Deficiency Index

Grace Pointe Wellness Center

El Paso, Texas · CCN 675106

48 surveys since 2010, 14 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
221
Surveys
48
Harm or worse
14
Immediate jeopardy
9
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy9

Findings at the most serious level CMS records.

Beyond CMS’s monthly file38/48

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
154
Ownership
For profit - Corporation
Chain
CREATIVE SOLUTIONS IN HEALTHCARE
County
El Paso
Medicare-certified since
1993

CMS ratings

Overall
1
Health inspection
1
Staffing
1
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

Weighted by harm level, against 209 for-profit facilities with 128 or more beds in Texas.

Last survey on record

Jun 17, 2026

145 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.623.26
Registered-nurse hours per resident day0.43—

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$76,770 across 2 penalties
Payment denials
1

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ35.5%K23.6%L—
Actual harmG—H—I—
No harm, potential for more than minimalD2749.1%E2240.0%F—
No harm, potential for minimalA—B11.8%C—
CMS’s current file: 55 of the 221 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6093×

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

  • F6563×

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

  • F6953×

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

  • F7553×

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

  • F8123×

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

In the surveyor’s words

From the most serious findings on record at Grace Pointe Wellness Center, in the surveyor’s own words.

  • Immediate jeopardy, patternF580Mar 5, 2024

    Based on interview and record review the facility failed to immediately notify and consult with the resident's physician when a significant change in a resident physical, mental, or psychosocial status (that was, a deterioration in health, mental, or psychosocial status in either life-threatening conditions or clinical complications for 1 of 5 (Resident #1) residents reviewed for change in condition. The facility failed to immediately inform NP/MD of Resident #1's change in condition addressing cyanotic episode (change of body tissue color to a bluish-purple hue, as a result of decrease in the amount of oxygen) to fingertips and lips. Resident #1's MD/NP was not notified of change in condition from approximately 8:00 a.m. to 10:36 p.m. on [DATE]. […]

  • Immediate jeopardy, patternF684Mar 5, 2024

    Based on interview and record review, the facility failed to provide treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the resident's choices for 1 of 5 (Resident #1) residents reviewed for quality of care. The facility failed to immediately inform NP/MD of Resident #1's change in condition addressing cyanotic episode (change of body tissue color to a bluish-purple hue, as a result of decrease in the amount of oxygen) to fingertips and lips. Resident #1's MD/NP was not notified of change in condition from approximately 8:00 a.m. to 10:36 p.m. on [DATE]. This failure resulted in an identification of an Immediate Jeopardy (IJ) on [DATE]. The IJ template was provided to the Administrator and DON on [DATE] at 2:51 p.m. […]

  • Immediate jeopardy, isolatedF600Apr 11, 2025

    Based on interview and record review the facility failed to ensure residents had the right to be free from abuse, neglect, misappropriation of resident property, and exploitation for 1 of 7 residents (Residents #1) reviewed for abuse. The facility failed to ensure residents right to be free from abuse when Resident #1 reported sexual abuse by CNA O to staff in January 2025 and the alleged perpetrator was not suspended, the allegation was not investigated, and the facility did not report the suspected crime to local law enforcement and the State Agency, resulting in failure to protect residents from further potential criminal activity by an alleged perpetrator. An Immediate Jeopardy (IJ) situation was identified on 04/09/25. […]

  • Immediate jeopardy, isolatedF609Apr 11, 2025

    Based on interview and record review, the facility failed to ensure that all alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property, were reported immediately but not later than 2 hours after the allegation was made, if the events that caused the allegation involved abuse or resulted in serious bodily injury to the administrator of the facility and to other officials including the State Survey Agency in accordance with State law through established procedures for 1 of 7 residents (Resident #2) reviewed for abuse. […]

  • Immediate jeopardy, isolatedF610Apr 11, 2025

    Based on observation, interview, and record review the facility failed to ensure in response to allegations of abuse, neglect, exploitation, or mistreatment the facility had evidence that all alleged violations were thoroughly investigated and prevent further abuse, neglect, exploitation, or mistreatment while the investigation was in progress for 1 of 7 residents (Residents #1) reviewed for abuse/neglect. 1. The facility failed to investigate an allegation of sexual abuse of Resident #1. 2. The facility failed to prevent further potential abuse and mistreatment by allowing the alleged perpetrator to remain in the facility and to have direct contact with the residents. An Immediate Jeopardy (IJ) situation was identified 04/09/25. […]

Read 31 findings in full →The most serious and the most recent: 31 of 221 on record.

Every survey on record

FindingsAt actual harm or above

  • Jun 17, 2026Complaint2 findings
  • Mar 12, 2026Standard9 findings
  • Dec 31, 2025Complaint1 finding
  • Dec 1, 2025Complaint4 findings
  • Aug 5, 2025Complaint1 finding
  • Apr 11, 2025Complaint5 findings · 3 harm
  • Dec 12, 2024Standard10 findings
  • Apr 4, 2024Complaint6 findings
Show the 40 earlier surveys
  • Mar 5, 2024Complaint2 findings · 2 harm
  • Nov 17, 2023Standard and complaint15 findings
  • May 3, 2023Complaint1 finding
  • Sep 30, 2022Standard and complaint11 findings
  • Jun 8, 2022Complaint2 findings
  • Jul 23, 2021Standard and complaint5 findings
  • Jun 9, 2021Complaint2 findings
  • Feb 8, 2021Complaint1 finding
  • Sep 15, 2020Complaint2 findings
  • Aug 12, 2020Complaint1 finding
  • Nov 8, 2019Standard and complaint12 findings
  • Jun 12, 2019Complaint1 finding
  • Feb 15, 2019Standard11 findings
  • Oct 12, 2018Complaint1 finding
  • Feb 9, 2018Standard6 findings
  • Jul 6, 2017Complaint1 finding
  • May 8, 2017Complaint1 finding · 1 harm
  • Apr 6, 2017Complaint2 findings
  • Dec 9, 2016Standard16 findings · 1 harm
  • Oct 20, 2016Complaint1 finding
  • Jul 20, 2016Complaint1 finding
  • Mar 4, 2016Complaint1 finding · 1 harm
  • Jan 29, 2016Standard and complaint11 findings
  • Dec 29, 2015Complaint1 finding
  • Dec 4, 2014Standard8 findings
  • Dec 13, 2013—8 findings
  • Aug 5, 2013—2 findings
  • Jul 12, 2013—1 finding · 1 harm
  • Mar 14, 2013—2 findings · 2 harm
  • Nov 30, 2012—5 findings
  • Jun 20, 2012—1 finding
  • Feb 15, 2012—4 findings
  • Dec 28, 2011—3 findings
  • Nov 10, 2011—11 findings
  • Oct 5, 2011—2 findings
  • Sep 9, 2011—2 findings
  • Jun 22, 2011—1 finding
  • May 9, 2011—7 findings · 3 harm
  • Nov 24, 2010—2 findings
  • Oct 15, 2010—16 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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