El Paso Health & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at El Paso Health & Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF580Sep 1, 2023

  Based on record review and interview, the facility failed to immediately consult with resident physician and notify the resident representative when there was a significant change in the resident's physical or mental status that is, a deterioration in health, mental, or psychosocial status in either life-threatening conditions or clinical complications for 1 of 5 (Resident #1) reviewed for notification of changes of condition. The facility failed to notify the physician and establish vital signs when [AGE] year-old female Resident #1, with a history of dementia, had multiple episodes of emesis. The facility failed to report to the NP or MD [DATE] when Resident #1 had a total of six episodes of emesis, beginning at approximately 10 a.m. […]

• Immediate jeopardy, isolatedF684Sep 1, 2023

  Based on interview, and record review, the facility staff failed to ensure residents received treatment and care in accordance with professional standards of practice, the comprehensive care plan, and the residents' choices for 1 of 5 (Resident #1) reviewed for quality of care. The facility failed to notify the physician and establish vital signs when [AGE] year-old female Resident #1, with a history of dementia, had multiple episodes of emesis. The facility failed to report to the NP or MD [DATE] when Resident #1 had a total of six episodes of emesis, beginning at approximately 10 a.m. The day shift CNA stated she informed the day RN after the second episode. The CNAs notified the facility nurses again at the change of shift, 2:20 pm, after 4 episodes. […]

• No harm, potential for more than minimal, widespreadF812Aug 7, 2025

  Based on observation, interviews and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed in that:-The facility failed on 8/4/25 to thaw two bags of boneless pork loin properly.-The facility failed on 8/4/25 to seal a receptacle containing refried beans in refrigerator #1.-The facility failed on 8/4/25 to seal Ziplock bags containing jalapenos and onions in refrigerator #1.-The facility failed on 8/4/25 to label an object approximately 15 inches long, wrapped in brown butcher paper and sealed in plastic wrap that was found inside refrigerator #2. […]

• No harm, potential for more than minimal, widespreadF727Jan 15, 2025

  Based on observation, interview, and record review, the facility failed to ensure they had a full time DON for 1 of 1 facility reviewed for DON coverage. The facility failed to have a full-time DON since 12/05/24 . This failure could place residents at risk of a lack of nursing oversight and a higher level of care. Findings included: Record review of staff hours from 12/01/24 through 01/15/25 indicated there was no DON in the facility from 12/06/24 through 01/15/25. In an interview on 01/14/25 at 8:40 AM, with the Administrator, ADON C, and ADON D, the Administrator stated the facility currently did not have a DON. ADON C stated the facility did not have an acting or interim DON. ADON D stated the facility was looking for a DON. […]

• No harm, potential for more than minimal, widespreadF812Jun 20, 2024

  Based on observations, interviews, and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for sanitation and food storage. The facility failed to keep refrigerator and dry storage free of moldy foods. The facility failed to keep the freezers clean. The facility failed to store food in sealed containers. The facility failed to keep one plastic container stored on a metal rack clean and free of dried food residues on its side. The facility failed to keep one plastic bag with 2 bottles of liquid caramel stored on a metal rack clean and free of food drippings. The caramel stored inside the bag had leaked to the floor. […]