Starfile

Starfile / Texas

Ambrosio Guillen Texas State Veterans Home

9650 Kenworthy St, El Paso, TX 79924 · CCN 676060

Ratings

Overall
★★★★☆ 4
Health inspection
★★★☆☆ 3
Quality measures
★★★★★ 5
Staffing
★★★☆☆ 3

Facility

Ownership type
Government - State
Certified beds
160
Avg residents/day
156.5
Phone
9157510967

Inspection history vs Texas & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityTexas avgNational avgvs state
12025-01-31139.19.5+3.9 worse
22023-12-01179.49.8+7.6 worse
32022-10-06138.19.3+4.9 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation3
Quality of life and care2
Nursing and physician services1
Resident rights3
Nutrition and dietary1
Pharmacy service3

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.4940.0%
RN staffing (reported)0.4253.8%
Total nurse staffing (adjusted)4.14

Fines & penalties

Total fines
$0
Number of fines
0
Number of penalties
0
Payment denials
0

Chain

Chain
TEXVET
Facilities in chain
9
Chain avg overall
3.70 / 5

Inspection citations (43)

  1. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-11-20 · Health · corrected 2025-11-23

    Potential for more than minimal harm

  2. EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-09-15 · Health · corrected 2025-10-24

    Potential for more than minimal harm

  3. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-09-15 · Health · corrected 2025-10-24

    Potential for more than minimal harm

  4. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-09-15 · Health · corrected 2025-10-24

    Potential for more than minimal harm

  5. DF0760Ensure that residents are free from significant medication errors.2025-09-15 · Health · corrected 2025-10-24

    Potential for more than minimal harm

  6. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-04-03 · Health · corrected 2025-05-25

    Potential for more than minimal harm

  7. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-01-31 · Health · corrected 2025-03-15

    Potential for more than minimal harm

  8. DF0558Reasonably accommodate the needs and preferences of each resident.2025-01-31 · Health · corrected 2025-03-15

    Potential for more than minimal harm

  9. EF0585Honor 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.2025-01-31 · Health · corrected 2025-03-15

    Potential for more than minimal harm

  10. EF0695Provide safe and appropriate respiratory care for a resident when needed.2025-01-31 · Health · corrected 2025-03-15

    Potential for more than minimal harm

  11. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-01-31 · Health · corrected 2025-03-15

    Potential for more than minimal harm

  12. EF0761Ensure 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.2025-01-31 · Health · corrected 2025-03-15

    Potential for more than minimal harm

  13. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-01-31 · Health · corrected 2025-03-15

    Potential for more than minimal harm

  14. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-11-18 · Health · corrected 2024-12-20

    Potential for more than minimal harm

  15. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-07-26 · Health · corrected 2024-08-30

    Potential for more than minimal harm

  16. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-07-26 · Health · corrected 2024-08-30

    Potential for more than minimal harm

  17. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-07-26 · Health · corrected 2024-08-30

    Potential for more than minimal harm

  18. DF0641Ensure each resident receives an accurate assessment.2024-05-31 · Health · corrected 2024-06-21

    Potential for more than minimal harm

  19. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-05-31 · Health · corrected 2024-06-21

    Potential for more than minimal harm

  20. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-04-24 · Health · corrected 2024-05-22

    Potential for more than minimal harm

  21. EF0558Reasonably accommodate the needs and preferences of each resident.2023-12-01 · Health · corrected 2024-01-14

    Potential for more than minimal harm

  22. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-12-01 · Health · corrected 2024-01-14

    Potential for more than minimal harm

  23. DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2023-12-01 · Health · corrected 2024-01-14

    Potential for more than minimal harm

  24. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-12-01 · Health · corrected 2024-01-14

    Potential for more than minimal harm

  25. DF0761Ensure 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.2023-12-01 · Health · corrected 2024-01-14

    Potential for more than minimal harm

  26. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-12-01 · Health · corrected 2024-01-14

    Potential for more than minimal harm

  27. DF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2023-12-01 · Health · corrected 2024-01-14

    Potential for more than minimal harm

  28. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-12-01 · Health · corrected 2024-01-14

    Potential for more than minimal harm

  29. EF0880Provide and implement an infection prevention and control program.2023-12-01 · Health · corrected 2024-01-14

    Potential for more than minimal harm

  30. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-12-01 · Health · corrected 2024-01-14

    Potential for more than minimal harm

  31. EF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2022-10-06 · Health · corrected 2022-11-18

    Potential for more than minimal harm

  32. DF0641Ensure each resident receives an accurate assessment.2022-10-06 · Health · corrected 2022-11-18

    Potential for more than minimal harm

  33. EF0645PASARR screening for Mental disorders or Intellectual Disabilities2022-10-06 · Health · corrected 2022-11-18

    Potential for more than minimal harm

  34. DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2022-10-06 · Health · corrected 2022-11-18

    Potential for more than minimal harm

  35. EF0732Post nurse staffing information every day.2022-10-06 · Health · corrected 2022-11-18

    Potential for more than minimal harm

  36. DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2022-10-06 · Health · corrected 2022-11-18

    Potential for more than minimal harm

  37. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-10-06 · Health · corrected 2022-11-18

    Potential for more than minimal harm

  38. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2022-10-06 · Health · corrected 2022-11-18

    Potential for more than minimal harm

  39. EF0759Ensure medication error rates are not 5 percent or greater.2022-10-06 · Health · corrected 2022-11-18

    Potential for more than minimal harm

  40. EF0761Ensure 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.2022-10-06 · Health · corrected 2022-11-18

    Potential for more than minimal harm

  41. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-10-06 · Health · corrected 2022-11-18

    Potential for more than minimal harm

  42. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2022-10-06 · Health · corrected 2022-11-18

    Potential for more than minimal harm

  43. EF0908Keep all essential equipment working safely.2022-10-06 · Health · corrected 2022-11-18

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
CARE INNS OF TEXAS-TEMPLE LTDOrganizationOPERATIONAL/MANAGERIAL CONTROL2018-03-01
TEXAS VSI, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2018-03-01
TOUCHSTONE VETERANS MANAGEMENT, LTDOrganizationOPERATIONAL/MANAGERIAL CONTROL2014-12-05
BIGGS, WILLIAMIndividualOPERATIONAL/MANAGERIAL CONTROL2018-03-01
MCBRIDE, MICHAELIndividualOPERATIONAL/MANAGERIAL CONTROL2018-03-01
MCCRARY, JANICEIndividualOPERATIONAL/MANAGERIAL CONTROL2018-03-01
MCLEMORE, WILLIAMIndividualOPERATIONAL/MANAGERIAL CONTROL2014-12-05
MCLEMORE, WILLIAMIndividualCORPORATE OFFICER2014-12-16
BERKELY, JOHNIndividualW-2 MANAGING EMPLOYEE2018-03-01
ELLEDGE, MATTHEWIndividualW-2 MANAGING EMPLOYEE2017-12-31
MCLEMORE, WILLIAMIndividualW-2 MANAGING EMPLOYEE2014-10-16

Other facilities in El Paso

NameOverallBeds
Center at Zaragoza, LLC★★★★☆80
Nazareth Living Care Center★★★☆☆108
Franklin Heights Nursing & Rehabilitation★★☆☆☆132
Vista Hills Health Care Center★★☆☆☆120
Mountain View Health & Rehabilitation★☆☆☆☆187

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.