El Paso, TX

Mountain View Health & Rehabilitation

1-star overall rating with 1-star inspections with abuse icon flag with $127,645 in total fines with 27 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

1600 Muchison Rd, El Paso, TX

(915) 544-2002

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

187

Certified beds

Average residents

124

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Creative Solutions In Healthcare

Operator or chain grouping

Approved since

1982-04-15

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

149 facilities

Chain averages 3 overall / 3 health / 2 staffing / 4 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

0.43

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

0.88

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

1.98

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

3.29

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.31

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

2.97

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.20

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.44

CMS adjusted RN staffing hours

Adjusted total hours

3.40

CMS adjusted total nurse staffing hours

Case-mix index

1.32

Higher values indicate more complex resident acuity

RN turnover

42%

Annual RN turnover · state 52% · national 45%

Total nurse turnover

35%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

9,387

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

23.78

Composite VBP score used to determine payment impact.

Payment multiplier

0.9833

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0.78

Baseline 18.71% · Performance 21.07% · Measure score 0.78 · Achievement 0.78 · Improvement 0

Healthcare-associated infections

0

Baseline 5.37% · Performance 8.51% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

7.76

Baseline 29.87% · Performance 31.96% · Measure score 7.76 · Achievement 7.76 · Improvement 0

Adjusted total nurse staffing

0.97

Baseline 2.79 hours · Performance 3.23 hours · Measure score 0.97 · Achievement 0.53 · Improvement 0.97

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 12.02%
10.72%
1.3 pts worse
No Different than the National Rate · Eligible stays 74 · Observed rate 14.86% · Lower 95% interval 8.4%
Discharge to community 37.86%
50.57%
12.7 pts worse
No Different than the National Rate · Eligible stays 73 · Observed rate 30.14% · Lower 95% interval 28.38%
Medicare spending per beneficiary 1.06
1.02
About the same
Drug regimen review with follow-up 39.39%
95.27%
55.9 pts worse
Numerator 26 · Denominator 66
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 66
Discharge self-care score 63.41%
53.69%
9.7 pts better
Numerator 26 · Denominator 41
Discharge mobility score 29.27%
50.94%
21.7 pts worse
Numerator 12 · Denominator 41
Pressure ulcers or injuries, new or worsened 4.55%
2.29%
2.3 pts worse
Numerator 3 · Denominator 66 · Adjusted rate 3.82%
Healthcare-associated infections requiring hospitalization 8.51%
7.12%
1.4 pts worse
No Different than the National Rate · Eligible stays 41 · Observed rate 14.63% · Lower 95% interval 4.58%
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 139
Staff flu vaccination coverage 54.6%
42%
12.6 pts better
Numerator 95 · Denominator 174
Discharge function score 39.02%
56.45%
17.4 pts worse
Numerator 16 · Denominator 41
Transfer of health information to provider 93.94%
95.95%
2 pts worse
Numerator 31 · Denominator 33
Transfer of health information to patient 77.27%
96.28%
19 pts worse
Numerator 17 · Denominator 22
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.1
2.1
1 pts better
1.9
0.8 pts better
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.1 · Expected 2.0 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 0.2
2.1
1.9 pts better
1.8
1.6 pts better
Long Stay · 20240701-20250630 · Adjusted 0.2 · Observed 0.2 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.0%
97.1%
1.9 pts better
93.4%
5.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 99.0% · Q2 99.0% · Q3 99.0% · Q4 99.1% · 4Q avg 99.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99.1%
97.9%
1.2 pts better
95.5%
3.6 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.1%
Percentage of long-stay residents experiencing one or more falls with major injury 2.5%
3.3%
0.8 pts better
3.3%
0.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 2.1% · Q3 1.0% · Q4 1.9% · 4Q avg 2.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 2.6%
2.7%
0.1 pts better
11.4%
8.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 1.1% · Q3 0.0% · Q4 5.0% · 4Q avg 2.6%
Percentage of long-stay residents who lose too much weight 4.7%
3.3%
1.4 pts worse
5.4%
0.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 7.0% · Q3 3.3% · Q4 2.2% · 4Q avg 4.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 16.5%
18.9%
2.4 pts better
19.6%
3.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 17.2% · Q2 13.6% · Q3 16.0% · Q4 19.1% · 4Q avg 16.5%
Percentage of long-stay residents who received an antipsychotic medication 7.3%
10.8%
3.5 pts better
16.7%
9.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 5.0% · Q3 8.8% · Q4 9.0% · 4Q avg 7.3% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.0%
About the same
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 18.5%
15.4%
3.1 pts worse
16.3%
2.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 17.5% · Q2 16.3% · Q3 16.7% · Q4 22.8% · 4Q avg 18.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 19.4%
16.1%
3.3 pts worse
14.9%
4.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 17.6% · Q2 19.2% · Q3 16.7% · Q4 23.9% · 4Q avg 19.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
0.5%
0.5 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.7%
0.8%
0.1 pts better
1.7%
1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 2.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 23.6%
15.0%
8.6 pts worse
19.8%
3.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 25.9% · Q2 38.9% · Q3 13.1% · Q4 17.7% · 4Q avg 23.6%
Percentage of long-stay residents with pressure ulcers 3.7%
4.2%
0.5 pts better
5.1%
1.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 1.9% · Q3 4.0% · Q4 5.6% · 4Q avg 3.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 97.0%
89.7%
7.3 pts better
81.7%
15.3 pts better
Short Stay · 2024Q4-2025Q3 · Q1 97.2% · Q2 95.3% · Q3 99.1% · Q4 96.3% · 4Q avg 97.0%
Percentage of short-stay residents who had an outpatient emergency department visit 10.1%
12.0%
1.9 pts better
12.0%
1.9 pts better
Short Stay · 20240701-20250630 · Adjusted 10.1% · Observed 10.9% · Expected 12.0% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 2.1%
1.5%
0.6 pts worse
1.6%
0.5 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 0.0% · Q3 1.5% · Q4 4.1% · 4Q avg 2.1% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 97.3%
88.0%
9.3 pts better
79.7%
17.6 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.3%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 16.3%
25.9%
9.6 pts better
23.9%
7.6 pts better
Short Stay · 20240701-20250630 · Adjusted 16.3% · Observed 17.4% · Expected 25.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-12-19 · Fire 2024-12-19

27 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2023-11-09 · Fire 2023-11-09

15 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

1 fire-safety deficiencies

Top issue: Services (1 deficiency)

Cycle 3 Health 2022-09-15 · Fire 2022-09-15

28 health deficiencies

Top issue: Resident Assessment and Care Planning (6 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

K · Immediate jeopardy 2024-12-19

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-01-17

F · Potential for more than minimal harm 2024-12-19

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-01-17

F · Potential for more than minimal harm 2024-12-19

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-01-17

F · Potential for more than minimal harm 2024-12-19

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-05-21

F · Potential for more than minimal harm 2024-12-19

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-01-17

E · Potential for more than minimal harm 2024-12-19

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2025-01-17

E · Potential for more than minimal harm 2024-12-19

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-01-17

C · Minimal harm 2024-12-19

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2025-01-17

C · Minimal harm 2023-11-09

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-11-29

Inspection history

Recent health citations

J · Immediate jeopardy 2025-11-17

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 2025-11-11

J · Immediate jeopardy 2025-11-17

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 2025-11-11

D · Potential for more than minimal harm 2025-11-17

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-11-18

D · Potential for more than minimal harm 2025-11-17

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-11-18

E · Potential for more than minimal harm 2025-09-05

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-09-06

D · Potential for more than minimal harm 2025-09-05

F572 · Resident Rights Deficiencies

Health

Give residents a notice of rights, rules, services and charges.

Corrected 2025-09-06

D · Potential for more than minimal harm 2025-09-05

F620 · Resident Rights Deficiencies

Health

Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.

Corrected 2025-09-06

D · Potential for more than minimal harm 2025-09-05

F628 · Resident Rights Deficiencies

Health

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2025-09-06

D · Potential for more than minimal harm 2025-09-05

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 2025-09-06

D · Potential for more than minimal harm 2025-09-05

F740 · Quality of Life and Care Deficiencies

Health

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Corrected 2025-09-06

D · Potential for more than minimal harm 2025-08-12

F926 · Environmental Deficiencies

Health

Have policies on smoking.

Corrected 2025-08-13

J · Immediate jeopardy 2025-05-05

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-05-06

J · Immediate jeopardy 2025-05-05

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 2025-05-06

J · Immediate jeopardy 2025-05-05

F849 · Administration Deficiencies

Health

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Corrected 2025-05-06

D · Potential for more than minimal harm 2025-05-05

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2025-05-06

D · Potential for more than minimal harm 2025-05-05

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-05-06

D · Potential for more than minimal harm 2025-04-24

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2025-04-25

D · Potential for more than minimal harm 2025-04-24

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-04-25

E · Potential for more than minimal harm 2024-12-19

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-01-13

E · Potential for more than minimal harm 2024-12-19

F576 · Resident Rights Deficiencies

Health

Ensure residents have reasonable access to and privacy in their use of communication methods.

Corrected 2025-01-13

E · Potential for more than minimal harm 2024-12-19

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2025-01-13

E · Potential for more than minimal harm 2024-12-19

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 2025-01-13

E · Potential for more than minimal harm 2024-12-19

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-01-13

D · Potential for more than minimal harm 2024-12-19

F694 · Quality of Life and Care Deficiencies

Health

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2025-01-13

D · Potential for more than minimal harm 2024-12-19

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 2025-01-13

D · Potential for more than minimal harm 2024-12-19

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 2025-01-13

D · Potential for more than minimal harm 2024-12-19

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-01-13

D · Potential for more than minimal harm 2024-09-06

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 2024-09-20

D · Potential for more than minimal harm 2024-09-06

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 2024-09-20

E · Potential for more than minimal harm 2024-05-09

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2024-05-10

E · Potential for more than minimal harm 2024-05-09

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-05-10

D · Potential for more than minimal harm 2024-05-09

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 2024-05-10

D · Potential for more than minimal harm 2024-01-29

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-02-13

E · Potential for more than minimal harm 2023-12-22

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-01-01

D · Potential for more than minimal harm 2023-12-13

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-12-29

D · Potential for more than minimal harm 2023-12-13

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 2023-12-29

D · Potential for more than minimal harm 2023-12-13

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 2023-12-29

D · Potential for more than minimal harm 2023-12-13

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-12-29

D · Potential for more than minimal harm 2023-12-13

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-12-29

E · Potential for more than minimal harm 2023-11-09

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2023-11-29

E · Potential for more than minimal harm 2023-11-09

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-11-29

E · Potential for more than minimal harm 2023-11-09

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 2023-11-29

E · Potential for more than minimal harm 2023-11-09

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2023-11-29

E · Potential for more than minimal harm 2023-11-09

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-11-29

E · Potential for more than minimal harm 2023-11-09

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2023-11-29

E · Potential for more than minimal harm 2023-11-09

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 2023-11-29

D · Potential for more than minimal harm 2023-11-09

F551 · Resident Rights Deficiencies

Health

Give the resident's representative the ability to exercise the resident's rights.

Corrected 2023-11-29

D · Potential for more than minimal harm 2023-11-09

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-11-29

D · Potential for more than minimal harm 2023-11-09

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 2023-11-29

D · Potential for more than minimal harm 2023-09-06

F551 · Resident Rights Deficiencies

Health

Give the resident's representative the ability to exercise the resident's rights.

Corrected 2023-09-11

D · Potential for more than minimal harm 2023-09-06

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2023-09-11

C · Minimal harm 2023-09-06

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2023-09-11

E · Potential for more than minimal harm 2023-06-01

F563 · Resident Rights Deficiencies

Health

Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

Corrected 2023-06-28

D · Potential for more than minimal harm 2023-04-19

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2023-05-12

D · Potential for more than minimal harm 2023-03-08

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 2023-04-08

D · Potential for more than minimal harm 2023-03-08

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 2023-04-08

F · Potential for more than minimal harm 2022-09-15

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 2022-09-30

E · Potential for more than minimal harm 2022-09-15

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2022-09-30

E · Potential for more than minimal harm 2022-09-15

F575 · Resident Rights Deficiencies

Health

Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.

Corrected 2022-09-30

E · Potential for more than minimal harm 2022-09-15

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 2022-09-30

E · Potential for more than minimal harm 2022-09-15

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2022-09-30

E · Potential for more than minimal harm 2022-09-15

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2022-09-30

E · Potential for more than minimal harm 2022-09-15

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2022-09-30

E · Potential for more than minimal harm 2022-09-15

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2022-09-30

D · Potential for more than minimal harm 2022-09-15

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 2022-09-30

D · Potential for more than minimal harm 2022-09-15

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 2022-09-30

D · Potential for more than minimal harm 2022-09-15

F758 · Pharmacy Service Deficiencies

Health

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.

Corrected 2022-09-30

D · Potential for more than minimal harm 2022-09-15

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 2022-09-30

D · Potential for more than minimal harm 2022-09-15

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2022-09-30

C · Minimal harm 2022-09-15

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2022-09-30

Penalties and ownership

What sits behind the stars

$12,740 2025-11-17

Fine

Fine · fine $12,740

Fine

$66,860 2025-04-24

Fine

Fine · fine $66,860

Fine

$48,045 2025-01-16

Fine

Fine · fine $48,045

Fine

$0 2025-01-16

Payment Denial

Payment Denial · denial start 2025-04-16 · 35 days

35 day denial

Ownership

Honor X Enterprises, LLC

5% Or Greater Direct Ownership Interest · Organization

100% 43 facilities 2018-02-01
Blake, Gary

5% Or Greater Indirect Ownership Interest · Individual

50% 136 facilities 2018-02-01
Blake, Malisa

5% Or Greater Indirect Ownership Interest · Individual

50% 135 facilities 2018-02-01
Blake, Gary

Operational/Managerial Control · Individual

0% 136 facilities 2018-02-01
Blake, Malisa

Operational/Managerial Control · Individual

0% 135 facilities 2018-02-01
Creative Solutions In Healthcare Inc

Operational/Managerial Control · Organization

0% 45 facilities 2018-02-01
Huggins, Linda

W-2 Managing Employee · Individual

0% 137 facilities 2018-02-01

Nearby options

Other facilities in reach

#1

Grace Pointe Wellness Center

El Paso, TX

2-star overall rating with 1-star inspections with abuse icon flag with $76,402 in total fines with 21 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
1 / 5
Staffing
3 / 5
Fines
$76,402
#2

Mountain Villa Nursing Center

El Paso, TX

4-star overall rating with 4-star inspections with 5 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

Overall
4 / 5
Health
4 / 5
Staffing
2 / 5
Fines
$0
#3

Nazareth Living Care Center

El Paso, TX

3-star overall rating with 2-star inspections with 24 recent health deficiencies with 26 fire-safety deficiencies in the latest cycle

Overall
3 / 5
Health
2 / 5
Staffing
2 / 5
Fines
$0

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