RecordWell Data

Avir At El Paso

Nursing home · 7441 PASEO DEL NORTE, El Paso, TX 79911 · El Paso County

2★Medicare overall
115cited deficiencies
4harm or jeopardy level
3penalties

Prices

Texas HHSC publishes no prices or facility websites, so we show none. Ask the facility directly.

Facility

Type
Nursing home · Nursing · MEDICARE/MEDICAID · certified
Capacity
124
State license
106904
Medicare CCN
676431
Licensed entity
WEST WHARTON COUNTY HOSPITAL DISTRICT
Chain
AVIR HEALTH GROUP
Ownership
For profit - Limited Liability company
Phone
(915) 842-8700
Nurse staffing
3.18 hours per resident per day; 46.8% nursing staff turnover
Medicare ratings
Inspections 1★ · Staffing 2★ · Quality 5★
Official record
Texas HHSC provider search (TULIP)
Official record
Medicare Care Compare

Other public records for this operator

Penalties

Inspection findings

  1. Jun 10, 2026 Health · 2 findings
    • Not serious Scope/severity D Complaint

      F0655 Resident Assessment and Care Planning Deficiencies

      Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

      Corrected Jun 11, 2026 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0842 Resident Assessment and Care Planning Deficiencies

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

      Corrected Jun 11, 2026 · CMS health inspection

  2. May 6, 2026 Fire Safety · 12 findings
    • Not serious Scope/severity F

      E0039 Emergency Preparedness Deficiencies

      Conduct testing and exercise requirements.

      Corrected Jun 5, 2026 · CMS fire safety

    • Not serious Scope/severity E

      F0558 Resident Rights Deficiencies

      Reasonably accommodate the needs and preferences of each resident.

      Corrected May 7, 2026 · CMS health inspection

    • Not serious Scope/severity E

      F0677 Quality of Life and Care Deficiencies

      Provide care and assistance to perform activities of daily living for any resident who is unable.

      Corrected May 7, 2026 · CMS health inspection

    • Not serious Scope/severity E

      F0761 Pharmacy Service Deficiencies

      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 May 7, 2026 · CMS health inspection

    • Not serious Scope/severity E

      F0812 Nutrition and Dietary Deficiencies

      Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      Corrected May 7, 2026 · CMS health inspection

    • Not serious Scope/severity E

      F0814 Nutrition and Dietary Deficiencies

      Dispose of garbage and refuse properly.

      Corrected May 7, 2026 · CMS health inspection

    • Not serious Scope/severity E

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected May 7, 2026 · CMS health inspection

    • Not serious Scope/severity D

      F0914 Environmental Deficiencies

      Provide bedrooms that don't allow residents to see each other when privacy is needed.

      Corrected May 7, 2026 · CMS health inspection

    • Not serious Scope/severity D

      F0940 Administration Deficiencies

      Develop, implement, and/or maintain an effective training program for all new and existing staff members.

      Corrected May 7, 2026 · CMS health inspection

    • Not serious Scope/severity F

      K0521 Services Deficiencies

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

      Corrected Jun 5, 2026 · CMS fire safety

    • Not serious Scope/severity F

      K0712 Miscellaneous Deficiencies

      Have simulated fire drills held at unexpected times.

      Corrected Jun 5, 2026 · CMS fire safety

    • Not serious Scope/severity F

      K0918 Gas, Vacuum, and Electrical Systems Deficiencies

      Have generator or other power source capable of supplying service within 10 seconds.

      Corrected Jun 5, 2026 · CMS fire safety

  3. Apr 21, 2026 Health · 1 finding
    • Not serious Scope/severity D Complaint

      F0684 Quality of Life and Care Deficiencies

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

      Corrected May 21, 2026 · CMS health inspection

  4. Apr 2, 2026 Health · 1 finding
    • Not serious Scope/severity E Complaint

      F0755 Pharmacy Service Deficiencies

      Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      Corrected May 1, 2026 · CMS health inspection

  5. Aug 18, 2025 Health · 1 finding
    • Serious Scope/severity J Complaint

      F0689 Quality of Life and Care Deficiencies

      Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      Corrected Aug 12, 2025 · CMS health inspection

  6. Jul 1, 2025 Health · 3 findings
    • Not serious Scope/severity D Complaint

      F0602 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Protect each resident from the wrongful use of the resident's belongings or money.

      Corrected Aug 1, 2025 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Respond appropriately to all alleged violations.

      Corrected Aug 1, 2025 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0689 Quality of Life and Care Deficiencies

      Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      Corrected Aug 1, 2025 · CMS health inspection

  7. May 22, 2025 Health · 2 findings
    • Not serious Scope/severity D Complaint

      F0580 Resident Rights Deficiencies

      Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

      Corrected Jun 22, 2025 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0770 Administration Deficiencies

      Provide timely, quality laboratory services/tests to meet the needs of residents.

      Corrected Jun 22, 2025 · CMS health inspection

  8. Apr 10, 2025 Health · 1 finding
    • Not serious Scope/severity D Complaint

      F0656 Resident Assessment and Care Planning Deficiencies

      Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      Corrected May 10, 2025 · CMS health inspection

  9. Mar 6, 2025 Fire Safety · 26 findings
    • Not serious Scope/severity F

      E0015 Emergency Preparedness Deficiencies

      Address subsistence needs for staff and patients.

      Corrected May 29, 2025 · CMS fire safety

    • Not serious Scope/severity F

      E0026 Emergency Preparedness Deficiencies

      Establish roles under a Waiver declared by secretary.

      Corrected May 29, 2025 · CMS fire safety

    • Not serious Scope/severity F

      E0029 Emergency Preparedness Deficiencies

      Develop a communication plan.

      Corrected May 29, 2025 · CMS fire safety

    • Not serious Scope/severity F

      E0031 Emergency Preparedness Deficiencies

      Provide emergency officials' contact information.

      Corrected May 29, 2025 · CMS fire safety

    • Not serious Scope/severity F

      E0032 Emergency Preparedness Deficiencies

      Provide primary/alternate means for communication.

      Corrected May 29, 2025 · CMS fire safety

    • Not serious Scope/severity F

      E0033 Emergency Preparedness Deficiencies

      Establish methods for sharing information.

      Corrected May 29, 2025 · CMS fire safety

    • Not serious Scope/severity F

      E0034 Emergency Preparedness Deficiencies

      Provide a means of sharing information on occupancy/needs.

      Corrected May 29, 2025 · CMS fire safety

    • Not serious Scope/severity F

      E0035 Emergency Preparedness Deficiencies

      Provide family notifications of emergency plan.

      Corrected May 29, 2025 · CMS fire safety

    • Not serious Scope/severity F

      E0039 Emergency Preparedness Deficiencies

      Conduct testing and exercise requirements.

      Corrected May 29, 2025 · CMS fire safety

    • Not serious Scope/severity F

      E0041 Emergency Preparedness Deficiencies

      Implement emergency and standby power systems.

      Corrected May 29, 2025 · CMS fire safety

    • Not serious Scope/severity E

      F0550 Resident Rights Deficiencies

      Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

      Corrected Apr 6, 2025 · CMS health inspection

    • Not serious Scope/severity E

      F0558 Resident Rights Deficiencies

      Reasonably accommodate the needs and preferences of each resident.

      Corrected Apr 6, 2025 · CMS health inspection

    • Not serious Scope/severity E

      F0687 Quality of Life and Care Deficiencies

      Provide appropriate foot care.

      Corrected Apr 6, 2025 · CMS health inspection

    • Not serious Scope/severity D

      F0761 Pharmacy Service Deficiencies

      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 Apr 6, 2025 · CMS health inspection

    • Not serious Scope/severity E

      F0812 Nutrition and Dietary Deficiencies

      Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      Corrected Apr 6, 2025 · CMS health inspection

    • Not serious Scope/severity D

      F0814 Nutrition and Dietary Deficiencies

      Dispose of garbage and refuse properly.

      Corrected Apr 6, 2025 · CMS health inspection

    • Not serious Scope/severity E

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Apr 6, 2025 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0908 Environmental Deficiencies

      Keep all essential equipment working safely.

      Corrected Apr 6, 2025 · CMS health inspection

    • Not serious Scope/severity F

      K0353 Smoke Deficiencies

      Inspect, test, and maintain automatic sprinkler systems.

      Corrected May 29, 2025 · CMS fire safety

    • Not serious Scope/severity E

      K0374 Smoke Deficiencies

      Install smoke barrier doors that can resist smoke for at least 20 minutes.

      Corrected May 29, 2025 · CMS fire safety

    • Not serious Scope/severity E

      K0511 Services Deficiencies

      Have properly installed electrical wiring and gas equipment.

      Corrected May 29, 2025 · CMS fire safety

    • Not serious Scope/severity F

      K0712 Miscellaneous Deficiencies

      Have simulated fire drills held at unexpected times.

      Corrected May 29, 2025 · CMS fire safety

    • Not serious Scope/severity E

      K0741 Miscellaneous Deficiencies

      Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

      Corrected May 29, 2025 · CMS fire safety

    • Not serious Scope/severity E

      K0751 Miscellaneous Deficiencies

      Have restrictions on the use of flammable curtains.

      Corrected May 29, 2025 · CMS fire safety

    • Not serious Scope/severity F

      K0911 Gas, Vacuum, and Electrical Systems Deficiencies

      Meet requirements for the installation and maintenance of electrical systems.

      Corrected May 29, 2025 · CMS fire safety

    • Not serious Scope/severity F

      K0916 Gas, Vacuum, and Electrical Systems Deficiencies

      Have a battery powered remote alarm panel in a location accessible by operating personnel.

      Corrected May 29, 2025 · CMS fire safety

  10. Nov 8, 2024 Health · 7 findings
    • Not serious Scope/severity D Complaint

      F0580 Resident Rights Deficiencies

      Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

      Corrected Nov 9, 2024 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0641 Resident Assessment and Care Planning Deficiencies

      Ensure each resident receives an accurate assessment.

      Corrected Nov 9, 2024 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0656 Resident Assessment and Care Planning Deficiencies

      Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      Corrected Nov 9, 2024 · CMS health inspection

    • Serious Scope/severity J Complaint

      F0658 Resident Assessment and Care Planning Deficiencies

      Ensure services provided by the nursing facility meet professional standards of quality.

      Corrected Nov 9, 2024 · CMS health inspection

    • Serious Scope/severity J Complaint

      F0684 Quality of Life and Care Deficiencies

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

      Corrected Nov 9, 2024 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0695 Quality of Life and Care Deficiencies

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

      Corrected Nov 9, 2024 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Nov 9, 2024 · CMS health inspection

  11. Aug 14, 2024 Health · 2 findings
    • Not serious Scope/severity D Complaint

      F0644 Resident Assessment and Care Planning Deficiencies

      Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

      Corrected Aug 15, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0656 Resident Assessment and Care Planning Deficiencies

      Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      Corrected Aug 15, 2024 · CMS health inspection

  12. Jul 27, 2024 Health · 15 findings
    • Not serious Scope/severity E Complaint

      F0558 Resident Rights Deficiencies

      Reasonably accommodate the needs and preferences of each resident.

      Corrected Jul 28, 2024 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0573 Resident Rights Deficiencies

      Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

      Corrected Jul 28, 2024 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0580 Resident Rights Deficiencies

      Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

      Corrected Jul 28, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0585 Resident Rights Deficiencies

      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 Jul 28, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0604 Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

      Corrected Jul 28, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

      Corrected Jul 28, 2024 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0641 Resident Assessment and Care Planning Deficiencies

      Ensure each resident receives an accurate assessment.

      Corrected Jul 28, 2024 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0644 Resident Assessment and Care Planning Deficiencies

      Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

      Corrected Jul 28, 2024 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0656 Resident Assessment and Care Planning Deficiencies

      Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      Corrected Jul 28, 2024 · CMS health inspection

    • Serious Scope/severity J Complaint

      F0689 Quality of Life and Care Deficiencies

      Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      Corrected Jul 28, 2024 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0695 Quality of Life and Care Deficiencies

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

      Corrected Jul 28, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0700 Quality of Life and Care Deficiencies

      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 Jul 28, 2024 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0755 Pharmacy Service Deficiencies

      Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      Corrected Jul 28, 2024 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0770 Administration Deficiencies

      Provide timely, quality laboratory services/tests to meet the needs of residents.

      Corrected Jul 28, 2024 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0842 Resident Assessment and Care Planning Deficiencies

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

      Corrected Jul 28, 2024 · CMS health inspection

  13. May 9, 2024 Health · 7 findings
    • Not serious Scope/severity D Complaint

      F0655 Resident Assessment and Care Planning Deficiencies

      Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

      Corrected May 13, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0660 Resident Assessment and Care Planning Deficiencies

      Plan the resident's discharge to meet the resident's goals and needs.

      Corrected May 13, 2024 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0684 Quality of Life and Care Deficiencies

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

      Corrected May 13, 2024 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0761 Pharmacy Service Deficiencies

      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 May 13, 2024 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0842 Resident Assessment and Care Planning Deficiencies

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

      Corrected May 13, 2024 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0850 Administration Deficiencies

      Hire a qualified full-time social worker in a facility with more than 120 beds.

      Corrected May 13, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Jun 14, 2024 · CMS health inspection

  14. Apr 24, 2024 Health · 7 findings
    • Not serious Scope/severity D Complaint

      F0580 Resident Rights Deficiencies

      Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

      Corrected Apr 25, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

      Corrected Apr 25, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

      Corrected Apr 25, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Respond appropriately to all alleged violations.

      Corrected Apr 25, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0641 Resident Assessment and Care Planning Deficiencies

      Ensure each resident receives an accurate assessment.

      Corrected Apr 25, 2024 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0656 Resident Assessment and Care Planning Deficiencies

      Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      Corrected Apr 25, 2024 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0684 Quality of Life and Care Deficiencies

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

      Corrected Apr 25, 2024 · CMS health inspection

  15. Apr 2, 2024 Health · 2 findings
    • Not serious Scope/severity D Complaint

      F0641 Resident Assessment and Care Planning Deficiencies

      Ensure each resident receives an accurate assessment.

      Corrected Apr 4, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0684 Quality of Life and Care Deficiencies

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

      Corrected Apr 4, 2024 · CMS health inspection

  16. Feb 29, 2024 Health · 7 findings
    • Not serious Scope/severity D Complaint

      F0558 Resident Rights Deficiencies

      Reasonably accommodate the needs and preferences of each resident.

      Corrected Mar 20, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0580 Resident Rights Deficiencies

      Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

      Corrected Mar 20, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0684 Quality of Life and Care Deficiencies

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

      Corrected Mar 20, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0686 Quality of Life and Care Deficiencies

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

      Corrected Mar 20, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0755 Pharmacy Service Deficiencies

      Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      Corrected Mar 20, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0842 Resident Assessment and Care Planning Deficiencies

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

      Corrected Mar 20, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Mar 20, 2024 · CMS health inspection

  17. Jan 12, 2024 Health · 15 findings
    • Not serious Scope/severity D Complaint

      F0558 Resident Rights Deficiencies

      Reasonably accommodate the needs and preferences of each resident.

      Corrected Feb 8, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Respond appropriately to all alleged violations.

      Corrected Feb 8, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0655 Resident Assessment and Care Planning Deficiencies

      Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

      Corrected Feb 8, 2024 · CMS health inspection

    • Not serious Scope/severity E

      F0656 Resident Assessment and Care Planning Deficiencies

      Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      Corrected Feb 8, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0677 Quality of Life and Care Deficiencies

      Provide care and assistance to perform activities of daily living for any resident who is unable.

      Corrected Feb 8, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0687 Quality of Life and Care Deficiencies

      Provide appropriate foot care.

      Corrected Feb 8, 2024 · CMS health inspection

    • Not serious Scope/severity E

      F0694 Quality of Life and Care Deficiencies

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

      Corrected Feb 8, 2024 · CMS health inspection

    • Not serious Scope/severity E

      F0755 Pharmacy Service Deficiencies

      Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      Corrected Feb 8, 2024 · CMS health inspection

    • Not serious Scope/severity E

      F0758 Pharmacy Service Deficiencies

      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 Feb 8, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0761 Pharmacy Service Deficiencies

      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 Feb 8, 2024 · CMS health inspection

    • Not serious Scope/severity E

      F0805 Nutrition and Dietary Deficiencies

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

      Corrected Feb 8, 2024 · CMS health inspection

    • Not serious Scope/severity E

      F0809 Nutrition and Dietary Deficiencies

      Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

      Corrected Feb 8, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0842 Resident Assessment and Care Planning Deficiencies

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

      Corrected Feb 8, 2024 · CMS health inspection

    • Not serious Scope/severity E

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Feb 8, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0919 Environmental Deficiencies

      Make sure that a working call system is available in each resident's bathroom and bathing area.

      Corrected Feb 8, 2024 · CMS health inspection

  18. Dec 1, 2023 Health · 1 finding
    • Not serious Scope/severity E Complaint

      F0812 Nutrition and Dietary Deficiencies

      Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      Corrected Dec 15, 2023 · CMS health inspection

  19. Sep 6, 2023 Health · 3 findings
    • Not serious Scope/severity D Complaint

      F0641 Resident Assessment and Care Planning Deficiencies

      Ensure each resident receives an accurate assessment.

      Corrected Sep 8, 2023 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0695 Quality of Life and Care Deficiencies

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

      Corrected Sep 8, 2023 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Sep 8, 2023 · CMS health inspection

Owners and managers (as published by CMS)

Sources: Texas Health and Human Services Commission, Long-term Care Regulation (directory and closures) and CMS Care Compare (nursing homes). “Harm or jeopardy level” is CMS scope/severity G–L. About this data.