Elder Care Record

Texas › El Paso County › El Paso

The Bartlett Skilled Nursing and Assisted Living

221 Bartlett Drive, El Paso, TX 79912

CCN 676457 · For-profit, partnership · 58 certified beds

CMS abuse icon
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.

The Bartlett Skilled Nursing and Assisted Living, in El Paso, Texas, is certified for 58 beds under for-profit, partnership ownership.

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 2.

Inspectors recorded 37 health deficiencies across the three most recent survey cycles (12, 11, 14 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 63.8 per 100 beds, more than the state median of 22.5.

CMS lists 2 penalties in the period covered: fines totalling $35K.

Reported nurse staffing is 3.6 hours per resident per day (0.2 RN), close to the Texas median of 3.3.

CMS flags that the facility carries the CMS abuse icon.

37health deficiencies, 3 survey cycles2 at actual harm or worse
$35Kfines listed by CMS2 penalties in period
3.6nurse hours per resident per daystate median 3.3
93%occupancy (residents ÷ beds)54 residents a day

Compared with county, state and nation

MeasureThis facilityEl Paso Co. medianTexas medianUS average
Overall star rating1133.0
Health citations, 3 cycles37562528.7
Citations per 100 beds63.853.322.526.8
Total nurse hours per resident day3.63.43.33.9
RN hours per resident day0.20.40.40.7
Nursing staff turnover—52.7%52.1%45.8%
Fines listed$34,613$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)12
Cycle 211
Cycle 314

Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 22 Aug 2025, 11 Jul 2024.

Severity mix: G ×2 D ×19 E ×15 F ×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
17 Jun 2026F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DComplaint investigation18 Jun 2026
11 Apr 2026F0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.GComplaint investigation30 Apr 2026
11 Apr 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint investigation30 Apr 2026
11 Apr 2026F0585Honor 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.DComplaint investigation30 Apr 2026
22 Aug 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey25 Aug 2025
22 Aug 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey25 Aug 2025
22 Aug 2025F0945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.EStandard survey25 Aug 2025
22 Aug 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey25 Aug 2025
22 Aug 2025F0880Provide and implement an infection prevention and control program.DStandard survey25 Aug 2025
7 Aug 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint investigation27 Aug 2025
7 Aug 2025F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint investigation27 Aug 2025
7 Aug 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation27 Aug 2025
13 Mar 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation14 Mar 2025
6 Feb 2025F0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.EComplaint investigation7 Feb 2025
6 Feb 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.DComplaint investigation7 Feb 2025
11 Jul 2024F0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.FStandard survey1 Aug 2024
11 Jul 2024F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.EStandard survey26 Jul 2024
11 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 survey12 Jul 2024
11 Jul 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey12 Jul 2024
11 Jul 2024F0880Provide and implement an infection prevention and control program.EStandard survey12 Jul 2024
11 Jul 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey12 Jul 2024
11 Jul 2024F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey26 Jul 2024
11 Jul 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey26 Jul 2024
15 Jun 2023F0695Provide safe and appropriate respiratory care for a resident when needed.EStandard survey3 Jul 2023
15 Jun 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey3 Jul 2023
15 Jun 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.EStandard survey3 Jul 2023
15 Jun 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey3 Jul 2023
15 Jun 2023F0814Dispose of garbage and refuse properly.EStandard survey3 Jul 2023
15 Jun 2023F0880Provide and implement an infection prevention and control program.EStandard survey3 Jul 2023
15 Jun 2023F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey3 Jul 2023
15 Jun 2023F0565Honor the resident's right to organize and participate in resident/family groups in the facility.DStandard survey3 Jul 2023
15 Jun 2023F0576Ensure residents have reasonable access to and privacy in their use of communication methods.DStandard survey3 Jul 2023
15 Jun 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey3 Jul 2023
15 Jun 2023F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey3 Jul 2023
15 Jun 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey3 Jul 2023
15 Jun 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 survey3 Jul 2023
15 Jun 2023F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey3 Jul 2023

Penalties

DateTypeAmountDetail
11 Apr 2026Fine$13,065
7 Aug 2025Fine$21,548

Staffing

Total nursing3.58 h
Nurse aides1.96 h
LPN1.47 h
RN0.15 h
Weekend total3.16 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff —, RNs —; — administrators 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 Stay12.0%14.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay8.9%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 Stay0.0%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.9%0.7%1.0%
Percentage of long-stay residents with pressure ulcersLong Stay10.5%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay37.0%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: for-profit, partnership. Legal business name: Penan Retirement Centers Limited Partnership.

OrganisationRole in the CMS recordInterestSince
Penan Retirement Inc.5% or greater direct ownership interestNO PERCENTAGE PROVIDED01/01/2018
Penan Retirement Inc.General partnership interestNOT APPLICABLE01/01/2018

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 The Bartlett Skilled Nursing and Assisted Living been cited for?

37 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 The Bartlett Skilled Nursing and Assisted Living been fined?

Yes. CMS lists fines totalling $35K in the period covered.

How does staffing at The Bartlett Skilled Nursing and Assisted Living 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 The Bartlett Skilled Nursing and Assisted Living?

Ownership type is for-profit, partnership. Organisations in the CMS ownership record include Penan Retirement Inc.. Individual owners and managers are not listed on this site.

When was The Bartlett Skilled Nursing and Assisted Living last inspected?

The most recent survey or investigation in the CMS record is dated 17 Jun 2026; the most recent standard health survey was 22 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.