Deficiency timeline
EDGEMERE ESTATES
Dated inspection findings, penalties, and correction notes for this nursing home in El Paso, TX. Newest events first.
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0947: Nursing and Physician Services
Nursing & physician services
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected Dec 28, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0757: Pharmacy Service
Pharmacy services
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected Dec 28, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0744: Quality of Life and Care
Quality of life & care
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected Dec 28, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0600: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected Dec 28, 2025
- Class IIIPotential for more than minimal harm (E)cms
F0812: Nutrition and Dietary
Nutrition & dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 2, 2025
- Class IIIPotential for more than minimal harm (E)cms
F0921: Environmental
Environment
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected May 2, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0558: Resident Rights
Resident rights
Reasonably accommodate the needs and preferences of each resident.
Corrected May 2, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0755: Pharmacy Service
Pharmacy services
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 2, 2025
- Class IIIPotential for more than minimal harm (E)cms
F0689: Quality of Life and Care
Quality of life & care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 2, 2025
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0686: Quality of Life and Care
Quality of life & care
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected Mar 11, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0842: Resident Assessment and Care Planning
Assessment & care planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected Mar 11, 2025
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0684: Quality of Life and Care
Quality of life & care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Mar 11, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0655: Resident Assessment and Care Planning
Assessment & care planning
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected Mar 11, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0660: Resident Assessment and Care Planning
Assessment & care planning
Plan the resident's discharge to meet the resident's goals and needs.
Corrected Mar 11, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0755: Pharmacy Service
Pharmacy services
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Mar 11, 2025
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0656: Resident Assessment and Care Planning
Assessment & care planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Feb 21, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0689: Quality of Life and Care
Quality of life & care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Jan 24, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0607: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected Nov 1, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0689: Quality of Life and Care
Quality of life & care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Nov 1, 2024
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0656: Resident Assessment and Care Planning
Assessment & care planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Nov 1, 2024
- Class IImmediate jeopardy (J)Complaint-relatedcms
F0689: Quality of Life and Care
Quality of life & care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Jun 18, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0558: Resident Rights
Resident rights
Reasonably accommodate the needs and preferences of each resident.
Corrected Aug 28, 2024
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0695: Quality of Life and Care
Quality of life & care
Provide safe and appropriate respiratory care for a resident when needed.
Corrected Jul 19, 2024
- Fine $16,801cms
CMS fine
Civil money penalty recorded in CMS Nursing Home Compare.
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0655: Resident Assessment and Care Planning
Assessment & care planning
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected Jun 14, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0550: Resident Rights
Resident rights
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 8, 2024
- Class IImmediate jeopardy (J)Complaint-relatedcms
F0678: Quality of Life and Care
Quality of life & care
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected May 8, 2024
- Class IImmediate jeopardy (J)Complaint-relatedcms
F0600: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 8, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0908: Environmental
Environment
Keep all essential equipment working safely.
Corrected Apr 18, 2024
- Class IIActual harm (G)cms
F0689: Quality of Life and Care
Quality of life & care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Apr 18, 2024
- Class IIIPotential for more than minimal harm (F)cms
F0921: Environmental
Environment
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected Apr 18, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0575: Resident Rights
Resident rights
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
Corrected Apr 18, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0577: Resident Rights
Resident rights
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected Apr 18, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0580: Resident Rights
Resident rights
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected Apr 18, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0585: Resident Rights
Resident rights
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 Apr 18, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0609: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Apr 18, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0610: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Respond appropriately to all alleged violations.
Corrected Apr 18, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0641: Resident Assessment and Care Planning
Assessment & care planning
Ensure each resident receives an accurate assessment.
Corrected Apr 18, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0686: Quality of Life and Care
Quality of life & care
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected Apr 18, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0695: Quality of Life and Care
Quality of life & care
Provide safe and appropriate respiratory care for a resident when needed.
Corrected Apr 18, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0755: Pharmacy Service
Pharmacy services
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Apr 18, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0756: Pharmacy Service
Pharmacy services
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected Apr 18, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0758: Pharmacy Service
Pharmacy services
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 Apr 18, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0812: Nutrition and Dietary
Nutrition & dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Apr 5, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0814: Nutrition and Dietary
Nutrition & dietary
Dispose of garbage and refuse properly.
Corrected Apr 18, 2024
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0835: Administration
Administration
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected Apr 18, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0842: Resident Assessment and Care Planning
Assessment & care planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected Apr 18, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0868: Administration
Administration
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected Apr 18, 2024
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0880: Infection Control
Infection control
Provide and implement an infection prevention and control program.
Corrected Apr 18, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0690: Quality of Life and Care
Quality of life & care
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected Apr 18, 2024
- Class IVMinimal harm / potential for minimal harm (C)cms
F0732: Nursing and Physician Services
Nursing & physician services
Post nurse staffing information every day.
Corrected Apr 18, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0559: Resident Rights
Resident rights
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected Apr 18, 2024
- Fine $16,452cms
CMS fine
Civil money penalty recorded in CMS Nursing Home Compare.
- Fine $16,039cms
CMS fine
Civil money penalty recorded in CMS Nursing Home Compare.
- cms
Payment denial
Medicare/Medicaid payment denial issued following a survey deficiency.
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0689: Quality of Life and Care
Quality of life & care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Sep 22, 2023
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0656: Resident Assessment and Care Planning
Assessment & care planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Sep 11, 2023
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0842: Resident Assessment and Care Planning
Assessment & care planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected Aug 1, 2023
- Class IVMinimal harm / potential for minimal harm (C)Complaint-relatedcms
F0732: Nursing and Physician Services
Nursing & physician services
Post nurse staffing information every day.
Corrected Sep 11, 2023
- Class IIIPotential for more than minimal harm (D)cms
F0656: Resident Assessment and Care Planning
Assessment & care planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Mar 31, 2023
- Class IIIPotential for more than minimal harm (D)cms
F0689: Quality of Life and Care
Quality of life & care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Mar 31, 2023
- Class IIIPotential for more than minimal harm (D)cms
F0755: Pharmacy Service
Pharmacy services
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Mar 31, 2023
- Class IIIPotential for more than minimal harm (D)cms
F0761: Pharmacy Service
Pharmacy services
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 Mar 31, 2023
- Class IIIPotential for more than minimal harm (E)cms
F0808: Nutrition and Dietary
Nutrition & dietary
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected Mar 31, 2023
- Class IIIPotential for more than minimal harm (D)cms
F0842: Resident Assessment and Care Planning
Assessment & care planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected Mar 31, 2023
- Class IIIPotential for more than minimal harm (D)cms
F0847: Administration
Administration
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected Mar 31, 2023
- Class IIIPotential for more than minimal harm (D)cms
F0848: Administration
Administration
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Corrected Mar 31, 2023
- Class IIIPotential for more than minimal harm (D)cms
F0805: Nutrition and Dietary
Nutrition & dietary
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected Mar 31, 2023
- Class IIIPotential for more than minimal harm (E)cms
F0812: Nutrition and Dietary
Nutrition & dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Mar 31, 2023
- Class IIIPotential for more than minimal harm (D)cms
F0578: Resident Rights
Resident rights
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected Mar 31, 2023
- Class IIIPotential for more than minimal harm (D)cms
F0655: Resident Assessment and Care Planning
Assessment & care planning
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected Mar 31, 2023
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AHCA class rollups without individual citation dates appear as a single summary row. CMS nursing home deficiencies include survey date, tag, category, scope/severity, and fine amounts when published. Back to community profile