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.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-04-30 | 9 | 9.1 | 9.5 | -0.1 better |
| 2 | 2024-03-14 | 42 | 9.4 | 9.8 | +32.6 worse |
| 3 | 2023-02-10 | 19 | 8.1 | 9.3 | +10.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 2 |
| Nursing and physician services | 1 |
| Resident rights | 1 |
| Nutrition and dietary | 1 |
| Pharmacy service | 2 |
| Environmental | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| 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
- 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
- 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
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-12-16 · Health
Potential for more than minimal harm
- 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
- DF0558Reasonably accommodate the needs and preferences of each resident.2025-04-30 · Health · corrected 2025-05-02
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-30 · Health · corrected 2025-05-02
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.2025-04-30 · Health · corrected 2025-05-02
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.2025-04-30 · Health · corrected 2025-05-02
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- DF0558Reasonably accommodate the needs and preferences of each resident.2024-07-19 · Health · corrected 2024-08-28
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- EF0610Respond appropriately to all alleged violations.2024-03-14 · Health · corrected 2024-04-18
Potential for more than minimal harm
- EF0641Ensure each resident receives an accurate assessment.2024-03-14 · Health · corrected 2024-04-18
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- CF0732Post nurse staffing information every day.2024-03-14 · Health · corrected 2024-04-18
Potential for minimal harm
- 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
- 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
- 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
- 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
- EF0814Dispose of garbage and refuse properly.2024-03-14 · Health · corrected 2024-04-18
Potential for more than minimal harm
- 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
- 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
- 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
- EF0880Provide and implement an infection prevention and control program.2024-03-14 · Health · corrected 2024-04-18
Potential for more than minimal harm
- EF0908Keep all essential equipment working safely.2024-03-14 · Health · corrected 2024-04-18
Potential for more than minimal harm
- 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
- 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
- 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
- CF0732Post nurse staffing information every day.2023-08-08 · Health · corrected 2023-09-11
Potential for minimal harm
- 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
- 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
- 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
- CF0732Post nurse staffing information every day.2023-06-26 · Health · corrected 2023-08-07
Potential for minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| EL PASO COUNTY HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2020-04-01 |
| EL PASO CONTINUING CARE CENTER LTD. CO. | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-01 |
| AMAKIRI, ONYEMA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-04-01 |
| ESTRADA, ARACELY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-03-03 |
| HICKS, DAVID | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-05 |
| CINTRON, ROBERT | Individual | CORPORATE OFFICER | — | 2016-07-13 |
Other facilities in EL PASO
| Name | Overall | Beds |
|---|---|---|
| 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.