Texas › El Paso County › El Paso
Edgemere Estates
10880 Edgemere Blvd, El Paso, TX 79935
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Edgemere Estates is a For-profit, corporation nursing home in El Paso, Texas, certified for 138 beds and caring for about 77 residents a day.
CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 2, staffing 1 and quality measures 4.
Inspectors recorded 67 health deficiencies across the three most recent survey cycles (9, 34, 24 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 48.6 per 100 beds, more than the state median of 22.5.
CMS lists 4 penalties in the period covered: fines totalling $49K and 1 payment denial.
Reported nurse staffing is 3.3 hours per resident per day (0.4 RN), close to the Texas median of 3.3; nursing staff turnover is 52.6%.
Compared with county, state and nation
| Measure | This facility | El Paso Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 1 | 3 | 3.0 |
| Health citations, 3 cycles | 67 | 56 | 25 | 28.7 |
| Citations per 100 beds | 48.6 | 53.3 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.3 | 3.4 | 3.3 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 52.6% | 52.7% | 52.1% | 45.8% |
| Fines listed | $49,292 | $34,613 | $16,801 | — |
County and state figures are medians across facilities (22 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 30 Apr 2025, 14 Mar 2024.
Severity mix: J ×3 G ×1 D ×31 E ×29 F ×1 C ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 16 Dec 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 28 Dec 2025 |
| 16 Dec 2025 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Complaint investigation | 28 Dec 2025 |
| 16 Dec 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Complaint investigation | 28 Dec 2025 |
| 16 Dec 2025 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Complaint investigation | 28 Dec 2025 |
| 30 Apr 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 2 May 2025 |
| 30 Apr 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 2 May 2025 |
| 30 Apr 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 2 May 2025 |
| 30 Apr 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 2 May 2025 |
| 30 Apr 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 2 May 2025 |
| 10 Feb 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 11 Mar 2025 |
| 10 Feb 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Complaint investigation | 11 Mar 2025 |
| 10 Feb 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint investigation | 11 Mar 2025 |
| 10 Feb 2025 | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | Complaint investigation | 11 Mar 2025 |
| 10 Feb 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 11 Mar 2025 |
| 10 Feb 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 11 Mar 2025 |
| 31 Jan 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 21 Feb 2025 |
| 2 Jan 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 24 Jan 2025 |
| 20 Sep 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 1 Nov 2024 |
| 20 Sep 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 1 Nov 2024 |
| 20 Sep 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 1 Nov 2024 |
| 19 Jul 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 18 Jun 2024 |
| 19 Jul 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Complaint investigation | 19 Jul 2024 |
| 19 Jul 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 28 Aug 2024 |
| 1 May 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint investigation | 14 Jun 2024 |
| 1 Apr 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 8 May 2024 |
| 1 Apr 2024 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | Complaint investigation | 8 May 2024 |
| 1 Apr 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 8 May 2024 |
| 14 Mar 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 18 Apr 2024 |
| 14 Mar 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Standard survey | 18 Apr 2024 |
| 14 Mar 2024 | F0575 | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | E | Standard survey | 18 Apr 2024 |
| 14 Mar 2024 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | E | Standard survey | 18 Apr 2024 |
| 14 Mar 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | Standard survey | 18 Apr 2024 |
| 14 Mar 2024 | F0585 | Honor 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. | E | Standard survey | 18 Apr 2024 |
| 14 Mar 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Standard survey | 18 Apr 2024 |
| 14 Mar 2024 | F0610 | Respond appropriately to all alleged violations. | E | Standard survey | 18 Apr 2024 |
| 14 Mar 2024 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 18 Apr 2024 |
| 14 Mar 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Standard survey | 18 Apr 2024 |
| 14 Mar 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 18 Apr 2024 |
| 14 Mar 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 18 Apr 2024 |
| 14 Mar 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 18 Apr 2024 |
| 14 Mar 2024 | F0758 | Implement 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. | E | Standard survey | 18 Apr 2024 |
| 14 Mar 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 5 Apr 2024 |
| 14 Mar 2024 | F0814 | Dispose of garbage and refuse properly. | E | Standard survey | 18 Apr 2024 |
| 14 Mar 2024 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E | Complaint investigation | 18 Apr 2024 |
| 14 Mar 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 18 Apr 2024 |
| 14 Mar 2024 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | Standard survey | 18 Apr 2024 |
| 14 Mar 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 18 Apr 2024 |
| 14 Mar 2024 | F0908 | Keep all essential equipment working safely. | E | Standard survey | 18 Apr 2024 |
| 14 Mar 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 18 Apr 2024 |
| 14 Mar 2024 | F0732 | Post nurse staffing information every day. | C | Standard survey | 18 Apr 2024 |
| 14 Mar 2024 | F0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | Complaint investigation | 18 Apr 2024 |
| 31 Aug 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 22 Sep 2023 |
| 8 Aug 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 11 Sep 2023 |
| 8 Aug 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 1 Aug 2023 |
| 8 Aug 2023 | F0732 | Post nurse staffing information every day. | C | Complaint investigation | 11 Sep 2023 |
| 10 Feb 2023 | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | E | Standard survey | 31 Mar 2023 |
| 10 Feb 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 31 Mar 2023 |
| 10 Feb 2023 | F0578 | Honor 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. | D | Standard survey | 31 Mar 2023 |
| 10 Feb 2023 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 31 Mar 2023 |
| 10 Feb 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 31 Mar 2023 |
| 10 Feb 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 31 Mar 2023 |
| 10 Feb 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 31 Mar 2023 |
| 10 Feb 2023 | F0761 | Ensure 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. | D | Standard survey | 31 Mar 2023 |
| 10 Feb 2023 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard survey | 31 Mar 2023 |
| 10 Feb 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 31 Mar 2023 |
| 10 Feb 2023 | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D | Standard survey | 31 Mar 2023 |
| 10 Feb 2023 | F0848 | Provide a neutral and fair arbitration process and agree to arbitrator and venue. | D | Standard survey | 31 Mar 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 19 Jul 2024 | Fine | $16,801 | |
| 14 Mar 2024 | Payment denial | — | 63 days |
| 14 Mar 2024 | Fine | $16,452 | |
| 14 Mar 2024 | Fine | $16,039 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 52.6%, RNs 66.7%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 16.1% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.7% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.4% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 18.0% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.9% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 6.5% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: El Paso County Hospital District.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| El Paso County Hospital District | 5% or greater direct ownership interest | 100% | 04/01/2020 |
| El Paso Continuing Care Center Ltd. Co. | Operational/managerial control | NOT APPLICABLE | 12/01/2024 |
| El Paso Continuing Care Center Ltd. Co. | Adp of the snf | NOT APPLICABLE | 10/26/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in El Paso County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Center At Zaragoza, LLC | El Paso | 80 | 4 | 3 | 3 | 34 | 42.5 | — | 2 Jun 2026 |
| Mountain Villa Nursing Home | El Paso | 48 | 4 | 4 | 2 | 23 | 47.9 | — | 4 Dec 2025 |
| Oasis Nursing & Rehabilitation Center | El Paso | 130 | 4 | 4 | 1 | 26 | 20.0 | — | 18 Apr 2025 |
| Ambrosio Guillen Texas State Veterans Home | El Paso | 160 | 2 | 2 | 4 | 43 | 26.9 | — | 9 Apr 2026 |
| Avir At El Paso | El Paso | 124 | 2 | 1 | 2 | 93 | 75.0 | $193K | 10 Jun 2026 |
| Las Ventanas De Socorro | Socorro | 126 | 2 | 2 | 2 | 47 | 37.3 | $9K | 15 May 2026 |
| Nazareth Living Care Center | El Paso | 108 | 2 | 2 | 2 | 56 | 51.9 | — | 28 Jan 2026 |
| St. Giles Nursing and Rehabilitation Center | El Paso | 124 | 2 | 3 | 1 | 44 | 35.5 | $13K | 8 May 2026 |
All 22 facilities in El Paso County
Questions and answers
How many deficiencies has Edgemere Estates been cited for?
67 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Edgemere Estates been fined?
Yes. CMS lists fines totalling $49K in the period covered, plus 1 payment denial.
How does staffing at Edgemere Estates compare?
Reported total nurse staffing is 3.3 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Edgemere Estates?
Ownership type is for-profit, corporation. Organisations in the CMS ownership record include El Paso County Hospital District and El Paso Continuing Care Center Ltd. Co.. Individual owners and managers are not listed on this site.
When was Edgemere Estates last inspected?
The most recent survey or investigation in the CMS record is dated 16 Dec 2025; the most recent standard health survey was 30 Apr 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.