Starfile

Starfile / Texas

EL PASO HEALTH & REHABILITATION CENTER

11525 VISTA DEL SOL DR, EL PASO, TX 79936 · CCN 455935

Ratings

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

Facility

Ownership type
Government - Hospital district
Certified beds
150
Avg residents/day
84.0
Phone
9158553636

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
12025-08-0759.19.5-4.1 better
22024-06-20329.49.8+22.6 worse
32023-04-27228.19.3+13.9 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care2
Resident assessment and care planning1
Nutrition and dietary1
Pharmacy service1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.4332.4%
RN staffing (reported)0.2575.0%
Total nurse staffing (adjusted)3.98

Fines & penalties

Total fines
$20,312
Number of fines
1
Number of penalties
2
Payment denials
1

Chain

Chain
ADVANCED HEALTHCARE SOLUTIONS
Facilities in chain
30
Chain avg overall
3.20 / 5

Inspection citations (59)2 immediate jeopardy

  1. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-08-07 · Health · corrected 2025-08-29

    Potential for more than minimal harm

  2. 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.2025-08-07 · Health · corrected 2025-08-28

    Potential for more than minimal harm

  3. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-08-07 · Health · corrected 2025-08-29

    Potential for more than minimal harm

  4. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-03-27 · Health · corrected 2025-04-26

    Potential for more than minimal harm

  5. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-03-27 · Health · corrected 2025-04-26

    Potential for more than minimal harm

  6. DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2025-01-15 · Health · corrected 2025-02-15

    Potential for more than minimal harm

  7. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-15 · Health · corrected 2025-02-15

    Potential for more than minimal harm

  8. FF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2025-01-15 · Health · corrected 2025-02-15

    Potential for more than minimal harm

  9. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2024-09-23 · Health · corrected 2024-10-16

    Potential for more than minimal harm

  10. DF0558Reasonably accommodate the needs and preferences of each resident.2024-09-17 · Health · corrected 2024-10-10

    Potential for more than minimal harm

  11. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-09-17 · Health · corrected 2024-10-10

    Potential for more than minimal harm

  12. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-09-17 · Health · corrected 2024-10-10

    Potential for more than minimal harm

  13. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-09-17 · Health · corrected 2024-10-10

    Potential for more than minimal harm

  14. 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.2024-09-17 · Health · corrected 2024-10-10

    Potential for more than minimal harm

  15. EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2024-08-05 · Health · corrected 2024-08-26

    Potential for more than minimal harm

  16. DF0641Ensure each resident receives an accurate assessment.2024-08-05 · Health · corrected 2024-08-26

    Potential for more than minimal harm

  17. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-08-05 · Health · corrected 2024-08-26

    Potential for more than minimal harm

  18. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-08-05 · Health · corrected 2024-08-26

    Potential for more than minimal harm

  19. EF0687Provide appropriate foot care.2024-08-05 · Health · corrected 2024-08-26

    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.2024-08-05 · Health · corrected 2024-08-26

    Potential for more than minimal harm

  21. EF0558Reasonably accommodate the needs and preferences of each resident.2024-06-20 · Health · corrected 2024-07-20

    Potential for more than minimal harm

  22. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-06-20 · Health · corrected 2024-07-20

    Potential for more than minimal harm

  23. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-06-20 · Health · corrected 2024-07-20

    Potential for more than minimal harm

  24. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2024-06-20 · Health · corrected 2024-07-20

    Potential for more than minimal harm

  25. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-06-20 · Health · corrected 2024-07-20

    Potential for more than minimal harm

  26. EF0679Provide activities to meet all resident's needs.2024-06-20 · Health · corrected 2024-07-20

    Potential for more than minimal harm

  27. 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.2024-06-20 · Health · corrected 2024-07-20

    Potential for more than minimal harm

  28. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-06-20 · Health · corrected 2024-07-20

    Potential for more than minimal harm

  29. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-06-20 · Health · corrected 2024-07-20

    Potential for more than minimal harm

  30. DF0880Provide and implement an infection prevention and control program.2024-06-20 · Health · corrected 2024-07-20

    Potential for more than minimal harm

  31. FF0908Keep all essential equipment working safely.2024-06-20 · Health · corrected 2024-07-20

    Potential for more than minimal harm

  32. DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2024-04-16 · Health · corrected 2024-05-16

    Potential for more than minimal harm

  33. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-04-16 · Health · corrected 2024-05-16

    Potential for more than minimal harm

  34. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-04-16 · Health · corrected 2024-05-16

    Potential for more than minimal harm

  35. DF0814Dispose of garbage and refuse properly.2024-04-16 · Health · corrected 2024-05-16

    Potential for more than minimal harm

  36. DF0880Provide and implement an infection prevention and control program.2024-04-16 · Health · corrected 2024-05-16

    Potential for more than minimal harm

  37. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-04-16 · Health · corrected 2024-05-16

    Potential for more than minimal harm

  38. DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2023-10-11 · Health · corrected 2023-10-12

    Potential for more than minimal harm

  39. DF0880Provide and implement an infection prevention and control program.2023-10-11 · Health · corrected 2023-10-12

    Potential for more than minimal harm

  40. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-10-11 · Health · corrected 2023-10-12

    Potential for more than minimal harm

  41. JF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-09-01 · Health · corrected 2023-09-05

    Immediate jeopardy

  42. JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-09-01 · Health · corrected 2023-09-05

    Immediate jeopardy

  43. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-09-01 · Health · corrected 2023-09-05

    Potential for more than minimal harm

  44. EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2023-09-01 · Health · corrected 2023-09-05

    Potential for more than minimal harm

  45. DF0558Reasonably accommodate the needs and preferences of each resident.2023-06-09 · Health · corrected 2023-07-07

    Potential for more than minimal harm

  46. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-06-09 · Health · corrected 2023-07-07

    Potential for more than minimal harm

  47. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-04-27 · Health · corrected 2023-06-02

    Potential for more than minimal harm

  48. CF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2023-04-27 · Health · corrected 2023-06-02

    Potential for minimal harm

  49. EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2023-04-27 · Health · corrected 2023-06-02

    Potential for more than minimal harm

  50. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-04-27 · Health · corrected 2023-06-02

    Potential for more than minimal harm

  51. DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2023-04-27 · Health · corrected 2023-06-02

    Potential for more than minimal harm

  52. EF0695Provide safe and appropriate respiratory care for a resident when needed.2023-04-27 · Health · corrected 2023-06-02

    Potential for more than minimal harm

  53. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-04-27 · Health · corrected 2023-06-02

    Potential for more than minimal harm

  54. EF0814Dispose of garbage and refuse properly.2023-04-27 · Health · corrected 2023-06-02

    Potential for more than minimal harm

  55. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-04-27 · Health · corrected 2023-06-02

    Potential for more than minimal harm

  56. FF0880Provide and implement an infection prevention and control program.2023-04-27 · Health · corrected 2023-06-02

    Potential for more than minimal harm

  57. EF0908Keep all essential equipment working safely.2023-04-27 · Health · corrected 2023-06-02

    Potential for more than minimal harm

  58. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-03-30 · Health · corrected 2023-04-21

    Potential for more than minimal harm

  59. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-03-30 · Health · corrected 2023-04-21

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
WEST WHARTON COUNTY HOSPITAL DISTRICTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2022-09-01
EL PASO VII ENTERPRISES, L.L.C.OrganizationOPERATIONAL/MANAGERIAL CONTROL2024-02-23
BLAKE, GARYIndividualOPERATIONAL/MANAGERIAL CONTROL2024-02-23
BLAKE, MALISAIndividualOPERATIONAL/MANAGERIAL CONTROL2024-02-23
HUGGINS, LINDAIndividualCORPORATE DIRECTOR2024-02-23
WILLIG, ZACHARYIndividualCORPORATE DIRECTOR2024-02-23
THOMPSON, JOHNNYIndividualCORPORATE OFFICER2024-01-01

Other facilities in EL PASO

NameOverallBeds
MOUNTAIN VILLA NURSING CENTER★★★★☆48
OASIS NURSING & REHABILITATION CENTER★★★★☆130
GRACE POINTE WELLNESS CENTER★★☆☆☆154
WHITE ACRES WELLNESS & REHABILITATION★★☆☆☆74
LOS ARCOS DEL NORTE CARE CENTER★★☆☆☆124

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