food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for sanitation. 1. The facility failed to properly store raw meat in refrigerator. This failure could place residents at risk for foodborne illnesses.
September 19, 2024Complaint inspection · 3 citations
  1. D
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
    F585 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 9, 2024
    Inspectors wroteBased on interview and record review the facility failed to ensure prompt efforts by the facility were made to resolve grievances for the residents for 1 of 8 residents (Resident #2) reviewed for grievances. The facility failed to ensure a grievance was filled out and followed up on after Resident #2 reported her wallet was missing on 02/04/2024. This deficient practice could place residents at risk for decreased quality of life and feelings of neglect.
  2. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 9, 2024
    Inspectors wroteBased on observation, interview and record review the facility failed develop and implement a comprehensive person-centered care plan for each resident, consistent with resident the resident rights, that included measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial need that were identified in the comprehensive assessment for 1 of 8 residents (Resident #3) reviewed for comprehensive person-centered care plans. The facility failed to develop a comprehensive person-centered care plan for Resident #3 to address oxygen therapy. This deficient practice could place residents at risk of not being provided with the necessary care or services and not having personalized plans developed to address their specific needs.
  3. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 9, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a resident who was incontinent of bladder received appropriate treatment and services to prevent urinary tract infections and to restore continence to the extent possible for 1 of 1 resident (Resident#1) reviewed for indwelling catheters. The facility failed to prevent Resident#1's urinary catheter tubing (bag) from touching the floor. This failure could place residents at risk for cross contamination and urinary tract infections.
July 9, 2024Complaint inspection · 1 citation
  1. D
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 29, 2024
    Inspectors wroteBased on interview and record review, the facility failed to provide notice of transfer or discharge at least 30 days before a resident was transferred or discharged for 1 of 5 Residents (Resident #1) reviewed for discharges, in that: Resident #1 and their representative were not provided a 30 day discharge notice before being discharged home from facility on 07/01/24. This deficient practice could affect residents at the facility by placing them at risk of being transferred/discharged and not having access to available advocacy services, discharge/transfer options, and appeal processes.
April 6, 2024Complaint inspection · 1 citation
  1. D
    Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
    F626 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 10, 2024
    Inspectors wroteBased on interview and record review, the facility failed to establish and follow written policy on permitting residents to return to the facility after they were hospitalized for one (Resident #1) of one resident reviewed for transfer/discharge. The facility failed to re-admit Resident #1 to the facility after he was sent to the hospital on [DATE]. This failure could place residents at risk of not receiving the care and services to meet their needs and could affect their mental and emotional well-being.
July 27, 2023Standard inspection · 3 citations
  1. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 22, 2023
    Inspectors wroteBased on interview and record review, the facility failed to ensure that all alleged violations involving abuse, neglect, or mistreatment, were reported immediately to the State Survey Agency, within two hours if the events that cause the allegation involve abuse or result in serious bodily injury, or not later than 24 hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury, for 2 residents (Resident #77 and Resident #66) of 2 residents reviewed for abuse/neglect, in that: The facility did not report the allegation of resident abuse to the State Survey Agency within the allotted time frame for Resident #77 and Resident #66 who had a resident-to-resident altercation. This failure could place all residents at risk for injuries, abuse, and/or neglect.
  2. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 22, 2023
    Inspectors wroteBased on observation, interview and record review the facility failed to develop and implement a comprehensive person-centered care plan that includes measurable objectives and time frames to meet a resident's medical and nursing needs to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being for 1 resident (Resident #108) of 8 residents, reviewed for care plans in that: The facility failed to develop a comprehensive person-centered care plan for Resident #108 when she was admitted to hospice on 07/12/23. This deficient practice could place residents in the facility at risk of not being provided with the necessary care or services to address their specific needs.
  3. D
    Have a policy regarding use and storage of foods brought to residents by family and other visitors.
    F813 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 22, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain and ensure safe and sanitary storage of residents' food items for 2 (Resident #48 and Resident #45) of 2 resident refrigerators reviewed for refrigerator sanitation. Resident #48's personal refrigerator had 2 glasses of milk covered in plastic wrap with no date or label. Resident #45's personal refrigerator had cookies in a ziplock with no date or label. This failure could place residents who store food items in resident refrigerators, at risk for cross-contamination and food-borne illnesses.

Fines and payment denials

DatePenaltyAmount or length
June 4, 2026Fine $16,355
May 2, 2026Fine $31,528
October 14, 2025Fine $8,281
April 6, 2024Fine $4,092

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeTexasUnited States
All nursing staff (RN, LPN and aides)3.023.393.86
Registered nurses0.170.430.69
All nursing staff on weekends2.602.983.42
Nurse aides1.81
Licensed practical nurses1.04
Nursing staff turnover (share who left in a year)47.0%55.3%45.8%
Registered nurse turnover62.5%54.6%42.9%
Administrators who left0

CMS expects 3.94 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.18 on weekdays and 2.60 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.09 in April to June 2025 to 3.02 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.020.173.182.60 1.6%0 of 90124
Oct to Dec 20253.200.193.332.90 1.3%0 of 92117
Jul to Sep 20253.170.153.282.90 1.2%0 of 92117
Apr to Jun 20253.090.293.212.81 0.9%0 of 91128
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Texas, Jan to Mar 20263.330.403.502.932.2%0.7% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Texas

JobMedianMiddle halfEmployed
Texas, all employers
CNAs (nursing assistants)$18.03$16.97 to $20.7188,680
LPNs and LVNs$29.92$27.46 to $32.8957,560
Registered nurses$46.14$38.06 to $50.53271,380
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeTexasUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
10.115.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.30.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.80.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.63.33.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.21.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
6.914.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.43.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
2.89.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
22.625.723.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
11.012.312.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.72.21.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.82.11.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Fox Hollow Post Acute's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (45.7% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

45.7% this home

No different from the national rate

US median of homes 51.5% · Texas: 116 better, 50 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 210 eligible stays.

Potentially preventable readmissions

14.9% this home

Worse than the national rate

US median of homes 10.7% · Texas: 0 better, 9 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 232 eligible stays.

Infections that led to a hospital stay

6.5% this home

No different from the national rate

US median of homes 7.1% · Texas: 4 better, 11 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 118 eligible stays.

Self-care and mobility at discharge

41.3% this home

Median of homes: Texas57.3% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 46 residents counted.

Falls with major injury

0.0% this home

Median of homes: Texas0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 84 residents counted.

New or worsened pressure ulcers

0.0% this home

Median of homes: Texas1.3% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 84 residents counted.

Medication list given at discharge

91.7% this home

Median of homes: Texas98.5% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 24 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: UVALDE COUNTY HOSPITAL AUTHORITY.

NameRoleTypeShareSince
Garate, PaulW-2 managing employeeIndividual11/01/2021
Elliott, BenjaminCorporate directorIndividual07/23/2015
Faglie, KellyCorporate directorIndividual01/25/2016
Gaitonde, GajananCorporate directorIndividual02/28/2006
Gonzales, HectorCorporate directorIndividual03/27/2001
Gonzales, JuanCorporate directorIndividual06/01/2022
Gutierrez, MonicaCorporate directorIndividual10/28/2014
Kessler, WilliamCorporate directorIndividual02/27/1973
Zamora, RaulCorporate directorIndividual12/30/1980
Apolinar, AdamCorporate officerIndividual07/23/2015
Contreras, TerriCorporate officerIndividual04/29/2019
Nordwick, ThomasCorporate officerIndividual05/01/2019
Brownsville SNF, LLCOperational/managerial controlOrganization05/01/2019

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 8 problems in this area, most recently on June 4, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 7 problems in this area, most recently on June 27, 2026: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on January 22, 2026: "Reasonably accommodate the needs and preferences of each resident."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on July 24, 2026: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.60 hours per resident per day, below the Texas average of 2.98.

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Common questions

What is Fox Hollow Post Acute's Medicare star rating?
CMS rates Fox Hollow Post Acute 1 out of 5 stars overall, with 1 for health inspections, 1 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Fox Hollow Post Acute get at its last inspection?
7 health deficiencies at the standard inspection on January 22, 2026. The Texas average is 9.4.
Has Fox Hollow Post Acute been fined?
Yes. CMS lists 4 fines totaling $60,256 in the last three years.
Does Fox Hollow Post Acute accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Fox Hollow Post Acute?
CMS lists 13 owners and managers. Legal business name: UVALDE COUNTY HOSPITAL AUTHORITY.

Sources

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