Government - Hospital district · 150 certified beds · CMS number 455935
El Paso Health & Rehabilitation Center, El Paso, TX
CMS records 55 health deficiencies at El Paso Health & Rehabilitation Center in El Paso, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Aug 7, 2025. The highest severity cited is J (immediate jeopardy to resident health or safety). 2 citations were at the immediate jeopardy level. CMS lists no fines or payment denials in the last three years.
- 55deficiencies, 3 cycles (TX median 25)
- 3in the latest cycle (TX median 8)
- Jhighest severity · Immediate jeopardy
- $0fines, last 3 years
- 1CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for El Paso Health & Rehabilitation Center as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and El Paso Health & Rehabilitation Center may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (3 deficiencies)
Standard inspection Aug 7, 2025. CMS counts 3 health deficiencies and 11 fire safety deficiencies in this cycle.
Aug 7, 2025 · Standard inspection
3 deficiencies, highest F
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Aug 29, 2025
F761 · Drug labeling and secure storage
Requirement cited (CMS): Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 28, 2025
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 29, 2025
Previous cycle: 22 deficiencies (standard inspection Jun 20, 2024)
Standard inspection Jun 20, 2024. CMS counts 22 health deficiencies and 3 fire safety deficiencies in this cycle.
Mar 27, 2025 · Complaint inspection
2 deficiencies, highest D
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 26, 2025
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 26, 2025
Jan 15, 2025 · Complaint inspection
3 deficiencies, highest F
F727 · RN coverage and director of nursing
Requirement cited (CMS): Have 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.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Feb 15, 2025
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 15, 2025
F584 · Safe, clean, homelike surroundings
Requirement cited (CMS): Honor 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 15, 2025
Sep 23, 2024 · Complaint inspection
1 deficiency, highest D
F604 · Limits on physical restraints
Requirement cited (CMS): Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 16, 2024
Sep 17, 2024 · Complaint inspection
5 deficiencies, highest D
F693 · Feeding tube use and care
Requirement cited (CMS): Ensure 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 10, 2024
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 10, 2024
F657 · Care plan timing and team review
Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 10, 2024
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 10, 2024
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 10, 2024
Jun 20, 2024 · Standard + complaint inspection
11 deficiencies, highest F
F908 · Equipment kept in safe working order
Requirement cited (CMS): Keep all essential equipment working safely.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Jul 20, 2024
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 20, 2024
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 20, 2024
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Jul 20, 2024
F758 · Psychotropic drug safeguards
Requirement cited (CMS): Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 20, 2024
F679 · Activities program
Requirement cited (CMS): Provide activities to meet all resident's needs.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 20, 2024
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 20, 2024
F676 · Maintaining daily living abilities
Requirement cited (CMS): Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 20, 2024
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 20, 2024
F607 · Abuse prevention policies
Requirement cited (CMS): Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 20, 2024
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 20, 2024
Earlier cycle: 30 deficiencies (standard inspection Apr 27, 2023)
Standard inspection Apr 27, 2023. CMS counts 30 health deficiencies and 0 fire safety deficiencies in this cycle.
Aug 5, 2024 · Complaint inspection
6 deficiencies, highest E
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 26, 2024
F687 · Foot care
Requirement cited (CMS): Provide appropriate foot care.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 26, 2024
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 26, 2024
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 26, 2024
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 26, 2024
F584 · Safe, clean, homelike surroundings
Requirement cited (CMS): Honor 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 26, 2024
Apr 16, 2024 · Complaint inspection
6 deficiencies, highest E
F921 · Safe, functional, sanitary building
Requirement cited (CMS): Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 16, 2024
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 16, 2024
F814 · Garbage disposal
Requirement cited (CMS): Dispose of garbage and refuse properly.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 16, 2024
F686 · Pressure ulcer prevention and care
Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 16, 2024
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 16, 2024
F584 · Safe, clean, homelike surroundings
Requirement cited (CMS): Honor 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 16, 2024
Oct 11, 2023 · Complaint inspection
3 deficiencies, highest D
F883 · Flu and pneumonia vaccines
Requirement cited (CMS): Develop and implement policies and procedures for flu and pneumonia vaccinations.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 12, 2023
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 12, 2023
F584 · Safe, clean, homelike surroundings
Requirement cited (CMS): Honor 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 12, 2023
Sep 1, 2023 · Complaint inspection
4 deficiencies, highest J
F925 · Pest control
Requirement cited (CMS): Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 5, 2023
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 5, 2023
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Sep 5, 2023
F580 · Telling residents and families about changes
Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Sep 5, 2023
Apr 27, 2023 · Standard inspection
11 deficiencies, highest F
F908 · Equipment kept in safe working order
Requirement cited (CMS): Keep all essential equipment working safely.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 2, 2023
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Jun 2, 2023
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 2, 2023
F814 · Garbage disposal
Requirement cited (CMS): Dispose of garbage and refuse properly.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 2, 2023
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 2, 2023
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 2, 2023
F694 · IV fluid administration
Requirement cited (CMS): Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 2, 2023
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 2, 2023
F584 · Safe, clean, homelike surroundings
Requirement cited (CMS): Honor 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 2, 2023
F577 · Seeing inspection results
Requirement cited (CMS): Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- Severity
- C No actual harm, potential for minimal harm, widespread
- Status
- Correction date Jun 2, 2023
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 2, 2023
Tags cited in more than one inspection
11 tags cited on more than one inspection date at El Paso Health & Rehabilitation Center; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F584 Safe, clean, homelike surroundings | 5 | Jan 15, 2025; Aug 5, 2024; Apr 16, 2024; Oct 11, 2023; Apr 27, 2023 |
| F656 Comprehensive person-centered care plan | 5 | Aug 7, 2025; Sep 17, 2024; Aug 5, 2024; Jun 20, 2024; Apr 16, 2024 |
| F677 Help with daily care | 5 | Mar 27, 2025; Sep 17, 2024; Aug 5, 2024; Jun 20, 2024; Apr 27, 2023 |
| F880 Infection prevention and control program | 4 | Jun 20, 2024; Apr 16, 2024; Oct 11, 2023; Apr 27, 2023 |
| F812 Food safety and sanitation | 3 | Aug 7, 2025; Jun 20, 2024; Apr 27, 2023 |
| F842 Complete, confidential medical records | 3 | Jun 20, 2024; Sep 1, 2023; Apr 27, 2023 |
| F558 Accommodating individual needs and preferences | 2 | Sep 17, 2024; Jun 20, 2024 |
| F689 Accident prevention and supervision | 2 | Jan 15, 2025; Aug 5, 2024 |
| F695 Respiratory and oxygen care | 2 | Mar 27, 2025; Apr 27, 2023 |
| F814 Garbage disposal | 2 | Apr 16, 2024; Apr 27, 2023 |
| F908 Equipment kept in safe working order | 2 | Jun 20, 2024; Apr 27, 2023 |
Fines and payment denials
CMS lists no fines or payment denials for this nursing home in the last three years.
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.12 h (about the same as the Texas median of 3.27 h)
- RN hours per resident per day
- 0.29 h (below the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.61 h
- Nursing staff turnover
- not reported
- Administrators who left
- 1
- CMS overall rating
- 1 of 5
- Health inspection rating
- 2 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 3 of 5
CMS figures for El Paso Health & Rehabilitation Center, copied as published; Texas medians are ours.
Facility details
- Address
- 11525 Vista Del Sol Drive, El Paso, TX 79936
- Phone
- (915) 855-3636
- County
- El Paso
- Accepts
- Medicare and Medicaid
- Ownership
- Government - Hospital district
- Chain (CMS)
- Advanced Healthcare Solutions
- Certified beds
- 150
- Average residents per day
- 90.9
- In Medicare/Medicaid since
- Aug 7, 1991
- Inside a hospital
- Yes
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How often are rooms cleaned and bed linens changed? (F584, cited 5 times)
- How are a resident's goals and preferences written into the care plan? (F656, cited 5 times)
- How often do residents who need help get assistance with bathing, grooming, and mouth care? (F677, cited 5 times)
- How do staff track and report infections among residents? (F880, cited 4 times)
Other nursing homes in El Paso and the same chain
- Avir at El Paso
El Paso · 93 deficiencies - Avir at Patriot
El Paso · 78 deficiencies - Franklin Heights Nursing & Rehabilitation
El Paso · 76 deficiencies - St. Teresa Nursing & Rehab Center
El Paso · 75 deficiencies - Los Arcos Del Norte Care Center
El Paso · 72 deficiencies - Mountain View Health & Rehabilitation
El Paso · 72 deficiencies - Greenville Health & Rehabilitation Center
Greenville · 90 deficiencies - Sulphur Springs Health and Rehabilitation
Sulphur Springs · 52 deficiencies - Winfield Rehab & Nursing
Crockett · 48 deficiencies - Heritage House at Paris Rehab & Nursing
Paris · 46 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.