Elder Care Record

Texas › El Paso County › El Paso

El Paso Health & Rehabilitation Center

11525 Vista Del Sol Drive, El Paso, TX 79936

CCN 455935 · Government, hospital district · 150 certified beds · chain Advanced Healthcare Solutions

Located in a hospital
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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.

El Paso Health & Rehabilitation Center, in El Paso, Texas, is certified for 150 beds under government, hospital district ownership and belongs to the Advanced Healthcare Solutions chain.

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 3.

Inspectors recorded 55 health deficiencies across the three most recent survey cycles (3, 28, 24 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 36.7 per 100 beds, more than the state median of 22.5.

CMS lists 2 penalties in the period covered: fines totalling $20K and 1 payment denial.

Reported nurse staffing is 3.1 hours per resident per day (0.3 RN), close to the Texas median of 3.3.

55health deficiencies, 3 survey cycles2 at actual harm or worse
$20Kfines listed by CMS2 penalties in period
3.1nurse hours per resident per daystate median 3.3
61%occupancy (residents ÷ beds)91 residents a day

Compared with county, state and nation

MeasureThis facilityEl Paso Co. medianTexas medianUS average
Overall star rating1133.0
Health citations, 3 cycles55562528.7
Citations per 100 beds36.753.322.526.8
Total nurse hours per resident day3.13.43.33.9
RN hours per resident day0.30.40.40.7
Nursing staff turnover—52.7%52.1%45.8%
Fines listed$20,312$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

Cycle 1 (latest)3
Cycle 228
Cycle 324

Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 7 Aug 2025, 20 Jun 2024.

Severity mix: J ×2 D ×31 E ×16 F ×5 C ×1

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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
7 Aug 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey29 Aug 2025
7 Aug 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey29 Aug 2025
7 Aug 2025F0761Ensure 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.DStandard survey28 Aug 2025
27 Mar 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation26 Apr 2025
27 Mar 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DComplaint investigation26 Apr 2025
15 Jan 2025F0727Have 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.FComplaint investigation15 Feb 2025
15 Jan 2025F0584Honor 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.DComplaint investigation15 Feb 2025
15 Jan 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation15 Feb 2025
23 Sep 2024F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DComplaint investigation16 Oct 2024
17 Sep 2024F0558Reasonably accommodate the needs and preferences of each resident.DComplaint investigation10 Oct 2024
17 Sep 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation10 Oct 2024
17 Sep 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigation10 Oct 2024
17 Sep 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation10 Oct 2024
17 Sep 2024F0693Ensure 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.DComplaint investigation10 Oct 2024
5 Aug 2024F0584Honor 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.EComplaint investigation26 Aug 2024
5 Aug 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint investigation26 Aug 2024
5 Aug 2024F0687Provide appropriate foot care.EComplaint investigation26 Aug 2024
5 Aug 2024F0641Ensure each resident receives an accurate assessment.DComplaint investigation26 Aug 2024
5 Aug 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation26 Aug 2024
5 Aug 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation26 Aug 2024
20 Jun 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey20 Jul 2024
20 Jun 2024F0908Keep all essential equipment working safely.FStandard survey20 Jul 2024
20 Jun 2024F0558Reasonably accommodate the needs and preferences of each resident.EStandard survey20 Jul 2024
20 Jun 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey20 Jul 2024
20 Jun 2024F0679Provide activities to meet all resident's needs.EStandard survey20 Jul 2024
20 Jun 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard survey20 Jul 2024
20 Jun 2024F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint investigation20 Jul 2024
20 Jun 2024F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard survey20 Jul 2024
20 Jun 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey20 Jul 2024
20 Jun 2024F0758Implement 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.DStandard survey20 Jul 2024
20 Jun 2024F0880Provide and implement an infection prevention and control program.DStandard survey20 Jul 2024
16 Apr 2024F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EComplaint investigation16 May 2024
16 Apr 2024F0584Honor 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.DComplaint investigation16 May 2024
16 Apr 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation16 May 2024
16 Apr 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation16 May 2024
16 Apr 2024F0814Dispose of garbage and refuse properly.DComplaint investigation16 May 2024
16 Apr 2024F0880Provide and implement an infection prevention and control program.DComplaint investigation16 May 2024
11 Oct 2023F0584Honor 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.DComplaint investigation12 Oct 2023
11 Oct 2023F0880Provide and implement an infection prevention and control program.DComplaint investigation12 Oct 2023
11 Oct 2023F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DComplaint investigation12 Oct 2023
1 Sep 2023F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.JComplaint investigation5 Sep 2023
1 Sep 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JComplaint investigation5 Sep 2023
1 Sep 2023F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EComplaint investigation5 Sep 2023
1 Sep 2023F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation5 Sep 2023
27 Apr 2023F0880Provide and implement an infection prevention and control program.FStandard survey2 Jun 2023
27 Apr 2023F0584Honor 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.EStandard survey2 Jun 2023
27 Apr 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard survey2 Jun 2023
27 Apr 2023F0695Provide safe and appropriate respiratory care for a resident when needed.EStandard survey2 Jun 2023
27 Apr 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey2 Jun 2023
27 Apr 2023F0814Dispose of garbage and refuse properly.EStandard survey2 Jun 2023
27 Apr 2023F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard survey2 Jun 2023
27 Apr 2023F0908Keep all essential equipment working safely.EStandard survey2 Jun 2023
27 Apr 2023F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey2 Jun 2023
27 Apr 2023F0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DStandard survey2 Jun 2023
27 Apr 2023F0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.CStandard survey2 Jun 2023

Penalties

DateTypeAmountDetail
1 Sep 2023Payment denial—8 days
1 Sep 2023Fine$20,312

Staffing

Total nursing3.12 h
Nurse aides1.91 h
LPN0.92 h
RN0.29 h
Weekend total2.61 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff —, RNs —; 1 administrator left in the reporting year.

Quality measures

MeasureResidentsThis facilityTexas medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay20.3%14.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%0.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.8%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay3.0%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay13.4%12.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay5.2%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay11.0%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: government, hospital district. Legal business name: West Wharton County Hospital District. Chain: Advanced Healthcare Solutions (28 facilities).

OrganisationRole in the CMS recordInterestSince
El Paso Vii Enterprises, L.L.C.Operational/managerial controlNOT APPLICABLE02/23/2024
El Paso Vii Enterprises, L.L.C.Adp of the snfNOT APPLICABLE04/10/2025
El Paso Vii Realty, L.L.C.Adp of the snfNOT APPLICABLE02/23/2024

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

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Center At Zaragoza, LLCEl Paso804333442.5—2 Jun 2026
Mountain Villa Nursing HomeEl Paso484422347.9—4 Dec 2025
Oasis Nursing & Rehabilitation CenterEl Paso1304412620.0—18 Apr 2025
Ambrosio Guillen Texas State Veterans HomeEl Paso1602244326.9—9 Apr 2026
Avir At El PasoEl Paso1242129375.0$193K10 Jun 2026
Las Ventanas De SocorroSocorro1262224737.3$9K15 May 2026
Nazareth Living Care CenterEl Paso1082225651.9—28 Jan 2026
St. Giles Nursing and Rehabilitation CenterEl Paso1242314435.5$13K8 May 2026

All 22 facilities in El Paso County

Questions and answers

How many deficiencies has El Paso Health & Rehabilitation Center been cited for?

55 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.

Has El Paso Health & Rehabilitation Center been fined?

Yes. CMS lists fines totalling $20K in the period covered, plus 1 payment denial.

How does staffing at El Paso Health & Rehabilitation Center compare?

Reported total nurse staffing is 3.1 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.

Who operates El Paso Health & Rehabilitation Center?

It is part of the Advanced Healthcare Solutions chain. Ownership type is government, hospital district. Organisations in the CMS ownership record include El Paso Vii Enterprises, L.L.C.. Individual owners and managers are not listed on this site.

When was El Paso Health & Rehabilitation Center last inspected?

The most recent survey or investigation in the CMS record is dated 7 Aug 2025; the most recent standard health survey was 7 Aug 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.