Starfile / Texas

GRACE POINTE WELLNESS CENTER

2301 N OREGON ST, EL PASO, TX 79902 · CCN 675106

Abuse icon

Inspection history vs Texas & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$76,402

Number of fines

2

Number of penalties

3

Payment denials

1

Chain

Chain

CREATIVE SOLUTIONS IN HEALTHCARE

Facilities in chain

149

Chain avg overall

2.70 / 5

Inspection citations (56)5 immediate jeopardy

1. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-12-31 · Health

   Potential for more than minimal harm

2. DF0585Honor 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.2025-12-01 · Health

   Potential for more than minimal harm

3. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-12-01 · Health

   Potential for more than minimal harm

4. DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-12-01 · Health

   Potential for more than minimal harm

5. EF0850Hire a qualified full-time social worker in a facility with more than 120 beds.2025-12-01 · Health

   Potential for more than minimal harm

6. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-08-05 · Health · corrected 2025-09-02

   Potential for more than minimal harm

7. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-04-11 · Health · corrected 2025-04-12

   Immediate jeopardy

8. JF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-04-11 · Health · corrected 2025-04-12

   Immediate jeopardy

9. JF0610Respond appropriately to all alleged violations.2025-04-11 · Health · corrected 2025-04-12

   Immediate jeopardy

10. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-04-11 · Health · corrected 2025-04-12

    Potential for more than minimal harm

11. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-04-11 · Health · corrected 2025-04-12

    Potential for more than minimal harm

12. DF0558Reasonably accommodate the needs and preferences of each resident.2024-12-12 · Health · corrected 2025-01-24

    Potential for more than minimal harm

13. EF0576Ensure residents have reasonable access to and privacy in their use of communication methods.2024-12-12 · Health · corrected 2025-01-24

    Potential for more than minimal harm

14. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-12-12 · Health · corrected 2025-01-24

    Potential for more than minimal harm

15. EF0687Provide appropriate foot care.2024-12-12 · Health · corrected 2025-01-24

    Potential for more than minimal harm

16. EF0695Provide safe and appropriate respiratory care for a resident when needed.2024-12-12 · Health · corrected 2025-01-24

    Potential for more than minimal harm

17. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-12-12 · Health · corrected 2025-01-24

    Potential for more than minimal harm

18. 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.2024-12-12 · Health · corrected 2025-01-24

    Potential for more than minimal harm

19. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-12-12 · Health · corrected 2025-01-24

    Potential for more than minimal harm

20. EF0880Provide and implement an infection prevention and control program.2024-12-12 · Health · corrected 2025-01-24

    Potential for more than minimal harm

21. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-12-12 · Health · corrected 2025-01-24

    Potential for more than minimal harm

22. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-04-04 · Health · corrected 2024-04-30

    Potential for more than minimal harm

23. DF0583Keep residents' personal and medical records private and confidential.2024-04-04 · Health · corrected 2024-04-30

    Potential for more than minimal harm

24. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-04-04 · Health · corrected 2024-04-30

    Potential for more than minimal harm

25. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-04-04 · Health · corrected 2024-04-30

    Potential for more than minimal harm

26. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-04-04 · Health · corrected 2024-04-30

    Potential for more than minimal harm

27. DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2024-04-04 · Health · corrected 2024-04-30

    Potential for more than minimal harm

28. KF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-03-05 · Health · corrected 2024-03-06

    Immediate jeopardy

29. KF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-03-05 · Health · corrected 2024-03-06

    Immediate jeopardy

30. DF0551Give the resident's representative the ability to exercise the resident's rights.2023-11-17 · Health · corrected 2023-12-31

    Potential for more than minimal harm

31. DF0585Honor 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.2023-11-17 · Health · corrected 2023-12-31

    Potential for more than minimal harm

32. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-11-17 · Health · corrected 2023-12-31

    Potential for more than minimal harm

33. DF0641Ensure each resident receives an accurate assessment.2023-11-17 · Health · corrected 2023-12-31

    Potential for more than minimal harm

34. EF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2023-11-17 · Health · corrected 2023-12-31

    Potential for more than minimal harm

35. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-11-17 · Health · corrected 2023-12-31

    Potential for more than minimal harm

36. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-11-17 · Health · corrected 2023-12-31

    Potential for more than minimal harm

37. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-11-17 · Health · corrected 2023-12-31

    Potential for more than minimal harm

38. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-11-17 · Health · corrected 2023-12-31

    Potential for more than minimal harm

39. DF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2023-11-17 · Health · corrected 2023-12-31

    Potential for more than minimal harm

40. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-11-17 · Health · corrected 2023-12-31

    Potential for more than minimal harm

41. 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.2023-11-17 · Health · corrected 2023-12-31

    Potential for more than minimal harm

42. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-11-17 · Health · corrected 2023-12-31

    Potential for more than minimal harm

43. EF0880Provide and implement an infection prevention and control program.2023-11-17 · Health · corrected 2023-12-31

    Potential for more than minimal harm

44. EF0908Keep all essential equipment working safely.2023-11-17 · Health · corrected 2023-12-31

    Potential for more than minimal harm

45. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-05-03 · Health · corrected 2023-06-01

    Potential for more than minimal harm

46. 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.2022-09-30 · Health · corrected 2022-11-15

    Potential for more than minimal harm

47. EF0641Ensure each resident receives an accurate assessment.2022-09-30 · Health · corrected 2022-11-15

    Potential for more than minimal harm

48. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-09-30 · Health · corrected 2022-11-15

    Potential for more than minimal harm

49. CF0732Post nurse staffing information every day.2022-09-30 · Health · corrected 2022-11-15

    Potential for minimal harm

50. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-09-30 · Health · corrected 2022-11-15

    Potential for more than minimal harm

51. DF0759Ensure medication error rates are not 5 percent or greater.2022-09-30 · Health · corrected 2022-11-15

    Potential for more than minimal harm

52. EF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2022-09-30 · Health · corrected 2022-11-15

    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.2022-09-30 · Health · corrected 2022-11-15

    Potential for more than minimal harm

54. DF0844Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.2022-09-30 · Health · corrected 2022-11-15

    Potential for more than minimal harm

55. FF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2022-09-30 · Health · corrected 2022-11-15

    Potential for more than minimal harm

56. EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2022-09-30 · Health · corrected 2022-11-15

    Potential for more than minimal harm

Ownership

Other facilities in EL PASO

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