Starfile

Starfile / Texas

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.

CycleInspection dateThis facilityTexas avgNational avgvs state
12025-08-2299.19.5-0.1 better
22024-07-11109.49.8+0.6 worse
32023-06-15148.19.3+5.9 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation3
Resident assessment and care planning2
Resident rights1
Nutrition and dietary1
Infection control2

Staffing (hours per resident per day)

MetricThis facilityTurnover
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

  1. 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

  2. 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

  3. 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

  4. DF0880Provide and implement an infection prevention and control program.2025-08-22 · Health · corrected 2025-08-25

    Potential for more than minimal harm

  5. 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

  6. 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

  7. 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

  8. 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

  9. 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

  10. 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

  11. 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

  12. 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

  13. 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

  14. 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

  15. 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

  16. 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

  17. 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

  18. EF0880Provide and implement an infection prevention and control program.2024-07-11 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  19. 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

  20. DF0558Reasonably accommodate the needs and preferences of each resident.2023-06-15 · Health · corrected 2023-07-03

    Potential for more than minimal harm

  21. 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

  22. 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

  23. 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

  24. 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

  25. 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

  26. 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

  27. 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

  28. 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

  29. 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

  30. 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

  31. EF0814Dispose of garbage and refuse properly.2023-06-15 · Health · corrected 2023-07-03

    Potential for more than minimal harm

  32. 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

  33. EF0880Provide and implement an infection prevention and control program.2023-06-15 · Health · corrected 2023-07-03

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
DOUGLAS G PENDERGRAS SR ESTATEOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST50%2018-03-20
PENDERGRAS, DONIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST50%2018-01-01
PENAN RETIREMENT INC.Organization5% OR GREATER DIRECT OWNERSHIP INTEREST2018-01-01
PENAN RETIREMENT INC.OrganizationGENERAL PARTNERSHIP INTEREST2018-01-01
PENDERGRAS, DONIndividualOPERATIONAL/MANAGERIAL CONTROL2018-01-01
DOUGLAS G PENDERGRAS SR ESTATEOrganization5% OR GREATER SECURITY INTEREST2018-03-20

Other facilities in EL PASO

NameOverallBeds
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.