Elder Care Record

Texas › El Paso County › El Paso

St. Teresa Nursing & Rehab Center

10350 Montana Avenue, El Paso, TX 79925

CCN 676342 · For-profit, individual · 124 certified beds · chain Creative Solutions In Healthcare

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.

Certified for 124 beds, St. Teresa Nursing & Rehab Center serves El Paso in El Paso County, Texas and has taken Medicare and Medicaid residents since 2013.

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 75 health deficiencies across the three most recent survey cycles (17, 21, 37 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 60.5 per 100 beds, more than the state median of 22.5.

CMS lists 2 penalties in the period covered: fines totalling $21K.

Reported nurse staffing is 3.6 hours per resident per day (0.5 RN), close to the Texas median of 3.3; nursing staff turnover is 97.1%.

75health deficiencies, 3 survey cycles2 at actual harm or worse
$21Kfines listed by CMS2 penalties in period
3.6nurse hours per resident per daystate median 3.3
84%occupancy (residents ÷ beds)104 residents a day

Compared with county, state and nation

MeasureThis facilityEl Paso Co. medianTexas medianUS average
Overall star rating1133.0
Health citations, 3 cycles75562528.7
Citations per 100 beds60.553.322.526.8
Total nurse hours per resident day3.63.43.33.9
RN hours per resident day0.50.40.40.7
Nursing staff turnover97.1%52.7%52.1%45.8%
Fines listed$20,730$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)17
Cycle 221
Cycle 337

Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 17 Sep 2025, 25 Jul 2024.

Severity mix: G ×2 D ×52 E ×20 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
5 Jun 2026F0695Provide safe and appropriate respiratory care for a resident when needed.DComplaint investigation30 Jun 2026
22 Apr 2026F0610Respond appropriately to all alleged violations.DComplaint investigation14 May 2026
22 Apr 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation14 May 2026
22 Apr 2026F0880Provide and implement an infection prevention and control program.DComplaint investigation14 May 2026
4 Feb 2026F0610Respond appropriately to all alleged violations.DComplaint investigation25 Feb 2026
4 Feb 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation25 Feb 2026
4 Feb 2026F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation25 Feb 2026
19 Dec 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EComplaint investigation31 Dec 2025
19 Dec 2025F0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.DComplaint investigation31 Dec 2025
19 Dec 2025F0850Hire a qualified full-time social worker in a facility with more than 120 beds.DComplaint investigation15 Jan 2026
19 Dec 2025F0880Provide and implement an infection prevention and control program.DComplaint investigation31 Dec 2025
17 Sep 2025F0558Reasonably accommodate the needs and preferences of each resident.EStandard survey10 Oct 2025
17 Sep 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey10 Oct 2025
17 Sep 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey10 Oct 2025
17 Sep 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey10 Oct 2025
17 Sep 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey10 Oct 2025
17 Sep 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey10 Oct 2025
16 May 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint investigation15 May 2025
6 Feb 2025F0693Ensure 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 investigation27 Feb 2025
6 Jan 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation27 Jan 2025
17 Oct 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation7 Nov 2024
20 Sep 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint investigation14 Oct 2024
28 Aug 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 investigation20 Sep 2024
25 Jul 2024F0578Honor 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.EStandard survey22 Aug 2024
25 Jul 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.EStandard survey22 Aug 2024
25 Jul 2024F0880Provide and implement an infection prevention and control program.EStandard survey22 Aug 2024
25 Jul 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.DStandard survey22 Aug 2024
25 Jul 2024F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard survey22 Aug 2024
25 Jul 2024F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey22 Aug 2024
25 Jul 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey22 Aug 2024
25 Jul 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey22 Aug 2024
25 Jul 2024F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard survey22 Aug 2024
25 Jul 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey22 Aug 2024
25 Jul 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey22 Aug 2024
25 Jul 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey22 Aug 2024
25 Jul 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey22 Aug 2024
25 Jul 2024F0761Ensure 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 survey22 Aug 2024
25 Jul 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey22 Aug 2024
7 Jun 2024F0585Honor 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.EComplaint investigation24 Jun 2024
7 Jun 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint investigation24 Jun 2024
7 Jun 2024F0558Reasonably accommodate the needs and preferences of each resident.DComplaint investigation24 Jun 2024
7 Jun 2024F0583Keep residents' personal and medical records private and confidential.DComplaint investigation24 Jun 2024
7 Jun 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation24 Jun 2024
7 Jun 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DComplaint investigation24 Jun 2024
25 Apr 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation7 Mar 2024
25 Apr 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EComplaint investigation9 May 2024
25 Apr 2024F0880Provide and implement an infection prevention and control program.EComplaint investigation9 May 2024
25 Apr 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation9 May 2024
8 Dec 2023F0558Reasonably accommodate the needs and preferences of each resident.EComplaint investigation22 Dec 2023
8 Dec 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 investigation22 Dec 2023
8 Dec 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation22 Dec 2023
8 Dec 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation22 Dec 2023
26 Oct 2023F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDComplaint investigation27 Oct 2023
26 Oct 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation27 Oct 2023
23 Aug 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 investigation6 Sep 2023
23 Aug 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation6 Sep 2023
4 Aug 2023F0693Ensure 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.EComplaint investigation18 Aug 2023
4 Aug 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation18 Aug 2023
4 Aug 2023F0732Post nurse staffing information every day.CComplaint investigation18 Aug 2023
19 May 2023F0565Honor the resident's right to organize and participate in resident/family groups in the facility.EStandard survey1 Jul 2023
19 May 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard survey1 Jul 2023
19 May 2023F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EStandard survey1 Jul 2023
19 May 2023F0687Provide appropriate foot care.EStandard survey1 Jul 2023
19 May 2023F0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.EStandard survey1 Jul 2023
19 May 2023F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard survey1 Jul 2023
19 May 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey1 Jul 2023
19 May 2023F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard survey1 Jul 2023
19 May 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey1 Jul 2023
19 May 2023F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey1 Jul 2023
19 May 2023F0692Provide enough food/fluids to maintain a resident's health.DStandard survey1 Jul 2023
19 May 2023F0693Ensure 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.DStandard survey1 Jul 2023
19 May 2023F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey1 Jul 2023
19 May 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey1 Jul 2023
19 May 2023F0758Implement 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 survey1 Jul 2023
19 May 2023F0919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard survey1 Jul 2023

Penalties

DateTypeAmountDetail
16 May 2025Fine$10,531
25 Apr 2024Fine$10,199

Staffing

Total nursing3.63 h
Nurse aides2.05 h
LPN1.11 h
RN0.47 h
Weekend total3.22 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 97.1%, RNs 83.3%; 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 Stay10.7%14.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.4%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.3%0.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay4.1%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay4.1%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay19.5%12.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay11.3%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay9.2%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, individual. Chain: Creative Solutions In Healthcare (149 facilities).

OrganisationRole in the CMS recordInterestSince
Creative Solutions In Healthcare IncOperational/managerial controlNOT APPLICABLE10/27/2021

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 St. Teresa Nursing & Rehab Center been cited for?

75 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 St. Teresa Nursing & Rehab Center been fined?

Yes. CMS lists fines totalling $21K in the period covered.

How does staffing at St. Teresa Nursing & Rehab Center compare?

Reported total nurse staffing is 3.6 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.

Who operates St. Teresa Nursing & Rehab Center?

It is part of the Creative Solutions In Healthcare chain. Ownership type is for-profit, individual. Organisations in the CMS ownership record include Creative Solutions In Healthcare Inc. Individual owners and managers are not listed on this site.

When was St. Teresa Nursing & Rehab Center last inspected?

The most recent survey or investigation in the CMS record is dated 5 Jun 2026; the most recent standard health survey was 17 Sep 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.