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Complaint Investigation

Las Alturas Nursing & Transitional Care Brownsvill

November 19, 2025 · Brownsville, TX · 180 East Price Road
Citations 1
CMS Rating 3/5
Beds 122
Provider ID 745049
Healthcare Facility
Las Alturas Nursing & Transitional Care Brownsvill
Brownsville, TX  ·  View full profile →
Inspection Summary

Las Alturas Nursing & Transitional Care Brownsvill in Brownsville, TX — inspection on November 19, 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.

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Inspection Findings

FF0755
Pharmacy Service Deficiencies
Potential for More Than Minimal Harm

restarted the medication with the resident's own medication.

She said the medication that was hung the first time had infused for less than five minutes.

She said she had a 1:1 in-service on the 5 rights of medication administration.

She said not following the 5 rights can cause a resident to have reaction and depending on the medication, could worsen an infection or could cause an interaction and have consequences.In an interview on 11/18/2025 2:10 PM with the DNS said, she received a phone call from LVN A at 3 AM that she had an issue grabbing the wrong IV.

The DNS said she spoke to the family the following day and informed them that there was no harm to the resident as it was the same medication and dosage.

She said she informed the family of the plan of correction regarding the incident, and they agreed.

The DNS said she had a 1:1 in-service on the 5 rights of medication administration and what to do if medication is not available.

She said she also informed the NP, and no new orders were given.

The DNS said she held an in-service on medication administration in July for all staff and in-service on medication administration was done in September.

She said by not following the 5 rights of medication administration would be based on a case-by-case scenario, and in this case, there was no potential harm to the resident because it was the same medication.

She said LVN A is a good nurse and compassionate, there have been no customer complaints about her.

The DNS said she frequently provides re-education on medication administration and reminders on the 5 rights of medication administration (The five fundamental rights are simple checks healthcare providers use to ensure patient safety, making sure you're giving the right person, right medicine, right amount, right method, and right time) to the staff.

Record review of Training/Retraining dated: July 11, 2025, Topic: Safe Medication Administration, Following MD orders, Reporting, reflected 18 employee signatures which included LVN A.

Record review of September 2025 Meeting Agenda dated September 30, 2025, at 2:30 PM reflected Clinical Care, Topics: Feedings, Residents' Appearances, Notifications RP/MD/DNS, 5 Rights of Medication Administration.

Customer Service, Topics: Call lights, Abuse and Neglect, Patients served.

Sign-in sheet revealed 23 employee signatures which included LVN A.

Record review of the facility's Medication Administration Policy and procedure dated January 2024 reflected Compliance Guidelines: Resident medications are administered in an accurate, safe, timely, and sanitary manner. 2.

Verify the medication label against the medication sheet for accuracy of drug frequency, duration, strength, and route. 4.

Follow safe preparation practices.

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Brownsville, TX, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Las Alturas Nursing & Transitional Care Brownsvill or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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