El Paso Rehabilitation and Health Care Center
850 East Second Street · El Paso, IL · 61738 · 3095272700
123 certified beds For profit - Limited Liability company Chain: Tutera Senior Living & Health Care
Why this verdict
- On the federal Special Focus list of the most persistently poor performers.
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Special Focus Facility
CMS has designated this facility one of the most persistently poor performers in the country — it is under increased inspection and enforcement.
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
RN staffing in the bottom 10% nationally
0.30 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.81 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: not rated Inspections: not rated Staffing: not rated Quality measures: not rated
| Total nurse hours / resident-day | 2.81 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.30 | 0.55–0.75 |
| Weekend hours / resident-day | 2.32 | ≈ weekday level |
| Nursing turnover / year | 56% | median 45% |
| Fines (3-yr window) | 3 · $227,266 |
Inspection citations (69 in the current record)
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Potential for harm · E April 13, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 1, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 9, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected October 20, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 19, 2025 · 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 September 2, 2025 · Resident Rights
-
Potential for harm · D August 19, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected September 2, 2025 · Resident Assessment and Care Planning
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Immediate jeopardy · K August 8, 2025 · found via complaint
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected August 26, 2025 · Nutrition and Dietary
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Potential for harm · D August 8, 2025 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected August 26, 2025 · Resident Rights
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Potential for harm · D April 29, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 9, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G March 18, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 8, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 18, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected April 8, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 18, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 8, 2025 · Quality of Life and Care
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Potential for harm · D March 18, 2025 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected April 8, 2025 · Quality of Life and Care
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Potential for harm · E February 11, 2025 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected February 28, 2025 · Resident Rights
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Potential for harm · D February 11, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected February 28, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 10, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 3, 2025 · Resident Rights
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Potential for harm · D January 10, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected January 28, 2025 · Resident Rights
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Potential for harm · E January 10, 2025
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.
Corrected January 29, 2025 · Resident Rights
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Potential for harm · D January 10, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 29, 2025 · Resident Assessment and Care Planning
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Potential for harm · E January 10, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected February 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 10, 2025
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Corrected February 3, 2025 · Quality of Life and Care
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No harm found · C January 10, 2025
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected January 28, 2025 · Resident Rights
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No harm found · C January 10, 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 January 29, 2025 · Resident Rights
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Potential for harm · F November 8, 2024 · found via complaint
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected November 27, 2024 · Resident Rights
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Potential for harm · D October 5, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected October 23, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 5, 2024 · found via complaint
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected November 7, 2024 · Resident Rights
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Potential for harm · D October 5, 2024 · found via complaint
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected October 23, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 18, 2025 | Fine | $45,396 |
| February 7, 2024 | Fine | $124,410 |
| February 7, 2024 | Payment Denial | 27 days |
| August 10, 2023 | Fine | $57,460 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 146097 · certified since October 10, 2005. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.