Deficiency Index

La Hacienda De Paz Rehabilitation and Care Center

Eagle Pass, Texas · CCN 676419

10 surveys since 2018. The first finding at harm level was recorded in 2025.

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

Citations on record
45
Surveys
10
Harm or worse
1
Immediate jeopardyall corrected before survey
1
The record, 2018–2025
’18’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy1

Findings at the most serious level CMS records. All were recorded as past non-compliance — corrected before the survey.

Beyond CMS’s monthly file6/10

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

The facility

Certified beds
104
Ownership
Government - Hospital district
Chain
CREATIVE SOLUTIONS IN HEALTHCARE
County
Maverick
Medicare-certified since
2017

CMS ratings

Overall
2
Health inspection
3
Staffing
1
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

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

Weighted by harm level, against 104 government-run facilities of 100–127 beds in Texas.

Last survey on record

Dec 10, 2025

334 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 day3.123.25
Registered-nurse hours per resident day0.35—
Annual nurse turnover95.1%48.1%

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

Enforcement

Fines
$14,069 across 1 penalty

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 jeopardyJ14.2%K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1770.8%E416.7%F28.3%
No harm, potential for minimalA—B—C—
CMS’s current file: 24 of the 45 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8803×

    Provide and implement an infection prevention and control program.

  • F6412×

    Ensure each resident receives an accurate assessment.

  • F7552×

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

  • F8122×

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

  • F5501×

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

In the surveyor’s words

From the most serious findings on record at La Hacienda De Paz Rehabilitation and Care Center, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF600May 15, 2025

    Based on observation, interview, and record review, the facility failed to protect a resident's right to be free from abuse, neglect, misappropriation of resident property, and exploitation for 1 of 3 residents (Resident #2) reviewed for abuse, in that: The facility failed to supervise and protect Resident #2, who did not have the ability to consent, from harm when Resident #1, on 3/27/25, was observed leaning over Resident #2's bed with his hand under her brief touching her genital area. An Immediate Jeopardy (IJ) was identified as past noncompliance. The noncompliance began on 03/27/25 and ended on 03/29/25. The facility had corrected the noncompliance before the survey began. A PNC IJ template was presented to the Director of Nursing at 5:45 pm on 05/15/25. […]

  • No harm, potential for more than minimal, widespreadF712Dec 10, 2025

    Based on interview and record review, the facility failed to ensure residents were seen by a physician at least once every 30 days for the first 90 days after admission for 4 of 4 residents (Resident #10, #11, #12, #91) and at least once every 60 days thereafter for 10 of 22 residents (Resident #1, #2, #3, #7,#9, #13, #20, #29, #67, #94) reviewed for physician services. 1. The facility failed to ensure Resident #10 was seen by the physician every month for the first three months since admission on [DATE].2. The facility failed to ensure Resident #11 was seen by the physician every month for the first three months since admission on [DATE].3. The facility failed to ensure Resident #12 was seen by the physician every month for the first three months since admission on [DATE].4. […]

  • No harm, potential for more than minimal, widespreadF812Jul 12, 2023

    Based on observation, interview, 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 for kitchen sanitation in that: 1. The facility failed to maintain the cleanliness of the ice maker found within the kitchen 2. The facility failed to label and date food containers found within the kitchen. 3. The facility failed to complete daily temperature logs of reach-in refrigerators and freezers found within the kitchen and nourishment room. 4. The facility failed to ensure the walk-in freezer and nourishment room freezer maintained a temperature below 0 degrees Fahrenheit. These failures could place residents at risk for cross-contamination and foodborne illnesses. […]

  • No harm, potential for more than minimal, patternF641Dec 10, 2025

    Based on observation, interview, and record review, the facility failed to ensure the resident assessment accurately reflected the resident's status for 5of 7 residents (Resident #1, Resident #20, Resident #32, Resident #100, and Resident #10) who were reviewed for resident assessments. 1. The facility failed to accurately documents Resident #1's skin conditions on his significant change MDS. 2.The facility failed to document Resident #20's use of pain medication and antiplatelet medication on the quarterly MDS assessment. 3. The facility failed to document Resident #32's use of antidepressant medication and antiplatelet medication on the quarterly MDS assessment. 4. The facility failed to document Resident #100's use of antidepressant medication on the quarterly MDS assessment. 5. […]

  • No harm, potential for more than minimal, patternF677Jul 12, 2023

    Based on observation, interview, and record review the facility failed to ensure residents who were unable to carry out activities of daily living were provided with the necessary services to maintain good personal hygiene for one (Resident #53) of six residents reviewed for ADL care, in that: The facility failed to ensure Resident #52 was provided bathing as scheduled. This failure could place residents who require assistance from staff for personal hygiene at risk of not receiving care and services to meet their needs and not reaching their highest practicable physical and psychosocial well-being. […]

Read 20 findings in full →The most serious and the most recent: 20 of 45 on record.

Every survey on record

FindingsAt actual harm or above

  • Dec 10, 2025Standard12 findings
  • May 15, 2025Complaint3 findings · 1 harm
  • Aug 23, 2024Standard3 findings
  • Jul 12, 2023Standard6 findings
  • Jun 8, 2023Complaint1 finding
  • May 27, 2022Standard1 finding
  • Apr 17, 2021Complaint1 finding
  • Nov 6, 2020Standard5 findings
Show the 2 earlier surveys
  • Apr 12, 2019Standard9 findings
  • Apr 26, 2018Standard4 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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