Alta Vista Rehabilitation And Healthcare
Alta Vista Rehabilitation and Healthcare in Brownsville, TX — inspection on August 27, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
if MDS assessments did not capture the fall, it did not affect the care because herself or the team would have updated the care plan and implemented interventions.
The DON said not capturing the falls on the MDS assessments, did not affect the payment, but rather it would just not be coded correctly.
Record review of the facility's Resident Assessment and Associated Processes policy dated 01/2022 reflected - Policy: It is the policy of this facility that resident's will be assessed and the findings documented in their clinical health record.
The comprehensive assessment includes the completion of the MDS as well as the Care Area Assessment process. An accurate comprehensive assessment will include special treatments and procedures.
Record review of CMS's RAI Version 3.0 Manual dated 10/2024 reflected section J:J1700: Fall History on Admission/Entry or ReentryPlanning for Care: Determine the potential need for further assessment and intervention, including evaluation of the resident's need for rehabilitation or assistive devices.
Evaluate the physical environment as well as staffing needs for residents who are at risk for falls.
J1800: Any Falls Since Admission/Entry or Reentry or Prior Assessment - Has the resident had any falls since admission/entry/reentry or the prior assessment, whichever is more recent.
Facility ID:
Frequently Asked Questions
More Reports
Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.