THE BARTLETT SKILLED NURSING AND ASSISTED LIVING
221 BARTLETT DRIVE, EL PASO, TX 79912 · CCN 676457
Abuse icon
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Partnership
- Certified beds
- 58
- Avg residents/day
- 60.7
- Phone
- 9155848438
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 | 2025-08-22 | 9 | 9.1 | 9.5 | -0.1 better |
| 2 | 2024-07-11 | 10 | 9.4 | 9.8 | +0.6 worse |
| 3 | 2023-06-15 | 14 | 8.1 | 9.3 | +5.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 3 |
| Resident assessment and care planning | 2 |
| Resident rights | 1 |
| Nutrition and dietary | 1 |
| Infection control | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | — | — |
| RN staffing (reported) | — | — |
| Total nurse staffing (adjusted) | — | — |
Fines & penalties
- Total fines
- $33,150
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Inspection citations (33)1 actual harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-08-22 · Health · corrected 2025-08-25
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.2025-08-22 · Health · corrected 2025-08-25
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.2025-08-22 · Health · corrected 2025-08-25
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-08-22 · Health · corrected 2025-08-25
Potential for more than minimal harm
- EF0945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.2025-08-22 · Health · corrected 2025-08-25
Potential for more than minimal harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-08-07 · Health · corrected 2025-08-27
Actual harm
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-08-07 · Health · corrected 2025-08-27
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-08-07 · Health · corrected 2025-08-27
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.2025-03-13 · Health · corrected 2025-03-14
Potential for more than minimal harm
- EF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2025-02-06 · Health · corrected 2025-02-07
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.2025-02-06 · Health · corrected 2025-02-07
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.2024-07-11 · Health · corrected 2024-07-12
Potential for more than minimal harm
- EF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-07-11 · Health · corrected 2024-07-26
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-07-11 · Health · corrected 2024-07-26
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.2024-07-11 · Health · corrected 2024-07-12
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.2024-07-11 · Health · corrected 2024-07-12
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.2024-07-11 · Health · corrected 2024-07-26
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-07-11 · Health · corrected 2024-07-12
Potential for more than minimal harm
- FF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2024-07-11 · Health · corrected 2024-08-01
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2023-06-15 · Health · corrected 2023-07-03
Potential for more than minimal harm
- DF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2023-06-15 · Health · corrected 2023-07-03
Potential for more than minimal harm
- DF0576Ensure residents have reasonable access to and privacy in their use of communication methods.2023-06-15 · Health · corrected 2023-07-03
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-06-15 · Health · corrected 2023-07-03
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 admitted2023-06-15 · Health · corrected 2023-07-03
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.2023-06-15 · Health · corrected 2023-07-03
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.2023-06-15 · Health · corrected 2023-07-03
Potential for more than minimal harm
- EF0695Provide safe and appropriate respiratory care for a resident when needed.2023-06-15 · Health · corrected 2023-07-03
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-06-15 · Health · corrected 2023-07-03
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.2023-06-15 · Health · corrected 2023-07-03
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.2023-06-15 · Health · corrected 2023-07-03
Potential for more than minimal harm
- EF0814Dispose of garbage and refuse properly.2023-06-15 · Health · corrected 2023-07-03
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.2023-06-15 · Health · corrected 2023-07-03
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-06-15 · Health · corrected 2023-07-03
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| DOUGLAS G PENDERGRAS SR ESTATE | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 2018-03-20 |
| PENDERGRAS, DON | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 2018-01-01 |
| PENAN RETIREMENT INC. | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2018-01-01 |
| PENAN RETIREMENT INC. | Organization | GENERAL PARTNERSHIP INTEREST | — | 2018-01-01 |
| PENDERGRAS, DON | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-01-01 |
| DOUGLAS G PENDERGRAS SR ESTATE | Organization | 5% OR GREATER SECURITY INTEREST | — | 2018-03-20 |
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.