Cycle 1
Health 2025-07-08 · Fire 2025-07-08
8 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
El Paso, TX
Center at Zaragoza, LLC
4-star overall rating with 3-star inspections with 8 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
12660 Pebble Hills Blvd., El Paso, TX
(915) 990-1700
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
80
Certified beds
Average residents
50
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Veritas Management Group
Operator or chain grouping
Approved since
2022-02-07
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
15 facilities
Chain averages 4 overall / 4 health / 3 staffing / 5 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.99
Registered nurse staffing · state 0.44 · national 0.68
LPN hours / resident day
1.27
Licensed practical nurse staffing · state 0.95 · national 0.87
Aide hours / resident day
2.95
Nurse aide staffing · state 2.01 · national 2.35
Total nurse hours
5.21
All reported nurse hours · state 3.40 · national 3.89
Licensed hours
2.26
RN + LPN hours · state 1.38 · national 1.54
Weekend hours
4.20
Weekend nurse staffing · state 2.99 · national 3.43
Weekend RN hours
0.95
Weekend registered nurse coverage · state 0.34 · national 0.47
Physical therapist
0.10
Reported PT staffing · state 0.07 · national 0.07
Adjusted RN hours
0.81
CMS adjusted RN staffing hours
Adjusted total hours
4.27
CMS adjusted total nurse staffing hours
Case-mix index
1.67
Higher values indicate more complex resident acuity
RN turnover
69%
Annual RN turnover · state 52% · national 45%
Total nurse turnover
59%
Annual nurse turnover · state 52% · national 46%
SNF VBP
Value-based purchasing
Program rank
12,439
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
12.24
Composite VBP score used to determine payment impact.
Payment multiplier
0.9811
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.57
Baseline 21.31% · Performance 20.70% · Measure score 1.57 · Achievement 1.57 · Improvement 0.92
Healthcare-associated infections
0
Baseline 6.92% · Performance 7.87% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
0
Performance 68.57% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
3.33
Performance 4.02 hours · Measure score 3.33 · Achievement 3.33 · This facility did not have sufficient data to calculate a baseline period measure result.
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.15% |
10.72%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 264 · Observed rate 10.61% · Lower 95% interval 8.68% |
| Discharge to community | 62.93% |
50.57%
12.4 pts better
|
Better than the National Rate · Eligible stays 277 · Observed rate 53.07% · Lower 95% interval 56.5% |
| Medicare spending per beneficiary | 1.41 |
1.02
0.4 pts worse
|
|
| Drug regimen review with follow-up | 96.41% |
95.27%
1.1 pts better
|
Numerator 188 · Denominator 195 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 195 |
| Discharge self-care score | 48.8% |
53.69%
4.9 pts worse
|
Numerator 61 · Denominator 125 |
| Discharge mobility score | 57.6% |
50.94%
6.7 pts better
|
Numerator 72 · Denominator 125 |
| Pressure ulcers or injuries, new or worsened | 0.51% |
2.29%
1.8 pts better
|
Numerator 1 · Denominator 195 · Adjusted rate 0.35% |
| Healthcare-associated infections requiring hospitalization | 7.87% |
7.12%
0.8 pts worse
|
No Different than the National Rate · Eligible stays 160 · Observed rate 9.38% · Lower 95% interval 5.34% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 156 |
| Staff flu vaccination coverage | 34.93% |
42%
7.1 pts worse
|
Numerator 73 · Denominator 209 |
| Discharge function score | 55.2% |
56.45%
1.2 pts worse
|
Numerator 69 · Denominator 125 |
| Transfer of health information to provider | 96.6% |
95.95%
0.6 pts better
|
Numerator 142 · Denominator 147 |
| Transfer of health information to patient | 92.11% |
96.28%
4.2 pts worse
|
Numerator 35 · Denominator 38 |
| Resident COVID-19 vaccinations up to date | 1.02% |
25.2%
24.2 pts worse
|
Numerator 1 · Denominator 98 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 90.2% |
89.7%
0.5 pts better
|
81.7%
8.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 80.2% · Q2 87.3% · Q3 97.1% · Q4 96.9% · 4Q avg 90.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.6% |
12.0%
5.4 pts better
|
12.0%
5.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.6% · Observed 7.7% · Expected 13.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.9% |
1.5%
0.4 pts worse
|
1.6%
0.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 1.5% · Q3 2.0% · Q4 2.9% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 77.6% |
88.0%
10.4 pts worse
|
79.7%
2.1 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 77.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.8% |
25.9%
6.1 pts better
|
23.9%
4.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.8% · Observed 24.0% · Expected 28.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-04-19 · Fire 2024-04-19
11 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-03-16 · Fire 2023-03-16
11 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
11 fire-safety deficiencies
Top issue: Emergency Preparedness (7 deficiencies)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2025-07-08
K922 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the use and maintenance of medical gas equipment.
Corrected 2025-07-24
F · Potential for more than minimal harm
2023-03-16
E20 · Emergency Preparedness Deficiencies
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2023-05-31
F · Potential for more than minimal harm
2023-03-16
E25 · Emergency Preparedness Deficiencies
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2023-05-31
F · Potential for more than minimal harm
2023-03-16
E26 · Emergency Preparedness Deficiencies
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2023-05-31
F · Potential for more than minimal harm
2023-03-16
E30 · Emergency Preparedness Deficiencies
Fire Safety
List the names and contact information of those in the facility.
Corrected 2023-05-31
F · Potential for more than minimal harm
2023-03-16
E31 · Emergency Preparedness Deficiencies
Fire Safety
Provide emergency officials' contact information.
Corrected 2023-05-31
F · Potential for more than minimal harm
2023-03-16
E41 · Emergency Preparedness Deficiencies
Fire Safety
Implement emergency and standby power systems.
Corrected 2023-05-31
F · Potential for more than minimal harm
2023-03-16
E6 · Emergency Preparedness Deficiencies
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2023-05-31
F · Potential for more than minimal harm
2023-03-16
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-05-31
F · Potential for more than minimal harm
2023-03-16
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-05-31
E · Potential for more than minimal harm
2023-03-16
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-05-31
D · Potential for more than minimal harm
2023-03-16
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-05-31
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-11-25
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-12-20
D · Potential for more than minimal harm
2025-11-21
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-11-30
E · Potential for more than minimal harm
2025-07-08
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-07-16
E · Potential for more than minimal harm
2025-07-08
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-07-16
E · Potential for more than minimal harm
2025-07-08
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2025-07-16
E · Potential for more than minimal harm
2025-07-08
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-07-16
D · Potential for more than minimal harm
2025-07-08
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-07-16
D · Potential for more than minimal harm
2025-07-08
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-07-16
E · Potential for more than minimal harm
2025-01-22
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-02-05
E · Potential for more than minimal harm
2025-01-22
F700 · Quality of Life and Care Deficiencies
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2025-02-05
D · Potential for more than minimal harm
2025-01-22
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2025-02-05
D · Potential for more than minimal harm
2025-01-22
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-02-05
D · Potential for more than minimal harm
2025-01-22
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-02-05
D · Potential for more than minimal harm
2025-01-22
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-02-05
F · Potential for more than minimal harm
2024-04-19
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-05-17
E · Potential for more than minimal harm
2024-04-19
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-05-17
E · Potential for more than minimal harm
2024-04-19
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-05-17
E · Potential for more than minimal harm
2024-04-19
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-05-17
D · Potential for more than minimal harm
2024-04-19
F693 · Quality of Life and Care Deficiencies
Health
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.
Corrected 2024-05-17
E · Potential for more than minimal harm
2023-03-16
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2023-04-15
E · Potential for more than minimal harm
2023-03-16
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-04-15
E · Potential for more than minimal harm
2023-03-16
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-04-15
E · Potential for more than minimal harm
2023-03-16
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-04-15
D · Potential for more than minimal harm
2023-03-16
F585 · Resident Rights Deficiencies
Health
Honor 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.
Corrected 2023-04-15
D · Potential for more than minimal harm
2023-03-16
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-04-15
D · Potential for more than minimal harm
2023-03-16
F676 · Quality of Life and Care Deficiencies
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2023-04-15
D · Potential for more than minimal harm
2023-03-16
F687 · Quality of Life and Care Deficiencies
Health
Provide appropriate foot care.
Corrected 2023-04-15
D · Potential for more than minimal harm
2023-03-16
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-04-15
C · Minimal harm
2023-03-16
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2023-04-15
C · Minimal harm
2023-03-16
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2023-04-15
Penalties and ownership
What sits behind the stars
Ownership
Kelly, Julie
Operational/Managerial Control · Individual
Lowen, George
Operational/Managerial Control · Individual
Senkoff, Alexander
Corporate Director · Individual
Veritas Management Group LLC
Operational/Managerial Control · Organization
Nearby options
Other facilities in reach
#1
Ignite Medical Resort El Paso, LLC
El Paso, TX
1-star overall rating with 2-star inspections with 20 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Avir at Tierra Este
El Paso, TX
1-star overall rating with 2-star inspections with $31,752 in total fines with 11 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
#3
El Paso Health & Rehabilitation Center
El Paso, TX
2-star overall rating with 2-star inspections with $20,312 in total fines with 5 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
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