• CMS rates this facility 1/5 stars (below average)
• Has 58 certified beds with an average of 60.7 residents per day (105% occupancy)
• Last health inspection found 11 deficiencies (inspected Aug 22, 2025)
• Has been fined a total of $33,150 across 1 fine(s)
• Total nursing staff: 0.00 hours per resident per day
The Bartlett Skilled Nursing and Assisted Living is a 1-star Medicare and Medicaid certified nursing home in El Paso, Texas with 58 certified beds. It has been operating since 2018. The facility scored below average compared to Texas facilities.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
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.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide and implement an infection prevention and control program.
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Provide and implement an infection prevention and control program.
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Reasonably accommodate the needs and preferences of each resident.
Honor the resident's right to organize and participate in resident/family groups in the facility.
Ensure residents have reasonable access to and privacy in their use of communication methods.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Provide safe and appropriate respiratory care for a resident when needed.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
+ 3 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| DOUGLAS G PENDERGRAS SR ESTATE | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 50% | Mar 20, 2018 |
| PENAN RETIREMENT INC. | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | N/A | Jan 1, 2018 |
| PENDERGRAS, DON | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 50% | Jan 1, 2018 |
| PENAN RETIREMENT INC. | GENERAL PARTNERSHIP INTEREST | Organization | N/A | Jan 1, 2018 |
| PENDERGRAS, DON | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jan 1, 2018 |
| DOUGLAS G PENDERGRAS SR ESTATE | 5% OR GREATER SECURITY INTEREST | Organization | N/A | Mar 20, 2018 |