Starfile

Starfile / Texas

EDGEMERE ESTATES

10880 EDGEMERE BLVD, EL PASO, TX 79935 · CCN 675831

Abuse icon

Ratings

Overall
★☆☆☆☆ 1
Health inspection
★★☆☆☆ 2
Quality measures
★★★☆☆ 3
Staffing
★☆☆☆☆ 1

Facility

Ownership type
For profit - Corporation
Certified beds
138
Avg residents/day
81.7
Phone
9155907800

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
12025-04-3099.19.5-0.1 better
22024-03-14429.49.8+32.6 worse
32023-02-10198.19.3+10.9 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation1
Quality of life and care2
Nursing and physician services1
Resident rights1
Nutrition and dietary1
Pharmacy service2
Environmental1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.27
RN staffing (reported)0.25
Total nurse staffing (adjusted)3.26

Fines & penalties

Total fines
$49,292
Number of fines
3
Number of penalties
4
Payment denials
1

Inspection citations (70)3 immediate jeopardy1 actual harm

  1. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-12-16 · Health

    Potential for more than minimal harm

  2. DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2025-12-16 · Health

    Potential for more than minimal harm

  3. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-12-16 · Health

    Potential for more than minimal harm

  4. DF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2025-12-16 · Health

    Potential for more than minimal harm

  5. DF0558Reasonably accommodate the needs and preferences of each resident.2025-04-30 · Health · corrected 2025-05-02

    Potential for more than minimal harm

  6. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-30 · Health · corrected 2025-05-02

    Potential for more than minimal harm

  7. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-04-30 · Health · corrected 2025-05-02

    Potential for more than minimal harm

  8. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-04-30 · Health · corrected 2025-05-02

    Potential for more than minimal harm

  9. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-04-30 · Health · corrected 2025-05-02

    Potential for more than minimal harm

  10. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-02-10 · Health · corrected 2025-03-11

    Potential for more than minimal harm

  11. DF0660Plan the resident's discharge to meet the resident's goals and needs.2025-02-10 · Health · corrected 2025-03-11

    Potential for more than minimal harm

  12. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-02-10 · Health · corrected 2025-03-11

    Potential for more than minimal harm

  13. EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-02-10 · Health · corrected 2025-03-11

    Potential for more than minimal harm

  14. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-02-10 · Health · corrected 2025-03-11

    Potential for more than minimal harm

  15. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-02-10 · Health · corrected 2025-03-11

    Potential for more than minimal harm

  16. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-01-31 · Health · corrected 2025-02-21

    Potential for more than minimal harm

  17. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-02 · Health · corrected 2025-01-24

    Potential for more than minimal harm

  18. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-09-20 · Health · corrected 2024-11-01

    Potential for more than minimal harm

  19. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-09-20 · Health · corrected 2024-11-01

    Potential for more than minimal harm

  20. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-09-20 · Health · corrected 2024-11-01

    Potential for more than minimal harm

  21. DF0558Reasonably accommodate the needs and preferences of each resident.2024-07-19 · Health · corrected 2024-08-28

    Potential for more than minimal harm

  22. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-07-19 · Health · corrected 2024-06-18

    Immediate jeopardy

  23. EF0695Provide safe and appropriate respiratory care for a resident when needed.2024-07-19 · Health · corrected 2024-07-19

    Potential for more than minimal harm

  24. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-05-01 · Health · corrected 2024-06-14

    Potential for more than minimal harm

  25. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-04-01 · Health · corrected 2024-05-08

    Potential for more than minimal harm

  26. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-04-01 · Health · corrected 2024-05-08

    Immediate jeopardy

  27. JF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2024-04-01 · Health · corrected 2024-05-08

    Immediate jeopardy

  28. DF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.2024-03-14 · Health · corrected 2024-04-18

    Potential for more than minimal harm

  29. EF0575Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.2024-03-14 · Health · corrected 2024-04-18

    Potential for more than minimal harm

  30. EF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2024-03-14 · Health · corrected 2024-04-18

    Potential for more than minimal harm

  31. EF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-03-14 · Health · corrected 2024-04-18

    Potential for more than minimal harm

  32. 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.2024-03-14 · Health · corrected 2024-04-18

    Potential for more than minimal harm

  33. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-03-14 · Health · corrected 2024-04-18

    Potential for more than minimal harm

  34. EF0610Respond appropriately to all alleged violations.2024-03-14 · Health · corrected 2024-04-18

    Potential for more than minimal harm

  35. EF0641Ensure each resident receives an accurate assessment.2024-03-14 · Health · corrected 2024-04-18

    Potential for more than minimal harm

  36. EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-03-14 · Health · corrected 2024-04-18

    Potential for more than minimal harm

  37. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-03-14 · Health · corrected 2024-04-18

    Actual harm

  38. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-03-14 · Health · corrected 2024-04-18

    Potential for more than minimal harm

  39. EF0695Provide safe and appropriate respiratory care for a resident when needed.2024-03-14 · Health · corrected 2024-04-18

    Potential for more than minimal harm

  40. CF0732Post nurse staffing information every day.2024-03-14 · Health · corrected 2024-04-18

    Potential for minimal harm

  41. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-03-14 · Health · corrected 2024-04-18

    Potential for more than minimal harm

  42. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-03-14 · Health · corrected 2024-04-18

    Potential for more than minimal harm

  43. EF0758Implement 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.2024-03-14 · Health · corrected 2024-04-18

    Potential for more than minimal harm

  44. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-03-14 · Health · corrected 2024-04-05

    Potential for more than minimal harm

  45. EF0814Dispose of garbage and refuse properly.2024-03-14 · Health · corrected 2024-04-18

    Potential for more than minimal harm

  46. EF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2024-03-14 · Health · corrected 2024-04-18

    Potential for more than minimal harm

  47. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-03-14 · Health · corrected 2024-04-18

    Potential for more than minimal harm

  48. EF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2024-03-14 · Health · corrected 2024-04-18

    Potential for more than minimal harm

  49. EF0880Provide and implement an infection prevention and control program.2024-03-14 · Health · corrected 2024-04-18

    Potential for more than minimal harm

  50. EF0908Keep all essential equipment working safely.2024-03-14 · Health · corrected 2024-04-18

    Potential for more than minimal harm

  51. FF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-03-14 · Health · corrected 2024-04-18

    Potential for more than minimal harm

  52. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-08-31 · Health · corrected 2023-09-22

    Potential for more than minimal harm

  53. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-08-08 · Health · corrected 2023-09-11

    Potential for more than minimal harm

  54. CF0732Post nurse staffing information every day.2023-08-08 · Health · corrected 2023-09-11

    Potential for minimal harm

  55. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-08-08 · Health · corrected 2023-08-01

    Potential for more than minimal harm

  56. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-06-26 · Health · corrected 2023-08-07

    Potential for more than minimal harm

  57. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-06-26 · Health · corrected 2023-08-07

    Potential for more than minimal harm

  58. CF0732Post nurse staffing information every day.2023-06-26 · Health · corrected 2023-08-07

    Potential for minimal harm

  59. DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2023-02-10 · Health · corrected 2023-03-31

    Potential for more than minimal harm

  60. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-02-10 · Health · corrected 2023-03-31

    Potential for more than minimal harm

  61. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-02-10 · Health · corrected 2023-03-31

    Potential for more than minimal harm

  62. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-02-10 · Health · corrected 2023-03-31

    Potential for more than minimal harm

  63. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-02-10 · Health · corrected 2023-03-31

    Potential for more than minimal harm

  64. 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.2023-02-10 · Health · corrected 2023-03-31

    Potential for more than minimal harm

  65. DF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2023-02-10 · Health · corrected 2023-03-31

    Potential for more than minimal harm

  66. EF0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.2023-02-10 · Health · corrected 2023-03-31

    Potential for more than minimal harm

  67. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-02-10 · Health · corrected 2023-03-31

    Potential for more than minimal harm

  68. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-02-10 · Health · corrected 2023-03-31

    Potential for more than minimal harm

  69. DF0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.2023-02-10 · Health · corrected 2023-03-31

    Potential for more than minimal harm

  70. DF0848Provide a neutral and fair arbitration process and agree to arbitrator and venue.2023-02-10 · Health · corrected 2023-03-31

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
EL PASO COUNTY HOSPITAL DISTRICTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2020-04-01
EL PASO CONTINUING CARE CENTER LTD. CO.OrganizationOPERATIONAL/MANAGERIAL CONTROL2024-12-01
AMAKIRI, ONYEMAIndividualOPERATIONAL/MANAGERIAL CONTROL2025-04-01
ESTRADA, ARACELYIndividualOPERATIONAL/MANAGERIAL CONTROL2025-03-03
HICKS, DAVIDIndividualOPERATIONAL/MANAGERIAL CONTROL2024-12-05
CINTRON, ROBERTIndividualCORPORATE OFFICER2016-07-13

Other facilities in EL PASO

NameOverallBeds
OASIS NURSING & REHABILITATION CENTER★★★★☆130
MOUNTAIN VILLA NURSING CENTER★★★★☆48
WHITE ACRES WELLNESS & REHABILITATION★★☆☆☆74
GRACE POINTE WELLNESS CENTER★★☆☆☆154
EL PASO HEALTH & REHABILITATION CENTER★★☆☆☆150

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