Ebony Lake Nursing and Rehabilitation Center
1001 Central Blvd · Brownsville, TX · 78520 · 9565410917
122 certified beds Non profit - Corporation Chain: Wellsential Health
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 71 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.32 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.32 | 0.55–0.75 |
| Weekend hours / resident-day | 2.96 | ≈ weekday level |
| Nursing turnover / year | 37% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (24 in the current record)
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Potential for harm · D April 29, 2026 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Deficient, Provider has no plan of correction · Resident Rights
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Potential for harm · D April 29, 2026 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Deficient, Provider has no plan of correction · Resident Assessment and Care Planning
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Potential for harm · D April 29, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Deficient, Provider has no plan of correction · Quality of Life and Care
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Potential for harm · D April 29, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Deficient, Provider has no plan of correction · Infection Control
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Potential for harm · D March 25, 2026 · found via complaint
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.
Corrected March 26, 2026 · Resident Rights
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Potential for harm · D March 25, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 26, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D February 18, 2026 · found via complaint
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.
Corrected February 19, 2026 · Pharmacy Service
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Potential for harm · D January 15, 2026
Ensure that residents are free from significant medication errors.
Corrected January 29, 2026 · Pharmacy Service
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Potential for harm · E January 15, 2026
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.
Corrected January 29, 2026 · Pharmacy Service
-
Potential for harm · D January 15, 2026
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected January 29, 2026 · Nutrition and Dietary
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Potential for harm · E January 15, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 29, 2026 · Nutrition and Dietary
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Potential for harm · D January 15, 2026
Provide and implement an infection prevention and control program.
Corrected January 29, 2026 · Infection Control
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Potential for harm · D September 18, 2025 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected September 19, 2025 · Resident Rights
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Potential for harm · D September 18, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected September 19, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 13, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 14, 2025 · Pharmacy Service
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Potential for harm · D May 13, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected May 14, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 26, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 4, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 26, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 4, 2024 · Nutrition and Dietary
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Potential for harm · D September 26, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected October 4, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 26, 2024 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected October 4, 2024 · Quality of Life and Care
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Potential for harm · D November 6, 2023 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected November 7, 2023 · Resident Assessment and Care Planning
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Potential for harm · D June 30, 2023
Keep residents' personal and medical records private and confidential.
Corrected July 1, 2023 · Resident Rights
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Potential for harm · D June 30, 2023
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.
Corrected July 1, 2023 · Resident Rights
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Potential for harm · D June 30, 2023
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected July 1, 2023 · Quality of Life and Care
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675635 · certified since September 11, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.