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.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-01-31 | 13 | 9.1 | 9.5 | +3.9 worse |
| 2 | 2023-12-01 | 17 | 9.4 | 9.8 | +7.6 worse |
| 3 | 2022-10-06 | 13 | 8.1 | 9.3 | +4.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 3 |
| Quality of life and care | 2 |
| Nursing and physician services | 1 |
| Resident rights | 3 |
| Nutrition and dietary | 1 |
| Pharmacy service | 3 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.49 | 40.0% |
| RN staffing (reported) | 0.42 | 53.8% |
| 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)
- 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
- 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
- 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
- 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
- DF0760Ensure that residents are free from significant medication errors.2025-09-15 · Health · corrected 2025-10-24
Potential for more than minimal harm
- 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
- 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
- DF0558Reasonably accommodate the needs and preferences of each resident.2025-01-31 · Health · corrected 2025-03-15
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- DF0641Ensure each resident receives an accurate assessment.2024-05-31 · Health · corrected 2024-06-21
Potential for more than minimal harm
- 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
- 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
- EF0558Reasonably accommodate the needs and preferences of each resident.2023-12-01 · Health · corrected 2024-01-14
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- EF0880Provide and implement an infection prevention and control program.2023-12-01 · Health · corrected 2024-01-14
Potential for more than minimal harm
- 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
- 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
- DF0641Ensure each resident receives an accurate assessment.2022-10-06 · Health · corrected 2022-11-18
Potential for more than minimal harm
- EF0645PASARR screening for Mental disorders or Intellectual Disabilities2022-10-06 · Health · corrected 2022-11-18
Potential for more than minimal harm
- 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
- EF0732Post nurse staffing information every day.2022-10-06 · Health · corrected 2022-11-18
Potential for more than minimal harm
- 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
- 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
- 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
- EF0759Ensure medication error rates are not 5 percent or greater.2022-10-06 · Health · corrected 2022-11-18
Potential for more than minimal harm
- 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
- 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
- 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
- EF0908Keep all essential equipment working safely.2022-10-06 · Health · corrected 2022-11-18
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| CARE INNS OF TEXAS-TEMPLE LTD | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-03-01 |
| TEXAS VSI, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-03-01 |
| TOUCHSTONE VETERANS MANAGEMENT, LTD | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2014-12-05 |
| BIGGS, WILLIAM | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-03-01 |
| MCBRIDE, MICHAEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-03-01 |
| MCCRARY, JANICE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-03-01 |
| MCLEMORE, WILLIAM | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2014-12-05 |
| MCLEMORE, WILLIAM | Individual | CORPORATE OFFICER | — | 2014-12-16 |
| BERKELY, JOHN | Individual | W-2 MANAGING EMPLOYEE | — | 2018-03-01 |
| ELLEDGE, MATTHEW | Individual | W-2 MANAGING EMPLOYEE | — | 2017-12-31 |
| MCLEMORE, WILLIAM | Individual | W-2 MANAGING EMPLOYEE | — | 2014-10-16 |
Other facilities in El Paso
| Name | Overall | Beds |
|---|---|---|
| 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.