El Paso, TX

St Giles Nursing And Rehabilitation Center

2-star overall rating with 3-star inspections with 6 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

950 Camino Del Rey Drive, El Paso, TX

(915) 859-3010

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

124

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Creative Solutions In Healthcare

Operator or chain grouping

Approved since

2015-01-28

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

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

0.42

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

0.86

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

2.07

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

3.36

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.29

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

2.98

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.31

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

0.43

CMS adjusted RN staffing hours

Adjusted total hours

3.43

CMS adjusted total nurse staffing hours

Case-mix index

1.34

Higher values indicate more complex resident acuity

RN turnover

50%

Annual RN turnover · state 52% · national 45%

Total nurse turnover

56%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

12,716

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

Performance score

10.91

Composite VBP score used to determine payment impact.

Payment multiplier

0.9809

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

1.92

Baseline 50.00% · Performance 55.84% · Measure score 1.92 · Achievement 1.92 · Improvement 0

Adjusted total nurse staffing

0.26

Baseline 2.98 hours · Performance 3.19 hours · Measure score 0.26 · Achievement 0 · Improvement 0.26

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.91%	10.72% 0.8 pts better	No Different than the National Rate · Eligible stays 33 · Observed rate 6.06% · Lower 95% interval 6.41%
Discharge to community	54.44%	50.57% 3.9 pts better	No Different than the National Rate · Eligible stays 26 · Observed rate 46.15% · Lower 95% interval 40.08%
Medicare spending per beneficiary	1.19	1.02 0.2 pts worse
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 16 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 12 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 126
Staff flu vaccination coverage	19.27%	42% 22.7 pts worse	Numerator 37 · Denominator 192
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.4%	97.1% 2.3 pts better	93.4% 6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 98.9% · Q2 98.9% · Q3 100.0% · Q4 100.0% · 4Q avg 99.4%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	97.9% 2.1 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	2.9%	3.3% 0.4 pts better	3.3% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 3.4% · Q3 2.4% · Q4 3.6% · 4Q avg 2.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	4.2%	2.7% 1.5 pts worse	11.4% 7.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 4.5% · Q3 0.0% · Q4 6.5% · 4Q avg 4.2%
Percentage of long-stay residents who lose too much weight	5.2%	3.3% 1.9 pts worse	5.4% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 5.3% · Q3 2.6% · Q4 9.0% · 4Q avg 5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	7.0%	18.9% 11.9 pts better	19.6% 12.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 6.4% · Q3 5.0% · Q4 10.3% · 4Q avg 7.0%
Percentage of long-stay residents who received an antipsychotic medication	14.6%	10.8% 3.8 pts worse	16.7% 2.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.7% · Q2 14.1% · Q3 14.3% · Q4 14.3% · 4Q avg 14.6% · 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 11.6% · Q2 13.6% · Q3 12.2% · Q4 37.5% · 4Q avg 18.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	22.4%	16.1% 6.3 pts worse	14.9% 7.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 16.4% · Q2 23.5% · Q3 17.3% · Q4 32.9% · 4Q avg 22.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.3%	0.5% 0.2 pts better	1.0% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.2% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.3%	0.8% 0.5 pts better	1.7% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.2% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	23.0%	15.0% 8 pts worse	19.8% 3.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 30.5% · Q2 18.7% · Q3 14.6% · Q4 27.5% · 4Q avg 23.0%
Percentage of long-stay residents with pressure ulcers	7.6%	4.2% 3.4 pts worse	5.1% 2.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 8.3% · Q3 7.2% · Q4 6.2% · 4Q avg 7.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	97.8%	89.7% 8.1 pts better	81.7% 16.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 96.3% · Q4 94.6% · 4Q avg 97.8%
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.5% 1.5 pts better	1.6% 1.6 pts better	Short 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 short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	100.0%	88.0% 12 pts better	79.7% 20.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-13 · Fire 2025-02-13

6 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-01-05 · Fire 2024-01-05

10 health deficiencies

Top issue: Resident Assessment and Care Planning (4 deficiencies)

2 fire-safety deficiencies

Top issue: Services (1 deficiency)

Cycle 3 Health 2022-10-19 · Fire 2022-10-19

26 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-02-13

K521 · Services Deficiencies

Fire Safety

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

Corrected 2025-04-23

E · Potential for more than minimal harm 2025-02-13

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2025-04-23

E · Potential for more than minimal harm 2025-02-13

K344 · Smoke Deficiencies

Fire Safety

Have an alternate power supply for its alarm system.

Corrected 2025-04-23

E · Potential for more than minimal harm 2025-02-13

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-04-23

E · Potential for more than minimal harm 2025-02-13

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-04-23

D · Potential for more than minimal harm 2025-02-13

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2025-04-23

F · Potential for more than minimal harm 2024-01-05

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-01-22

C · Minimal harm 2024-01-05

K521 · Services Deficiencies

Fire Safety

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

Corrected 2024-01-22

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-02-13

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-03-23

E · Potential for more than minimal harm 2025-02-13

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-03-23

D · Potential for more than minimal harm 2025-02-13

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2025-03-23

D · Potential for more than minimal harm 2025-02-13

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 2025-03-23

D · Potential for more than minimal harm 2025-02-13

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 2025-03-23

D · Potential for more than minimal harm 2025-02-13

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 2025-03-23

D · Potential for more than minimal harm 2024-11-25

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 2024-12-23

E · Potential for more than minimal harm 2024-09-03

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 2024-09-25

D · Potential for more than minimal harm 2024-09-03

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 2024-09-25

D · Potential for more than minimal harm 2024-09-03

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-09-25

D · Potential for more than minimal harm 2024-02-02

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 2024-02-20

D · Potential for more than minimal harm 2024-01-16

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-02-05

D · Potential for more than minimal harm 2024-01-16

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 2024-02-05

E · Potential for more than minimal harm 2024-01-05

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 2024-01-22

E · Potential for more than minimal harm 2024-01-05

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 2024-01-22

E · Potential for more than minimal harm 2024-01-05

F687 · Quality of Life and Care Deficiencies

Health

Provide appropriate foot care.

Corrected 2024-01-22

E · Potential for more than minimal harm 2024-01-05

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-01-22

E · Potential for more than minimal harm 2024-01-05

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2024-02-02

D · Potential for more than minimal harm 2024-01-05

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-01-22

E · Potential for more than minimal harm 2023-12-08

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 2023-12-29

D · Potential for more than minimal harm 2023-12-08

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 2023-12-29

D · Potential for more than minimal harm 2023-12-08

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 2023-12-29

E · Potential for more than minimal harm 2023-11-15

F559 · Resident Rights Deficiencies

Health

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

Corrected 2023-12-07

D · Potential for more than minimal harm 2023-11-15

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 2023-12-07

D · Potential for more than minimal harm 2023-11-15

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 2023-12-07

D · Potential for more than minimal harm 2023-11-15

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 2023-12-07

C · Minimal harm 2023-11-15

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2023-12-07

E · Potential for more than minimal harm 2023-08-29

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 2023-09-19

D · Potential for more than minimal harm 2023-08-29

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-09-29

E · Potential for more than minimal harm 2023-06-27

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2023-07-13