The home failed to properly label and securely store medications and biologicals. Cited January 2026 — limited pattern, potential for harm.
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F-Tag 761 — 42 CFR §483.45(g) — S/S: E
Nursing home report
EBONY LAKE NURSING AND REHABILITATION CENTER
BROWNSVILLE, TX · Medicare-certified · 122 beds
In good standing
Non-profitChain member
5 of 5 overall
5 of 5 stars overall. Strong quality and health inspection ratings, no fines in the last 24 months, but staffing is low at 2 of 5 stars with reported nurse staffing below the federal benchmark (3.32 vs. 4.1 hours per resident per day).
Facility ratings
Health inspections
Staffing
3.3218 hrs/resident/day
Quality measures
Last inspection: March 25, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3218.
Staffing detail
- Registered nurses
- 0.32
- Licensed practical nurses
- 0.79
- Nurse aides
- 2.21
- Weekend nursing
- 2.96
Hours per resident per day.
Total staff turnover: 37%
Registered nurse turnover: 29%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
4.3%Improving
Residents with a fall causing major injury
2.5%Worsening
Residents with pressure ulcers (bedsores)
1.4%Improving
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
2.3%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
12.7%Improving
Residents whose ability to walk got worse
4%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
13.5%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
8.4%Improving
Residents with depressive symptoms
1.5%Steady
Long-stay residents given the seasonal flu vaccine
98.6%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
96.9%Steady
Short-stay residents given the pneumonia vaccine
100%Steady
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited March 2026 — isolated incident, potential for harm.
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F-Tag 578 — 42 CFR §483.10 — S/S: D
The home failed to safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited March 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 842 — 42 CFR §483.70 — S/S: D
The nursing home failed to ensure residents were free from significant medication errors. Cited January 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Corporation
- Chain
- Part of WELLSENTIAL HEALTH · 68 homes · 2.6 stars avg
- Occupancy
- 79.7 residents on an average day (65% of 122 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 29 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.