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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D19 | E20 | F8 |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jun 17, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 11, 2026 | Health | Health Complaint | 3 | Actual harm | — | Open → |
| Aug 22, 2025 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| Aug 22, 2025 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Aug 7, 2025 | Health | Health Complaint | 3 | Actual harm | — | Open → |
| Mar 13, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 6, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jul 11, 2024 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Jul 11, 2024 | Health | Health Standard | 8 | Potential harm | — | Open → |
| Jun 15, 2023 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Jun 15, 2023 | Health | Health Standard | 14 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Apr 11, 2026 | Civil money penalty (fine) | $8,492 | — | 676457|Fine|139078 |
| Aug 7, 2025 | Civil money penalty (fine) | $21,863 | — | 676457|Fine|135669 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D19 | E20 | F8 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jun 17, 2026 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 18, 2026 | Complaint |
| Apr 11, 2026 | F-0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · Resident rights & abuse/neglect | G · Actual harm Isolated | Corrected Apr 30, 2026 | Complaint |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Douglas G Pendergras Sr Estate | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Mar 20, 2018 |
| Don Pendergras | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Jan 1, 2018 |
| Penan Retirement Inc | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2018 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Douglas G Pendergras Sr Estate | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Mar 20, 2018 |
| Don Pendergras | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Jan 1, 2018 |
| Penan Retirement Inc | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2018 |
| Penan Retirement Inc | Organization | Partner | GENERAL PARTNERSHIP INTEREST | not provided | Jan 1, 2018 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| White Acres Wellness & Rehabilitation 7304 Good Samaritan Court, El Paso, TX 79912 CCN 675025 | 1 km | 74 | Jun 16, 2026 | 49 | — | |
| Franklin Heights Nursing & Rehabilitation 223 S Resler Dr, El Paso, TX 79912 CCN 675479 | 2.2 km | 132 | Jul 1, 2026 | 865 IJ | $192k | |
| Avir at El Paso 7441 Paseo Del Norte, El Paso, TX 79911 CCN 676431 | 4.9 km | 124 | Jun 10, 2026 | 1124 IJ | $193k | |
| Mountain View Health & Rehabilitation 1600 Muchison Rd, El Paso, TX 79902 CCN 455471 | 8.8 km | 187 | Jul 2, 2026 | 836 IJ | $123k | |
| Grace Pointe Wellness Center 2301 N Oregan St, El Paso, TX 79902 CCN 675106 | 8.8 km | 154 | Jun 17, 2026 | 755 IJ | $77k | |
| Mountain Villa Nursing Home 2729 Porter Ave, El Paso, TX 79930 CCN 675768 | 11.2 km | 48 | Dec 4, 2025 | 52 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 676457 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 676457 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Apr 11, 2026 | F-0585 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 30, 2026 | Complaint |
| Apr 11, 2026 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 30, 2026 | Complaint |
| Aug 22, 2025 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Oct 28, 2025 |
| Aug 22, 2025 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Oct 28, 2025 |
| Aug 22, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 28, 2025 |
| Aug 22, 2025 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 28, 2025 |
| Aug 22, 2025 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 28, 2025 |
| Aug 22, 2025 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 28, 2025 |
| Aug 22, 2025 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 28, 2025 |
| Aug 22, 2025 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 25, 2025 |
| Aug 22, 2025 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Aug 25, 2025 |
| Aug 22, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Aug 25, 2025 |
| Aug 22, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Aug 25, 2025 |
| Aug 22, 2025 | F-0945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Aug 25, 2025 |
| Aug 7, 2025 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | G · Actual harm Isolated | Corrected Aug 27, 2025 | Complaint |
| Aug 7, 2025 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 27, 2025 | Complaint |
| Aug 7, 2025 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 27, 2025 | Complaint |
| Mar 13, 2025 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 14, 2025 | Complaint |
| Feb 6, 2025 | F-0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 7, 2025 | Complaint |
| Feb 6, 2025 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Feb 7, 2025 | Complaint |
| Jul 11, 2024 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jul 31, 2024 |
| Jul 11, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 18, 2024 |
| Jul 11, 2024 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 12, 2024 |
| Jul 11, 2024 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 26, 2024 |
| Jul 11, 2024 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jul 26, 2024 |
| Jul 11, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jul 12, 2024 |
| Jul 11, 2024 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 26, 2024 |
| Jul 11, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jul 12, 2024 |
| Jul 11, 2024 | F-0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Aug 1, 2024 |
| Jun 15, 2023 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 28, 2023 |
| Jun 15, 2023 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 10, 2023 |
| Jun 15, 2023 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 28, 2023 |
| Jun 15, 2023 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 3, 2023 |
| Jun 15, 2023 | F-0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 3, 2023 |
| Jun 15, 2023 | F-0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 3, 2023 |
| Jun 15, 2023 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 3, 2023 |
| Jun 15, 2023 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 3, 2023 |
| Jun 15, 2023 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 3, 2023 |
| Jun 15, 2023 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 3, 2023 |
| Jun 15, 2023 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 3, 2023 |
| Jun 15, 2023 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jul 3, 2023 |
| Jun 15, 2023 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jul 3, 2023 |
| Jun 15, 2023 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jul 3, 2023 |
| Jun 15, 2023 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 3, 2023 |
| Jun 15, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jul 3, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.54 (case-mix index 1.49).
| Don Pendergras | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2018 |
| Douglas G Pendergras Sr Estate | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | Mar 20, 2018 |
| Douglas G Pendergras Sr Estate | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2018 |
| Michael Annabi | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2018 |
| Michael Perkins | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2018 |