11525 Vista Del Sol Drive, El Paso, TX 79936 · El Paso County · (915) 855-3636
150 certified beds, about 91 residents a day · Government - Hospital district · Medicare and Medicaid since 1991
CMS Care Compare ratings, data as of September 1, 2026 · CCN 455935 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on August 7, 2025, inspectors cited 3 health deficiencies (the Texas average is 9.4, the national average 9.2).
Of 55 health citations since April 2023, 2 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.12 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.29 of those hours.
CMS links it to Advanced Healthcare Solutions, an affiliated group of 28 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 55 health citations on file.
Inspectors wroteBased on observation, interviews and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed in that:-The facility failed on 8/4/25 to thaw two bags of boneless pork loin properly.-The facility failed on 8/4/25 to seal a receptacle containing refried beans in refrigerator #1.-The facility failed on 8/4/25 to seal Ziplock bags containing jalapenos and onions in refrigerator #1.-The facility failed on 8/4/25 to label an object approximately 15 inches long, wrapped in brown butcher paper and sealed in plastic wrap that was found inside refrigerator #2. [...]
Inspectors wroteBased on interview and record review, the facility failed to develop and implement a comprehensive person-centered care plan that includes measurable objectives and timeframes to meet a resident's medical, nursing, mental and psychosocial needs for one (Resident #9) of four resident reviewed for care plans. The facility failed to have a comprehensive person-centered care plan for Resident #9 to address the Resident's prescribed psychotropic medication, Mirtazapine 7.5 mg by mouth at bedtime. This failure could affect residents prescribed psychotropic medications by placing them at risk for not receiving care and services to meet their needs. Findings Include:Record review of Resident #9's face sheet dated 08/07/25 revealed an [AGE] year-old female with an admission date 06/09/21. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure biologicals were stored in locked compartments and accessed by authorized personnel for 1 (Resident #21) of 8 residents reviewed for medication storage, in that: Resident # 21 had two clear measuring cups at bedside, one with crushed medications and the second with a clear liquid, exposed and within reach of other residents. This failure could place residents at risk of access to medications not approved for administration by their physician.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that a resident who is unable to carry out activities of daily living receives the necessary services to maintain good grooming, personal and oral hygiene, for 1 Resident (#1) of 6 residents reviewed for activities of daily living. The facility failed to provide fingernail care for Resident #1 by not maintaining trim and clean fingernails. This failure could place residents at risk of not having their personal hygiene needs met and cause low self-esteem.
Inspectors wroteBased on observations, interviews and record reviews the facility failed to ensure a resident who needs respiratory care is provided such care consistent with professional standards of practice for 2 of 10 residents (Residents #2, #3) who were reviewed for respiratory care in that: 1. The facility failed to ensure Resident #2's oxygen concentrator filter was clean. 2. The facility failed to ensure Resident #3's oxygen concentrator filter was clean. These deficiencies could affect the residents who received continuous oxygen and oxygen as needed and can result in a respiratory infection.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure they had a full time DON for 1 of 1 facility reviewed for DON coverage. The facility failed to have a full-time DON since 12/05/24 . This failure could place residents at risk of a lack of nursing oversight and a higher level of care.
Inspectors wroteBased on observation, interview and record review, the facility failed to maintain housekeeping and maintenance services to maintain a sanitary, orderly, and comfortable interior for 1 of 6 resident rooms, observed for housekeeping and maintenance, in that: The facility failed to ensure CNA E used the facility work order system to input the lights in the restroom and room of Resident #5 would not turn on while Resident #5 wanted to use the restroom but was dark and could not see. These failures could lead to resident injury and a diminished quality of life.
Inspectors wroteBased on the observation, interview, and record review, the facility failed to ensure that the residents environment remains free of accidents hazards as possible and each resident receives adequate supervision to prevent accidents for 1 (Resident #3) of 3 residents reviewed for accidents and supervision. The facility failed to ensure CNA A secured the brakes on a mechanical lift when lifting and lowering Resident #3 to bed. This failure could place residents at risk for falls or injury.
Inspectors wroteBased on observations, interviews, and record review the facility failed to ensure resident#1 was free from any physical or chemical restraints imposed for purposes of discipline or convenience for one (Resident #2) of five residents reviewed for freedom from physical restraints. The facility failed to ensure Residents #2 did not have pillows under his mattress which restricted his movement from getting off the bed and were not required to treat his medical symptoms. This failure could put residents at risk of unnecessary restriction of their movements.
Inspectors wroteBased on observation, interviews and record review the facility failed to ensure residents the right to reside and receive services in the facility with reasonable accommodation of resident needs and preferences for 1 (Residents #1) of 8 residents reviewed for call light placement. -The facility failed to ensure that Residents #1's call light was within his reach. This failure placed residents at risk of not being able to call for assistance when needed.
Inspectors wroteBased on observation, interview, and record review, the facility failed to develop and implement a comprehensive person-centered care plan that included measurable objectives and time frames to meet a resident's medical and nursing needs and described the services to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being for 1 (Resident #1) of 7 residents reviewed for care plans. -The facility failed to follow the comprehensive person-centered care plan for Resident #1's fall risk, by failing to have a fall mat in place next to bed while resident was lying down in bed. This deficient practice could place residents in the facility at risk of not receiving the necessary care or services as indicated in their comprehensive person-centered plans developed to address their needs.
Inspectors wroteBased on observation, interview and record review the facility failed to review and revise Resident Care Plans after each assessment for 1 (Resident #1) of 8 residents whose records were reviewed. -Resident #1's Care Plan was not updated to reflect discontinuation of padding the wall. These deficient practices could lead to errors in treatment and services provided based on incorrect information.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a resident who was unable to carry out activities of daily living received the necessary services to maintain good nutrition, grooming, and personal and oral hygiene for 1 (Residents #1) of 7 residents reviewed for assistance with ADLs. -The facility failed to ensure Residents #1's fingernails were trimmed and cleaned. This failure could place residents who were dependent on staff for ADL care at risk for loss of dignity, risk of infection, and decreased quality of life.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents who are fed by enteral means received the appropriate treatment and services to prevent complications of enteral feeding for 1 (Resident #3) of 4 residents reviewed for gastrostomy tube management quality of care. -The facility failed to ensure Residents #3 was provided with the correct feeding through gastrostomy tube (g-tube, feeding tube) as ordered per physician. This failure could place residents who received feedings by gastrostomy tube at risk for decline in health and weight loss.
Inspectors wroteBased on observation, interview and record review, the facility failed to maintain a safe, sanitary and comfortable environment for 2 (Resident #2 and Resident #5) of 4 residents and 1 (room [ROOM NUMBER]B) of 3 rooms reviewed for environment. The facility failed to ensure Resident #2's blue face of the feeding pump machine had white unknown substance. The top of the feeding pump machine was dirty with a brown-ish substance. Resident #5's feeding pump machine was greasy and dirty. The pole the feeding bag was hung from, and the feeding pump machine was hooked up too had brown-ish substances all around the pole and the black power cord. The Face of the feeding pump machine also on the left side had a reddish substance. The right side of the feeding pump machine had some black smeared substance. Underneath the feeding pump machine was a brown-ish substance. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident who is unable to carry out activities of daily living receives the necessary services to maintain good nutrition, grooming, and personal and oral hygiene for 2 (Resident #3 and Resident #6) of 5 residents reviewed for quality of life. The facility failed to ensure Resident #3 and Resident #6's fingernails were trimmed and cleaned. This failure could place residents who were dependent on staff for ADL care at risk for loss of dignity, risk of infection, and decreased quality of life.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide foot care and treatment, or assist the resident in making appointments with a qualified person for 2 (Resident #3 and Resident #6) of 5 residents reviewed for quality of life. The facility failed to ensure Resident #3 and Resident #6's toenails were trimmed and cleaned, or podiatry appointments scheduled. This failure could place residents at risk of infection or mobility issues.
Inspectors wroteBased on interviews and record reviews, the facility failed to ensure that the assessment accurately reflected the resident's status for 1 (Resident #7) of 5 resident reviewed for accuracy of MDS assessment, in that: The facility failed to ensure Resident #7's quarterly MDS accurately reflected the residents' history of falls. This deficient practice could affect residents at the facility who had been assessed for risk of falls and could contribute to inadequate care.
Inspectors wroteBased on interview, and record review the facility failed to develop and implement comprehensive person-centered care plan that includes measurable objectives and time frames to meet a resident medical and nursing needs to be furnished to attain or maintain the residents highest practicable physical, mental, and psychosocial well-being for 1 (Resident #7) of 5 residents reviewed for care plans in that: The facility failed to develop a comprehensive person-centered care plan for Resident #7's history of falls needing to have a fall mat placed when in bed as per physician orders. This deficient practice could place residents in the facility at risk of not receiving the necessary care or services and having personalized plans developed to address their needs.
Inspectors wroteBased on the observations, interviews, and record reviews, the facility failed to ensure that the residents environment remains free of accidents hazards as is possible and each resident receives adequate supervision and assistance devices to prevent accidents for 1 (Resident #7) of 4 residents reviewed for accidents. The facility failed to follow the physicians order to place a fall mat on the floor when Resident #7 remains in bed. This failure could place residents in the facility at risk of not receiving the necessary care of services as ordered by the physician to address their needs, resulting in accidents, falls, and potential harm.
Inspectors wroteBased on observations, interviews, and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for sanitation and food storage. The facility failed to keep refrigerator and dry storage free of moldy foods. The facility failed to keep the freezers clean. The facility failed to store food in sealed containers. The facility failed to keep one plastic container stored on a metal rack clean and free of dried food residues on its side. The facility failed to keep one plastic bag with 2 bottles of liquid caramel stored on a metal rack clean and free of food drippings. The caramel stored inside the bag had leaked to the floor. The facility failed to properly store cleaning chemicals. This failure could affect residents by placing them at risk of food borne illness.
Inspectors wroteBased on observation, interview and record review the facility failed to maintain all mechanical, electrical, and patient care equipment in safe operating condition for 1 of 1 kitchen reviewed for safe operating equipment in safe operating condition. -The facility failed to maintain the stove in operational condition. -The facility failed to maintain the freezer in operational condition. This failure could place residents at risk of foodborne illnesses; and potential for injury to residents and staff by not maintaining essential equipment in safe operating condition.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that the resident had the right to reside and receive services in the facility with reasonable accommodation of resident needs and preferences for 5 of 18 residents (Resident #7, #8, #14, #51 and Resident #65) reviewed for activities of daily living., received reasonable accommodation of needs. The facility failed to place Residents #7, #8, #14 and #51's call lights within reach. The facility failed to ensure Resident #65's room door was closing properly. This deficient practice could affect all residents who need assistance with activities of daily living of not having needs met.
Inspectors wroteBased on observation, interview and record review the facility failed to develop and implement a comprehensive person-centered care plan for each resident that included measurable objectives and timeframes to meet a resident's medical and nursing needs identified in the comprehensive assessment for two (Resident #59 and Resident #61) of 23 residents reviewed for comprehensive resident-centered care plans. The facility failed to include care plans to address Resident #59's limited range of motion of his upper and lower extremities. The facility failed to include care plans to address Resident #61's limited range of motion of his upper and lower extremities. This failure put residents at increased risk of being unable to maintain their highest practicable physical well-being.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure all residents were provided, based on the preferences of each resident, an ongoing program to support residents in their choice of activities, both facility sponsored activities and individual activities, designed to meet the interests and support the physical, mental, and psychosocial well-being of each resident for 2 of 9 (Resident #65 and Resident #51) residents reviewed for activities. The facility failed to provide regular, individualized activities to Resident #65 and Resident #51. This failure placed residents at risk of decreased physical, mental, and psychosocial well-being.
Inspectors wroteBased on interview and record review the facility failed to ensure the resident's medical records were complete and accurately documented in accordance with accepted professional standards and practices for 5 (Resident #1, #57, #59, #61 and #65) of 23 residents reviewed for advance directives. The facility failed to ensure that Resident #1, #57, #59, #61, and #65's Texas OOH DNR were completed correctly. This failure put residents at risk of not having their health care wishes honored, such as receiving unwanted resuscitative measures.
Inspectors wroteBased on interview and record review the facility failed to implement written policies that prohibit and prevent abuse for 1 of 7 Resident #8) residents reviewed for abuse. The facility failed to implement their abuse policy when they failed to immediately suspend the Driver after Resident #8 ' s allegation of mistreatment was reported. This failure could place residents at risk of potential continued mistreatment and abuse.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure residents are given the appropriate treatment and services to maintain or improve his or her ability to carry out the activities of daily living (ADLs) for 1 of 7 residents (Resident #26) reviewed for meal assistance. The facility failed to encourage Resident #26 often during her meal per her care plan. This failure could place residents that needed encouragement to eat to maintain ADL independence at risk of possible weight loss and avoid ADL decline.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a resident who was unable to carry out activities of daily living received the necessary services to maintain good nutrition, grooming, and personal and oral hygiene for 1 of 7 residents (Resident #15) reviewed for nail care. The facility failed to trim Resident #15 ' s fingernails. This failure could place residents at risk of cross contamination and skin scratches that could result in infection.
Inspectors wroteBased on interview and record review the facility failed to ensure that residents did not receive psychotropic drugs on a PRN basis for more than 14 days for one (Resident #61) of three residents reviewed for PRN psychotropic medication orders exceeding 14 days. The facility failed to ensure that Resident #61 did not have a PRN order for Lorazepam (antianxiety medication) for more than 14 days. This failure could place residents at risk of side effects from receiving unnecessary psychotropic medications.
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment to help prevent the development and transmission of communicable diseases and infections for 2 (Residents #47 and #63) of 18 residents reviewed for infection control in that: The facility failed to ensure CNA A wiped from front to back during incontinent care of Resident #47. The facility failed to ensure Resident #63's oxygen nasal cannula was bagged when not in use. These failures could place residents at risk for cross contamination and the spread of infection.
Inspectors wroteBased on observation, interview, and record review the facility failed to provide a safe, functional, sanitary, and comfortable environment for residents, staff, and the public. The facility did not ensure the floors and ceilings were not stained, floor tiles were not broken/missing, restroom faucet(s) had running water, restroom(s) light bulbs were not out, there was not a strong urine smell in B-Hall, in a living area there was not trash on the floor, the wall under the medical records room/oxygen room did not have a huge hole, and hot water was available in C-hall, Room B105 had wet urine in the restroom and in the room, strong urine smell, there was wet pieces of toilet paper all over the room. Medical Records room had a hole in the wall, resident phone room had a hole in the wall, D-Hall had broken tile on the floor. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a safe, clean, comfortable, and homelike environment for 1 (Resident #10) of 6 residents reviewed for resident rights. -The facility failed to ensure Resident #10's bedroom was clean and comfortable based on a dead roach being inside the resident's bed light fixture. This failure could place the resident at risk of decreased quality of life due to the lack of a well-maintained environment.
Inspectors wroteBased on observation, interview, and record review the facility failed to develop and implement a comprehensive person-centered care plan that includes measurable objectives and time frames to meet a resident's medical and nursing needs and the services to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being for 1 of 5 residents (Resident #1) reviewed for care plans in that: The facility failed to implement a comprehensive person-centered care plan for Resident #1 requiring wearing cushion boots (redistributing device for the prevention of heel pressure ulcers). This deficient practice could place residents in the facility at risk of not receiving the necessary care or services and having personalized plans developed to address their needs.
Inspectors wroteBased on observation, interview, and record review the facility failed to provide the necessary treatment and services based on the comprehensive assessment and consistent with professional standards of practice to promote healing and prevent worsening of pressure injuries for 1 (Resident #3) of 3 residents reviewed for pressure ulcers. The facility failed to provide proper wound care for Resident #1's facility acquired pressure ulcers to the right outer heel. This deficient practice could place residents at risk for worsening pressure injuries, pain, and a decline in health.
Inspectors wroteBased on observations and interviews the facility failed to dispose of garbage and refuse properly for 2 (Dumpsters #1 and #2) of 2 dumpsters located outside of the facility. -Two dumpsters located outside the facility were open with their sliding doors open when not in use and trash was on the ground. These failures could place residents at risk of decreased quality of life due to an exterior environment which could attract pests, rodents, and other animals.
Inspectors wroteBased on observation, interview, and record review the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable disease and infection for 1 (Resident #11) of 6 residents reviewed for infection control. Resident #11's nasal cannula that was on the floor was placed back on Resident #11's nares (nostrils) without being replaced. This deficient practice could place residents at risk for infection due to improper care practices.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a safe, clean, comfortable, and homelike environment for 2 of 6 (Resident #1 and Resident #4) residents reviewed for resident rights. The facility failed to clean urine off the floor for Resident #1 and Resident #4, leaving a strong urine odor penetrating the shared room. This failure could place residents at risk at a diminished quality of life.
Inspectors wroteBased on observation, interview, and record review the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 of 6 (Resident #6) residents reviewed for infection control. The facility failed to ensure CNA D removed gown and gloves before exiting Resident #6 room, who was in isolation with contact precautions. This failure could place residents at risk of cross contamination which could result infections or illness.
Inspectors wroteBased on interview and record review, the facility failed to ensure the resident's medical record included documentation that indicates the residents received education on the influenza immunizations for 1 of 6 (Resident #2) residents reviewed for immunizations. 1. The facility failed to document that Resident #2 or was provided education regarding the benefits and potential side effects of the influenza immunization and if the resident either receive the influenza immunization This failure could place residents at risk for contracting a viral disease and cause respiratory complications, and potential adverse health outcomes.
Inspectors wroteBased on record review and interview, the facility failed to immediately consult with resident physician and notify the resident representative when there was a significant change in the resident's physical or mental status that is, a deterioration in health, mental, or psychosocial status in either life-threatening conditions or clinical complications for 1 of 5 (Resident #1) reviewed for notification of changes of condition. The facility failed to notify the physician and establish vital signs when [AGE] year-old female Resident #1, with a history of dementia, had multiple episodes of emesis. The facility failed to report to the NP or MD 08/10/23 when Resident #1 had a total of six episodes of emesis, beginning at approximately 10 a.m. The day shift CNA stated she informed the day RN after the second episode. [...]
Inspectors wroteBased on interview, and record review, the facility staff failed to ensure residents received treatment and care in accordance with professional standards of practice, the comprehensive care plan, and the residents' choices for 1 of 5 (Resident #1) reviewed for quality of care. The facility failed to notify the physician and establish vital signs when [AGE] year-old female Resident #1, with a history of dementia, had multiple episodes of emesis. The facility failed to report to the NP or MD 08/10/23 when Resident #1 had a total of six episodes of emesis, beginning at approximately 10 a.m. The day shift CNA stated she informed the day RN after the second episode. The CNAs notified the facility nurses again at the change of shift, 2:20 pm, after 4 episodes. [...]
Inspectors wroteBased on observation, interview, and record review the facility failed to maintain an effective pest control program so that the facility was free of rodents/insects for one of four halls. A. The facility failed to ensure an effective pest control program was in place to keep cockroaches out of the facility. This failure could affect all residents by placing them at risk of potential spread of infection, cross-contamination, food-borne illness, and decreased quality of life.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure medical records, in accordance with accepted professional standards and practices, were maintained on each resident that were accurately documented for 1 of 6 residents (Resident #1) reviewed for medical records. The facility failed to ensure Resident #1's assessments for the change of condition were accurately documented clinical record. This failure could place residents at risk of inaccurate records with the potential for inadequate care and treatment.
Inspectors wroteBased on observation and interview the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infection for the facility residents reviewed for infection control. The facility failed to remove linen from the facility and maintain in a sanitary condition until wash. The facility failed to maintain equipment in working condition to sanitize linens. This deficient practice could have placed residents at risk for cross-contamination resulting in acquiring infections.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure residents had the right to a safe, clean, comfortable, and homelike environment, including maintenance services necessary to maintain a sanitary, orderly, and comfortable interior for two (Halls C and D) of four halls reviewed for maintenance services and failed to maintain a safe environment on two halls (Halls A and B) of four halls reviewed for safe water temperatures. 1. Halls C and D had numerous unaddressed environmental issues including holes in walls, water leaks, collapsed ceilings, lose faucets, windowsill boards broken or cracked, restroom light fixture covers missing, closet doors missing or broken. 2. The hot water in the bathroom sink in room B19 measured 129.9 degrees. 3. The hot water in the bathroom sink in room B18 measured 135 degrees. 4. [...]
Inspectors wroteBased on observation, interviews, and record reviews the facility failed to provide the necessary services to maintain good nutrition, grooming, personal and oral hygiene care for 2 (Resident #36 & Resident #43) of 20 residents reviewed for ADL care. The facility failed to ensure facility staff provided showers and personal grooming for Resident # 36 and Resident #43. This failure could place residents at risk of not receiving assistance with personal care which could cause pain, skin breakdown, and low self-esteem.
Inspectors wroteBased on observations, interviews, and record review the facility failed to ensure that a resident who needs respiratory care is provided such care, consistent with professional standards of practice for 3 (Resident #1, Resident #59, and Resident #132) of 7 residents observed for oxygen management. The Facility failed to ensure Resident #1, Resident #59, and Resident #132 who were on oxygen therapy to post oxygen signs outside the entrance of their room doors. This failure could place residents on oxygen therapy at risk of receiving incorrect or inadequate oxygen support, decline in health, and expose them to oxygen hazards without oxygen signs being posted outside of their rooms.
Inspectors wroteBased on the observations, interviews, and record review the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety in 1 (kitchen) of 1 reviewed for residents. 1. Food products in dry storage, freezer, and in refrigerator were not correctly labeled, wrapped, or were expired. This failure could affect residents by placing them at risk of food borne illness.
Inspectors wroteBased on the observations, interviews, and record reviews the facility failed to dispose of garbage and refuse properly for 2 (Dumpster #1 & Dumpster #2) of 2 dumpsters reviewed for food safety requirements. 1. Two dumpsters outside in the back of the facility had trash around the dumpsters on the ground. 2. Two dumpsters were uncovered. This failure could affect residents by placing them at risk of illnesses, or be provided an unsafe, unsanitary, and uncomfortable environment.
Inspectors wroteBased on observation, interview, and record review the facility filed to ensure resident records were readily accessible for two (Resident #31 and #131) of six residents reviewed for record accessibility. The facility failed to ensure that Resident #31 and #131's completed TX OOH DNR forms were in either their electronic or physical charts. This failure could result in staff having difficulty locating resident's TX OOH DNR forms and cause a delay in residents receiving desired treatment.
Inspectors wroteBased on observation, interview, and record review the facility failed to maintain essential mechanical and electrical equipment in safe operating condition for 1 facility of 1 reviewed for essential equipment. 1. The facility did not provide necessary repairs for 1 industrial washing machines, 2 industrial dryers, 1 washer soap dispenser, and 1 washer bleach dispenser. 2. 2 of 10 Resident beds in C Hallway had head and foot boards that were broken. 3. Resident #36 was sitting in his wheelchair with a broken footrest that had parts to the chair with sharp edges. [...]
Inspectors wroteBased on interviews, observations, and record reviews the facility failed to promote care for residents in a manner and in an environment that maintained or enhanced dignity and respect for 1 (Resident #43) of 6 residents reviewed for care that maintained or enhanced their dignity. The facility failed to maintain Resident #43 sense of dignity by not proving the resident with a bath according to his bath schedule and changing his clothing to promote proper hygiene. This failure could place residents who require assistance with bathing and changing their clothing at risk of decreased self-esteem affecting their dignity.
Inspectors wroteBased on observation, interviews, and record review the facility failed to ensure residents received parenteral fluids must be administered consistent with professional standards of practice and in accordance with physician orders for 1 (Resident #67) of 2 residents reviewed for Midline/PICC (Peripherally Inserted Central Catheter) care. The facility failed to ensure Resident # 67's midline (intravenous catheter) tubing was changed every 72 hours or sooner if contamination was suspected or integrity of system was compromised from 04/19/2023 to 04/27/2023. Resident 67's midline site was not changed as ordered by the physician, and care to the site was not completed every 24 hours. This failure placed residents at risk of developing an infection.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that resident had the right to examine the results of the most recent survey of the facility conducted by Federal or State surveyors and any plan of correction in effect with respect to the facility for all facility residents (81) and their families. The facility failed to make the results of the most recent survey of the facility available to residents, and family members and legal representatives of residents. This failure placed residents and family members and legal representatives of residents at risk of not being able to fully exercise their rights to be informed of the facility's survey citation history.
14 fire safety citations on file: 11 on August 7, 2025, 3 on June 20, 2024.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Texas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.12 | 3.39 | 3.86 |
| Registered nurses | 0.29 | 0.43 | 0.69 |
| All nursing staff on weekends | 2.61 | 2.98 | 3.42 |
| Nurse aides | 1.91 | ||
| Licensed practical nurses | 0.92 | ||
| Nursing staff turnover (share who left in a year) | not reported | 55.3% | 45.8% |
| Registered nurse turnover | not reported | 54.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.54 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.33 on weekdays and 2.61 on weekends, 22% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.08 in April to June 2025 to 3.12 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.12 | 0.29 | 3.33 | 2.61 | 0.0% | 0 of 90 | 91 |
| Oct to Dec 2025 | 3.42 | 0.23 | 3.58 | 3.02 | 0.0% | 0 of 92 | 78 |
| Jul to Sep 2025 | 3.43 | 0.25 | 3.62 | 2.95 | 0.0% | 0 of 92 | 84 |
| Apr to Jun 2025 | 3.08 | 0.27 | 3.29 | 2.57 | 0.0% | 0 of 91 | 87 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Texas, Jan to Mar 2026 | 3.33 | 0.40 | 3.50 | 2.93 | 2.2% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Texas, all employers | |||
| CNAs (nursing assistants) | $18.03 | $16.97 to $20.71 | 88,680 |
| LPNs and LVNs | $29.92 | $27.46 to $32.89 | 57,560 |
| Registered nurses | $46.14 | $38.06 to $50.53 | 271,380 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Texas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 20.3 | 15.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.8 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 3.0 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 13.4 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.2 | 3.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 11.0 | 9.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 25.7 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 9.9 | 12.3 | 12.0 |
For a stay to recover after a hospital visit, these are the results CMS publishes for El Paso Health & Rehabilitation Center's Medicare short-stay residents. How to read these, and what Medicare pays for.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
US median of homes 51.5% · Texas: 116 better, 50 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 23 eligible stays.
10.1% this home
No different from the national rate
US median of homes 10.7% · Texas: 0 better, 9 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 28 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
US median of homes 7.1% · Texas: 4 better, 11 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 18 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Texas57.3% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 15 residents counted.
7.4% this home
Median of homes: Texas0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 27 residents counted.
0.0% this home
Median of homes: Texas1.3% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 27 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Texas98.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 9 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: WEST WHARTON COUNTY HOSPITAL DISTRICT. CMS links this home to Advanced Healthcare Solutions, a group of 28 nursing homes averaging 2.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Bowers, Sean | Managing control - governing body | Individual | 07/01/2024 | |
| Cisneros, Alfred | Managing control - governing body | Individual | 02/18/2008 | |
| Cobb, Travis | Managing control - governing body | Individual | 11/11/2022 | |
| Cooper, Stephen | Managing control - governing body | Individual | 11/11/2022 | |
| Hardin, Sherrie | Managing control - governing body | Individual | 09/04/2024 | |
| Kerzee, Richard | Managing control - governing body | Individual | 09/24/2007 | |
| Korenek, Patricia | Managing control - governing body | Individual | 05/05/2018 | |
| Soechting, Paul | Managing control - governing body | Individual | 11/22/2024 | |
| Strack, Joe | Managing control - governing body | Individual | 02/11/2022 | |
| Huggins, Linda | Corporate director | Individual | 02/23/2024 | |
| Willig, Zachary | Corporate director | Individual | 02/23/2024 | |
| Thompson, Johnny | Corporate officer | Individual | 01/01/2024 | |
| El Paso VII Enterprises, L.L.C. | Operational/managerial control | Organization | 02/23/2024 | |
| Blake, Gary | Operational/managerial control | Individual | 02/23/2024 | |
| Blake, Malisa | Operational/managerial control | Individual | 02/23/2024 | |
| El Paso VII Enterprises, L.L.C. | Adp of the SNF | Organization | 04/10/2025 | |
| El Paso VII Realty, L.L.C. | Adp of the SNF | Organization | 02/23/2024 | |
| Barrett, Lisa | Adp of the SNF | Individual | 02/23/2024 | |
| Blake, Gary | Adp of the SNF | Individual | 02/23/2023 | |
| Blake, Malisa | Adp of the SNF | Individual | 02/23/2024 | |
| Cabrera, Krishna | Adp of the SNF | Individual | 03/26/2025 | |
| Eamiguel, Christopher | Adp of the SNF | Individual | 02/23/2024 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Texas. NursingHomeClear cannot take or act on complaints.