Skilled nursing facility · CMS certification number 676398
Fox Hollow Post Acute
Brownsville, Texas · Medicare and Medicaid
Certified beds, as filed in Care Compare: 126
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 4 · Fines: 4 · Fines, total amount: $60,256.00 · Payment denials: 0. The most recent penalty on file: June 4, 2026, Fine, $16,355. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 29, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $31,377,773 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $17,363,340 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,014,433 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,283,561 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,730,872 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,476 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,732,348 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,732,348 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 46,116 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,723 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 1,725 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 36,971 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 41,419 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 101 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 11 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 513 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 625 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.96 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 156.82 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 66.27 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1438428, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 28, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $22,495,717 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,951,432 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,544,285 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,931,300 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,612,985 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $261,318 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,874,303 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,874,303 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,091 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 474 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.83 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 476 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 88.8 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1436091, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 16, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,815,439 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,781,280 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,034,159 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,575,835 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $458,324 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $301,245 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $759,569 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $759,569 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,800 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 467 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.41 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 417 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 85.22 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1397397, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 1, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,693,778 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,650,266 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,043,512 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,666,283 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,377,229 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $225,263 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,602,492 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,602,492 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,047 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 384 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 60.34 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 596.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 96.48 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1369295, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on February 17, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,236,452 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,258,506 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,977,946 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,936,924 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$958,978 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $737,885 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$221,093 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$221,093 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,317 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 340 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.27 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 519.6 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 97.99 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1342694, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for May 1, 2019 to December 31, 2019 — a reporting period of 244 days, not a full year, on form CMS-2540-10, settled, processed by CMS on September 24, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,187,541 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,349,039 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,838,502 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,335,115 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $503,387 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $10,536 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $513,923 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $513,923 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,381 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 549 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 16.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 710.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 48.05 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1269622, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for June 8, 2018 to December 31, 2018 — a reporting period of 206 days, not a full year, on form CMS-2540-10, settled, processed by CMS on December 17, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,669,334 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $433,134 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,236,200 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,159,626 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $76,574 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $355 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $76,929 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $76,929 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,642 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 278 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.07 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 412.17 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 88.64 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1276711, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 19, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,612,214 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,791,611 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,820,603 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,175,128 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$354,525 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9,091 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$345,434 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$345,434 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,946 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 374 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 220.88 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 80.07 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1243601, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for June 13, 2016 to December 31, 2016 — a reporting period of 201 days, not a full year, on form CMS-2540-10, settled, processed by CMS on August 3, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,953,960 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $40,276 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,913,684 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,930,379 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,016,695 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $855 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,015,840 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,015,840 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 10,331 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 145 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.26 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 171 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 71.25 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1171923, read from the public cost report file SNF10FY2016.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| ELLIOTT, BENJAMIN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/23/2015 |
| FAGLIE, KELLY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/25/2016 |
| GAITONDE, GAJANAN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 02/28/2006 |
| GONZALES, HECTOR | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 03/27/2001 |
| GONZALES, JUAN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 06/01/2022 |
| GUTIERREZ, MONICA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/28/2014 |
| KESSLER, WILLIAM | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 02/27/1973 |
| ZAMORA, RAUL | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 12/30/1980 |
| APOLINAR, ADAM | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 07/23/2015 |
| CONTRERAS, TERRI | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 04/29/2019 |
| NORDWICK, THOMAS | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 05/01/2019 |
| BROWNSVILLE SNF, LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 05/01/2019 |
| GARATE, PAUL | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 11/01/2021 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of UVALDE COUNTY HOSPITAL AUTHORITY (enrollment ID O20190528000346).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| UVALDE COUNTY HOSPITAL AUTHORITY | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 5/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| BENJAMIN G ELLIOTT | Individual | CORPORATE DIRECTOR | 0 | 7/23/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GAJANAN V GAITONDE | Individual | CORPORATE DIRECTOR | 0 | 2/28/2006 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HECTOR E GONZALES | Individual | CORPORATE DIRECTOR | 0 | 3/27/2001 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JUAN ANTONIO GONZALES | Individual | CORPORATE DIRECTOR | 0 | 6/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KELLY A FAGLIE | Individual | CORPORATE DIRECTOR | 0 | 1/25/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MONICA E GUTIERREZ | Individual | CORPORATE DIRECTOR | 0 | 10/28/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RAUL E ZAMORA | Individual | CORPORATE DIRECTOR | 0 | 12/30/1980 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WILLIAM A KESSLER | Individual | CORPORATE DIRECTOR | 0 | 2/27/1973 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ADAM APOLINAR | Individual | CORPORATE OFFICER | 0 | 7/23/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TERRI CONTRERAS | Individual | CORPORATE OFFICER | 0 | 4/29/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| THOMAS J NORDWICK | Individual | CORPORATE OFFICER | 0 | 5/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BROWNSVILLE SNF, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| PAUL GARATE | Individual | W-2 MANAGING EMPLOYEE | 0 | 11/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
No change in ownership appears in the CMS files on record since September 20, 2022.
Recent changes on this record
- July 24, 2026: A deficiency was cited under tag F 0755, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 24, 2026: A deficiency was cited under tag F 0726, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- August 29, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- August 28, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- October 16, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- December 1, 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- February 17, 2023: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- December 17, 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- September 24, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- December 24, 2019: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- September 19, 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- December 21, 2018: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- August 3, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | January 22, 2026 | January 22, 2026 | 16 | 0 |
| 2 | October 30, 2024 | October 30, 2024 | 10 | 0 |
| 3 | July 27, 2023 | July 27, 2023 | 5 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
32 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| July 24, 2026 | Health | F 0726 | Nursing and Physician Services Deficiencies | 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. | D | Yes | Deficient, Provider has date of correction | July 25, 2026 |
| July 24, 2026 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Deficient, Provider has date of correction | July 25, 2026 |
| June 27, 2026 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | July 19, 2026 |
| June 4, 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Yes | Past Non-Compliance | |
| May 2, 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Yes | Deficient, Provider has date of correction | May 18, 2026 |
| May 2, 2026 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | J | Yes | Deficient, Provider has date of correction | May 18, 2026 |
| March 6, 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | March 8, 2026 |
| January 22, 2026 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | February 12, 2026 |
| January 22, 2026 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | February 12, 2026 |
| January 22, 2026 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | February 12, 2026 |
| January 22, 2026 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | February 12, 2026 |
| January 22, 2026 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | February 12, 2026 |
| January 22, 2026 | Health | F 0761 | Pharmacy Service Deficiencies | 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. | D | No | Deficient, Provider has date of correction | February 12, 2026 |
| January 22, 2026 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | February 12, 2026 |
| November 19, 2025 | Health | F 0839 | Administration Deficiencies | Employ staff that are licensed, certified, or registered in accordance with state laws. | D | Yes | Deficient, Provider has date of correction | November 20, 2025 |
| October 14, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Yes | Deficient, Provider has date of correction | October 15, 2025 |
| December 15, 2024 | Health | F 0625 | Resident Rights Deficiencies | 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. | D | Yes | Deficient, Provider has date of correction | January 2, 2025 |
| October 30, 2024 | Health | F 0635 | Resident Assessment and Care Planning Deficiencies | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | D | No | Deficient, Provider has date of correction | November 1, 2024 |
| October 30, 2024 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | Yes | Deficient, Provider has date of correction | November 1, 2024 |
| October 30, 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | November 1, 2024 |
| October 30, 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | E | No | Deficient, Provider has date of correction | November 1, 2024 |
| October 30, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | No | Deficient, Provider has date of correction | November 1, 2024 |
| October 30, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | November 1, 2024 |
| September 19, 2024 | Health | F 0585 | Resident Rights Deficiencies | 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. | D | Yes | Deficient, Provider has date of correction | October 9, 2024 |
| September 19, 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | October 9, 2024 |
| September 19, 2024 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Yes | Deficient, Provider has date of correction | October 9, 2024 |
| July 9, 2024 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Yes | Deficient, Provider has date of correction | July 29, 2024 |
| April 6, 2024 | Health | F 0626 | Resident Rights Deficiencies | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | Yes | Deficient, Provider has date of correction | May 10, 2024 |
| August 7, 2023 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | B | Yes | Deficient, Provider has date of correction | August 8, 2023 |
| July 27, 2023 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | No | Deficient, Provider has date of correction | August 22, 2023 |
| July 27, 2023 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | August 22, 2023 |
| July 27, 2023 | Health | F 0813 | Nutrition and Dietary Deficiencies | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | No | Deficient, Provider has date of correction | August 22, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| June 4, 2026 | Fine | $16,355 | 139571 | ||
| May 2, 2026 | Fine | $31,528 | 138992 | ||
| October 14, 2025 | Fine | $8,281 | 135416 | ||
| April 6, 2024 | Fine | $4,092 | 112693 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | UVALDE COUNTY HOSPITAL AUTHORITY |
| Date First Approved to Provide Medicare and Medicaid Services | 2016-06-13 |
| Provider Resides in Hospital | Y |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Cameron |
| Telephone Number | 9565743400 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 126 |
| Average Number of Residents per Day | 123.9 |
| Overall Rating | 1 |
| Health Inspection Rating | 1 |
| QM Rating | 4 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 2 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
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The citable document for Fox Hollow Post Acute
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