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.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-08-07 | 5 | 9.1 | 9.5 | -4.1 better |
| 2 | 2024-06-20 | 32 | 9.4 | 9.8 | +22.6 worse |
| 3 | 2023-04-27 | 22 | 8.1 | 9.3 | +13.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 2 |
| Resident assessment and care planning | 1 |
| Nutrition and dietary | 1 |
| Pharmacy service | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.43 | 32.4% |
| RN staffing (reported) | 0.25 | 75.0% |
| 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- DF0558Reasonably accommodate the needs and preferences of each resident.2024-09-17 · Health · corrected 2024-10-10
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.2024-09-17 · Health · corrected 2024-10-10
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- DF0641Ensure each resident receives an accurate assessment.2024-08-05 · Health · corrected 2024-08-26
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.2024-08-05 · Health · corrected 2024-08-26
Potential for more than minimal harm
- 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
- EF0687Provide appropriate foot care.2024-08-05 · Health · corrected 2024-08-26
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-08-05 · Health · corrected 2024-08-26
Potential for more than minimal harm
- EF0558Reasonably accommodate the needs and preferences of each resident.2024-06-20 · Health · corrected 2024-07-20
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- EF0679Provide activities to meet all resident's needs.2024-06-20 · Health · corrected 2024-07-20
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.2024-06-20 · Health · corrected 2024-07-20
Potential for more than minimal harm
- 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
- 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
- DF0880Provide and implement an infection prevention and control program.2024-06-20 · Health · corrected 2024-07-20
Potential for more than minimal harm
- FF0908Keep all essential equipment working safely.2024-06-20 · Health · corrected 2024-07-20
Potential for more than minimal harm
- 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
- 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
- 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
- DF0814Dispose of garbage and refuse properly.2024-04-16 · Health · corrected 2024-05-16
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-04-16 · Health · corrected 2024-05-16
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.2024-04-16 · Health · corrected 2024-05-16
Potential for more than minimal harm
- 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
- DF0880Provide and implement an infection prevention and control program.2023-10-11 · Health · corrected 2023-10-12
Potential for more than minimal harm
- 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
- 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
- JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-09-01 · Health · corrected 2023-09-05
Immediate jeopardy
- 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
- 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
- DF0558Reasonably accommodate the needs and preferences of each resident.2023-06-09 · Health · corrected 2023-07-07
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- EF0814Dispose of garbage and refuse properly.2023-04-27 · Health · corrected 2023-06-02
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.2023-04-27 · Health · corrected 2023-06-02
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2023-04-27 · Health · corrected 2023-06-02
Potential for more than minimal harm
- EF0908Keep all essential equipment working safely.2023-04-27 · Health · corrected 2023-06-02
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 admitted2023-03-30 · Health · corrected 2023-04-21
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.2023-03-30 · Health · corrected 2023-04-21
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| WEST WHARTON COUNTY HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-09-01 |
| EL PASO VII ENTERPRISES, L.L.C. | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-23 |
| BLAKE, GARY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-23 |
| BLAKE, MALISA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-23 |
| HUGGINS, LINDA | Individual | CORPORATE DIRECTOR | — | 2024-02-23 |
| WILLIG, ZACHARY | Individual | CORPORATE DIRECTOR | — | 2024-02-23 |
| THOMPSON, JOHNNY | Individual | CORPORATE OFFICER | — | 2024-01-01 |
Other facilities in EL PASO
| Name | Overall | Beds |
|---|---|---|
| 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.