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Deficiency Records for El Paso Rehabilitation and Health Care Center
View the most recent health deficiencies and inspection results for El Paso Rehabilitation and Health Care Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for El Paso Rehabilitation and Health Care Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-04-13 | 2026-05-01 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-10-09 | 2025-10-20 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-08-19 | 2025-09-02 | 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 | 2025-08-19 | 2025-09-02 | Y |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-08-08 | 2025-08-26 | Y |
| 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. | Health | 2025-08-08 | 2025-08-26 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-04-29 | 2025-05-09 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2025-03-18 | 2025-04-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-03-18 | 2025-04-08 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-03-18 | 2025-04-08 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-03-18 | 2025-04-08 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-02-11 | 2025-02-28 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2025-02-11 | 2025-02-28 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-01-10 | 2025-02-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-01-10 | 2025-02-03 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2025-01-10 | 2025-02-03 | N |
| Implement emergency and standby power systems. | Fire Safety | 2025-01-10 | 2025-01-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-01-10 | 2025-01-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-10 | 2025-01-31 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-01-10 | 2025-01-31 | N |
| Have exits that are accessible at all times. | Fire Safety | 2025-01-10 | 2025-01-31 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2025-01-10 | 2025-01-31 | 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 | 2025-01-10 | 2025-01-29 | N |
| 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. | Health | 2025-01-10 | 2025-01-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-01-10 | 2025-01-29 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2025-01-10 | 2025-01-28 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-01-10 | 2025-01-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-01-10 | 2025-01-28 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2024-11-08 | 2024-11-27 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-10-05 | 2024-11-07 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-07-23 | 2024-10-26 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-07-23 | 2024-10-26 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2024-07-23 | 2024-10-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-23 | 2024-10-26 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-10-05 | 2024-10-23 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-10-05 | 2024-10-23 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-23 | 2024-09-13 | 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 | 2024-07-23 | 2024-08-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-23 | 2024-08-16 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-07-23 | 2024-08-16 | N |
| Keep all essential equipment working safely. | Health | 2024-07-23 | 2024-08-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-07-23 | 2024-08-16 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-07-23 | 2024-08-16 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-07-23 | 2024-08-16 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-07-23 | 2024-08-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-07-23 | 2024-08-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-23 | 2024-08-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-23 | 2024-08-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-07-23 | 2024-08-16 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-07-23 | 2024-08-15 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-07-23 | 2024-08-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-07-23 | 2024-08-01 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-07-23 | 2024-07-26 | N |
| Dispose of garbage and refuse properly. | Health | 2024-07-23 | 2024-07-24 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-07-23 | 2024-07-24 | N |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2024-04-26 | 2024-06-20 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-04-26 | 2024-06-20 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-05-22 | 2024-06-13 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-22 | 2024-06-13 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-05-22 | 2024-06-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-22 | 2024-06-13 | Y |
| 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. | Health | 2024-02-07 | 2024-04-04 | Y |
| 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 | 2024-02-07 | 2024-04-04 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2024-02-07 | 2024-04-04 | Y |
| Implement a program that monitors antibiotic use. | Health | 2024-02-07 | 2024-04-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-02-07 | 2024-04-04 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-02-07 | 2024-04-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-07 | 2024-04-04 | Y |
| 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 | 2024-02-07 | 2024-04-04 | 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 | 2024-02-07 | 2024-04-04 | Y |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-02-07 | 2024-04-04 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-02-07 | 2024-04-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-07 | 2024-04-04 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-02-07 | 2024-04-04 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-07 | 2024-04-04 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-07 | 2024-04-04 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-02-07 | 2024-04-04 | Y |
| 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 | 2024-02-07 | 2024-04-04 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-02-07 | 2024-04-04 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2024-02-07 | 2024-03-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-07 | 2024-03-04 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-02-07 | 2024-03-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-02-07 | 2024-03-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-07 | 2024-03-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-07 | 2024-03-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-02-07 | 2024-02-29 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-02-07 | 2024-02-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-02-07 | 2024-02-23 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-02-07 | 2024-02-23 | 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 | 2024-02-07 | 2024-02-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-07 | 2024-02-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-02-07 | 2024-02-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-02-07 | 2024-02-15 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-06 | 2023-12-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-06 | 2023-12-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-01 | 2023-09-15 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-07-13 | 2023-07-20 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-07-13 | 2023-07-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-07-13 | 2023-07-20 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-07-13 | 2023-07-20 | 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 | 2023-07-05 | 2023-07-18 | Y |