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.
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
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
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Potential for harm · D April 9, 2026
Reasonably accommodate the needs and preferences of each resident.
Corrected May 19, 2026 · Resident Rights
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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Potential for harm · D January 31, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected March 15, 2025 · Resident Rights
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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
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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.