Deficiency Records for El Paso Health Care Center
Updated as of August 01, 2022
This is not the most recent data for El Paso Health Care Center. For the most recent information, click here.
A list of the most recent deficiencies for El Paso Health Care Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2022-06-22 | 2022-07-10 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-05-06 | 2022-05-20 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-05-06 | 2022-05-20 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-03-17 | 2022-03-26 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-02-10 | 2022-03-26 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-02-10 | 2022-03-15 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2022-02-10 | 2022-03-15 | Y |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2022-02-10 | 2022-03-15 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-02-10 | 2022-03-09 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-02-10 | 2022-03-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-10 | 2022-03-01 | N |
| Provide activities to meet all resident's needs. | Health | 2022-02-10 | 2022-03-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-10 | 2022-02-25 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-02-10 | 2022-02-25 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-02-10 | 2022-02-21 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-02-10 | 2022-02-21 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-10-20 | 2021-11-05 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2021-07-29 | 2021-09-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-07-29 | 2021-09-15 | N |
| 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. | Health | 2021-07-28 | 2021-09-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-07-28 | 2021-09-01 | N |
| Provide activities to meet all resident's needs. | Health | 2021-07-28 | 2021-09-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-07-28 | 2021-09-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-28 | 2021-09-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-07-28 | 2021-09-01 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-07-28 | 2021-09-01 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2021-07-28 | 2021-09-01 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2021-07-28 | 2021-09-01 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2021-07-28 | 2021-09-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-07-28 | 2021-09-01 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-07-28 | 2021-09-01 | N |
| 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. | Health | 2021-07-28 | 2021-09-01 | N |
| 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. | Health | 2021-07-28 | 2021-09-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-28 | 2021-09-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-07-28 | 2021-09-01 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-07-28 | 2021-09-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-28 | 2021-09-01 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-07-28 | 2021-09-01 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-07-28 | 2021-09-01 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-07-29 | 2021-09-01 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-07-29 | 2021-09-01 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-07-29 | 2021-09-01 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-07-29 | 2021-09-01 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-07-29 | 2021-09-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-29 | 2021-09-01 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-07-29 | 2021-09-01 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-05-27 | 2021-06-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-27 | 2021-06-24 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-03-03 | 2021-03-23 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2021-03-03 | 2021-03-23 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-02-24 | 2021-03-17 | Y |
| 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. | Health | 2021-02-24 | 2021-03-17 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-01-08 | 2021-02-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-01-08 | 2021-02-20 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-01-08 | 2021-02-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-12-02 | 2021-01-01 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2020-12-02 | 2021-01-01 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2020-09-03 | 2020-09-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-07-24 | 2020-08-19 | Y |
| Respond appropriately to all alleged violations. | Health | 2020-07-24 | 2020-08-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-07-24 | 2020-08-19 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2020-07-24 | 2020-08-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-07-24 | 2020-08-19 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-14 | 2019-10-15 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-08-15 | 2019-09-10 | N |
| Provide activities to meet all resident's needs. | Health | 2019-08-15 | 2019-09-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-15 | 2019-09-10 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2019-08-15 | 2019-09-10 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-08-15 | 2019-09-10 | N |
| 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. | Health | 2019-08-15 | 2019-09-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-15 | 2019-09-10 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2019-08-15 | 2019-09-10 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-08-15 | 2019-09-10 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-08-14 | 2019-09-05 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-08-14 | 2019-09-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-14 | 2019-09-05 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-08-15 | 2019-09-03 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-08-15 | 2019-09-01 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-08-15 | 2019-08-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-10-02 | 2018-10-29 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-10-04 | 2018-10-25 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-10-04 | 2018-10-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-04 | 2018-10-25 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-10-04 | 2018-10-25 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2018-10-04 | 2018-10-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-04 | 2018-10-25 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2018-10-04 | 2018-10-25 | N |
| 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. | Health | 2018-10-04 | 2018-10-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-04 | 2018-10-25 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-10-04 | 2018-10-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-10-02 | 2018-10-24 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2018-10-02 | 2018-10-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-10-02 | 2018-10-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-10-02 | 2018-10-03 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-10-02 | 2018-10-02 | N |
