Ambrosio Guillen Texas State Veterans Home
9650 Kenworthy St · El Paso, TX · 79924 · 9157510967
160 certified beds For profit - Corporation Chain: Texvet
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 72 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.53 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.47 | 0.55–0.75 |
| Weekend hours / resident-day | 2.97 | ≈ weekday level |
| Nursing turnover / year | 37% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (43 in the current record)
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Potential for harm · D April 9, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 19, 2026 · Resident Rights
-
Potential for harm · D April 9, 2026
Reasonably accommodate the needs and preferences of each resident.
Corrected May 19, 2026 · Resident Rights
-
Potential for harm · D April 9, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 19, 2026 · Resident Assessment and Care Planning
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Potential for harm · D April 9, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 19, 2026 · Resident Assessment and Care Planning
-
Potential for harm · E April 9, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 19, 2026 · Quality of Life and Care
-
Potential for harm · D April 9, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 19, 2026 · Pharmacy Service
-
Potential for harm · D April 9, 2026
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected May 19, 2026 · Pharmacy Service
-
Potential for harm · E April 9, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 19, 2026 · Nutrition and Dietary
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Potential for harm · E March 19, 2026 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected May 1, 2026 · Resident Rights
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Potential for harm · E March 19, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected May 1, 2026 · Infection Control
-
Potential for harm · D February 3, 2026 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected March 13, 2026 · Resident Rights
-
Potential for harm · D February 3, 2026 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected March 13, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 3, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 13, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D November 20, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 23, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E September 15, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected October 24, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E September 15, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 24, 2025 · Quality of Life and Care
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Potential for harm · D September 15, 2025 · found via complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected October 24, 2025 · Nursing and Physician Services
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Potential for harm · D September 15, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected October 24, 2025 · Pharmacy Service
-
Potential for harm · D April 3, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E January 31, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 15, 2025 · Resident Rights
-
Potential for harm · D January 31, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected March 15, 2025 · Resident Rights
-
Potential for harm · E January 31, 2025
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.
Corrected March 15, 2025 · Resident Rights
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Potential for harm · E January 31, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 15, 2025 · Quality of Life and Care
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Potential for harm · E January 31, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 15, 2025 · Pharmacy Service
-
Potential for harm · E January 31, 2025
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected March 15, 2025 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676060 · certified since August 3, 2005. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.