Deficiency Records for El Paso Health and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for El Paso Health and Rehabilitation 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? |
|---|---|---|---|---|
| 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 | 2023-10-11 | 2023-10-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-10-11 | 2023-10-12 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-10-11 | 2023-10-12 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-09-01 | 2023-09-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-01 | 2023-09-05 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-09-01 | 2023-09-05 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-09-01 | 2023-09-05 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-06-09 | 2023-07-07 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-09 | 2023-07-07 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-27 | 2023-06-02 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-04-27 | 2023-06-02 | 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 | 2023-04-27 | 2023-06-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-27 | 2023-06-02 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-04-27 | 2023-06-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-04-27 | 2023-06-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-27 | 2023-06-02 | N |
| Dispose of garbage and refuse properly. | Health | 2023-04-27 | 2023-06-02 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-04-27 | 2023-06-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-27 | 2023-06-02 | N |
| Keep all essential equipment working safely. | Health | 2023-04-27 | 2023-06-02 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-03-30 | 2023-04-21 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-30 | 2023-04-21 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-01-31 | 2023-02-24 | Y |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2023-01-31 | 2023-02-24 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-01-31 | 2023-02-24 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-01-31 | 2023-02-24 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-11-22 | 2022-12-16 | 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 | 2022-11-22 | 2022-12-16 | 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 | 2022-11-22 | 2022-12-16 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-09 | 2022-08-26 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-02-25 | 2022-03-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-25 | 2022-03-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-25 | 2022-03-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-02-25 | 2022-03-27 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-02-25 | 2022-03-27 | 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 | 2022-02-25 | 2022-03-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-25 | 2022-03-27 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-02-25 | 2022-03-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-25 | 2022-03-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-10-16 | 2020-11-16 | N |
| Provide activities to meet all resident's needs. | Health | 2020-10-16 | 2020-11-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-10-16 | 2020-11-16 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-10-16 | 2020-11-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-10-15 | 2020-11-16 | N |
