La Hacienda De Paz Rehabilitation and Care Center
3333 Bob Rogers Dr · Eagle Pass, TX · 78852 · 8302138138
104 certified beds Government - Hospital district Chain: Creative Solutions in Healthcare Hospital-based
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
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Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
98% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
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: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.24 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.31 | 0.55–0.75 |
| Weekend hours / resident-day | 2.86 | ≈ weekday level |
| Nursing turnover / year | 98% | median 45% |
| Fines (3-yr window) | 1 · $21,645 |
Inspection citations (25 in the current record)
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Potential for harm · D December 10, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected December 14, 2025 · Resident Rights
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Potential for harm · D December 10, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected December 16, 2025 · Resident Rights
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Potential for harm · D December 10, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 15, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 10, 2025
Respond appropriately to all alleged violations.
Corrected December 15, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E December 10, 2025
Ensure each resident receives an accurate assessment.
Corrected December 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 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 December 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · F December 10, 2025
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected December 28, 2025 · Nursing and Physician Services
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Potential for harm · D December 10, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected December 18, 2025 · Pharmacy Service
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Potential for harm · D December 10, 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 December 18, 2025 · Pharmacy Service
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Potential for harm · D December 10, 2025
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected December 13, 2025 · Administration
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Potential for harm · D December 10, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 16, 2025 · Nutrition and Dietary
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Potential for harm · D December 10, 2025
Provide and implement an infection prevention and control program.
Corrected December 19, 2025 · Infection Control
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Immediate jeopardy · J May 15, 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 March 29, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 15, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 13, 2025 · Resident Rights
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Potential for harm · D May 15, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected November 22, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 23, 2024
Ensure each resident receives an accurate assessment.
Corrected August 30, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 23, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 1, 2024 · Quality of Life and Care
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Potential for harm · D August 23, 2024
Provide and implement an infection prevention and control program.
Corrected September 1, 2024 · Infection Control
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Potential for harm · E July 12, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 5, 2023 · Quality of Life and Care
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Potential for harm · D July 12, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 5, 2023 · Quality of Life and Care
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Potential for harm · D July 12, 2023
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 11, 2023 · Pharmacy Service
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Potential for harm · E July 12, 2023
Ensure medication error rates are not 5 percent or greater.
Corrected August 11, 2023 · Pharmacy Service
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Potential for harm · F July 12, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 1, 2023 · Nutrition and Dietary
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Potential for harm · E July 12, 2023
Provide and implement an infection prevention and control program.
Corrected August 11, 2023 · Infection Control
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Potential for harm · D June 8, 2023 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected July 5, 2023 · Freedom from Abuse, Neglect, and Exploitation
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 15, 2025 | Fine | $21,645 |
Better-scoring options nearby
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 676419 · certified since April 11, 2017. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.