The Bartlett Skilled Nursing and Assisted Living
221 Bartlett Drive · El Paso, TX · 79912 · 9155848438
58 certified beds For profit - Partnership
Why this verdict
- Carries CMS’s abuse warning icon.
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
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 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.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
RN staffing in the bottom 10% nationally
0.15 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
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: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.51 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.15 | 0.55–0.75 |
| Weekend hours / resident-day | 3.32 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 2 · $46,215 |
Inspection citations (37 in the current record)
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Actual harm · G April 11, 2026 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected April 30, 2026 · Resident Rights
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Potential for harm · D April 11, 2026 · found via complaint
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 April 30, 2026 · Resident Rights
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Potential for harm · E April 11, 2026 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected April 14, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E April 11, 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 April 30, 2026 · Resident Assessment and Care Planning
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Potential for harm · D August 22, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected August 25, 2025 · Resident Rights
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Potential for harm · E August 22, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 25, 2025 · Resident Assessment and Care Planning
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Potential for harm · E August 22, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 25, 2025 · Nutrition and Dietary
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Potential for harm · D August 22, 2025
Provide and implement an infection prevention and control program.
Corrected August 25, 2025 · Infection Control
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Potential for harm · E August 22, 2025
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Corrected August 25, 2025 · Infection Control
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Actual harm · G August 7, 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 August 27, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 7, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected August 27, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 7, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 27, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 13, 2025 · 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 14, 2025 · Resident Assessment and Care Planning
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Potential for harm · E February 6, 2025 · found via complaint
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected February 7, 2025 · Quality of Life and Care
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Potential for harm · D February 6, 2025 · found via complaint
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 February 7, 2025 · Pharmacy Service
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Potential for harm · D July 11, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 12, 2024 · Resident Assessment and Care Planning
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Potential for harm · E July 11, 2024
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected July 26, 2024 · Quality of Life and Care
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Potential for harm · D July 11, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected July 26, 2024 · Pharmacy Service
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Potential for harm · E July 11, 2024
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected July 12, 2024 · Pharmacy Service
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Potential for harm · E July 11, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 12, 2024 · Nutrition and Dietary
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Potential for harm · D July 11, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected July 26, 2024 · Resident Assessment and Care Planning
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Potential for harm · E July 11, 2024
Provide and implement an infection prevention and control program.
Corrected July 12, 2024 · Infection Control
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Potential for harm · F July 11, 2024
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected August 1, 2024 · Administration
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Potential for harm · D June 15, 2023
Reasonably accommodate the needs and preferences of each resident.
Corrected July 3, 2023 · Resident Rights
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Potential for harm · D June 15, 2023
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected July 3, 2023 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 11, 2026 | Fine | $13,065 |
| August 7, 2025 | Fine | $33,150 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676457 · certified since November 2, 2018. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.