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Last checked October 26, 2026 · 2,911 nursing homes and 3,257 assisted living licenses in 5 states · CMS data processed September 1, 2026

Home › Texas › El Paso County › Edgemere Estates

Edgemere Estates

10880 Edgemere Blvd, El Paso, TX 79935 · CMS Certification Number (CCN) 675831

At a glance

CMS overall rating
★☆☆☆☆ 1 of 5
Health inspection citations
55 in the last 3 inspection cycles (3 immediate jeopardy, 1 actual harm, 25 from complaints)
Fire safety citations
22
Fines (last 3 years)
3 fines, total $49,292
Payment denials
1
Most recent standard inspection
June 3, 2026
Official record
Medicare Care Compare page for this facility

Source: CMS Nursing Home Provider Information: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

CMS star ratings

CMS rates every Medicare- and Medicaid-certified nursing home from 1 to 5 stars. Health inspection stars are relative to other homes in the same state: the top 10% get 5 stars and the bottom 20% get 1 star. CMS says to use the ratings together with other information, including a visit. Technical Users’ Guide

RatingThis facilityTexas averageU.S. average
Overall★☆☆☆☆ 1 of 52.73
Health inspections★★☆☆☆ 2 of 52.82.8
Staffing★☆☆☆☆ 1 of 51.92.9
Quality measures★★★★☆ 4 of 53.73.6
Long-stay quality★★★★★ 5 of 5Not publishedNot published
Short-stay quality★★★☆☆ 3 of 5Not publishedNot published

Averages: CMS State and US Averages: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Health inspections

Inspection cycleStandard survey dateHealth citationsFrom standard surveyFrom complaints
Cycle 1 (most recent)June 3, 2026844
Cycle 2April 30, 202526521

CMS weighted health inspection score: 99.5 (lower is better; it counts citation severity, complaints and repeat revisits). Citations from infection control inspections: Not published. How to read these citations

55 health citations across 11 inspection dates, newest first. The letter is CMS’s scope/severity code: A–C means potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, and J–L immediate jeopardy.

June 3, 2026: 4 citations (Standard)
SeverityTagWhat was citedTypeStatus
B F-0814 Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies
Standard Deficient, Provider has date of correction
Corrected 06/04/2026
E 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
Standard Deficient, Provider has date of correction
Corrected 06/04/2026
D F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Standard Deficient, Provider has date of correction
Corrected 06/04/2026
D F-0677 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Standard Deficient, Provider has date of correction
Corrected 06/04/2026
December 16, 2025: 4 citations (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0947 Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 12/28/2025
D F-0757 Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 12/28/2025
D F-0744 Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 12/28/2025
D 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
Complaint Deficient, Provider has date of correction
Corrected 12/28/2025
April 30, 2025: 5 citations (Standard)
SeverityTagWhat was citedTypeStatus
E F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies
Standard Deficient, Provider has date of correction
Corrected 05/02/2025
E 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
Standard Deficient, Provider has date of correction
Corrected 05/02/2025
D 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
Standard Deficient, Provider has date of correction
Corrected 05/02/2025
E F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Standard Deficient, Provider has date of correction
Corrected 05/02/2025
D F-0558 Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Standard Deficient, Provider has date of correction
Corrected 05/02/2025
February 10, 2025: 6 citations (Complaint)
SeverityTagWhat was citedTypeStatus
D 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
Complaint Deficient, Provider has date of correction
Corrected 03/11/2025
D 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
Complaint Deficient, Provider has date of correction
Corrected 03/11/2025
E F-0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 03/11/2025
E F-0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 03/11/2025
D F-0660 Plan the resident's discharge to meet the resident's goals and needs.
Resident Assessment and Care Planning Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 03/11/2025
D 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
Complaint Deficient, Provider has date of correction
Corrected 03/11/2025
January 31, 2025: 1 citation (Complaint)
SeverityTagWhat was citedTypeStatus
E 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
Complaint Deficient, Provider has date of correction
Corrected 02/21/2025
January 2, 2025: 1 citation (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 01/24/2025
September 20, 2024: 3 citations (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 11/01/2024
E 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
Complaint Deficient, Provider has date of correction
Corrected 11/01/2024
D F-0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 11/01/2024
July 19, 2024: 3 citations (Complaint)
SeverityTagWhat was citedTypeStatus
E F-0695 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 07/19/2024
J F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Complaint Past Non-Compliance
Corrected 06/18/2024
D F-0558 Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 08/28/2024
May 1, 2024: 1 citation (Complaint)
SeverityTagWhat was citedTypeStatus
D 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
Complaint Deficient, Provider has date of correction
Corrected 06/14/2024
April 1, 2024: 3 citations (Complaint)
SeverityTagWhat was citedTypeStatus
J F-0678 Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 05/08/2024
J 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
Complaint Deficient, Provider has date of correction
Corrected 05/08/2024
D F-0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 05/08/2024
March 14, 2024: 24 citations (Standard + Complaint)
SeverityTagWhat was citedTypeStatus
F F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies
Standard Deficient, Provider has date of correction
Corrected 04/18/2024
E F-0908 Keep all essential equipment working safely.
Environmental Deficiencies
Standard Deficient, Provider has date of correction
Corrected 04/18/2024
E F-0880 Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 04/18/2024
E F-0868 Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration Deficiencies
Standard Deficient, Provider has date of correction
Corrected 04/18/2024
E 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
Standard Deficient, Provider has date of correction
Corrected 04/18/2024
E F-0835 Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 04/18/2024
E F-0814 Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies
Standard Deficient, Provider has date of correction
Corrected 04/18/2024
E 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
Standard Deficient, Provider has date of correction
Corrected 04/05/2024
E F-0758 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.
Pharmacy Service Deficiencies
Standard Deficient, Provider has date of correction
Corrected 04/18/2024
E 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
Standard Deficient, Provider has date of correction
Corrected 04/18/2024
E 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
Standard Deficient, Provider has date of correction
Corrected 04/18/2024
C F-0732 Post nurse staffing information every day.
Nursing and Physician Services Deficiencies
Standard Deficient, Provider has date of correction
Corrected 04/18/2024
E F-0695 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Standard Deficient, Provider has date of correction
Corrected 04/18/2024
D 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
Standard Deficient, Provider has date of correction
Corrected 04/18/2024
G F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Standard Deficient, Provider has date of correction
Corrected 04/18/2024
E F-0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Standard Deficient, Provider has date of correction
Corrected 04/18/2024
E F-0641 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Standard Deficient, Provider has date of correction
Corrected 04/18/2024
E F-0610 Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Standard Deficient, Provider has date of correction
Corrected 04/18/2024
E 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
Standard Deficient, Provider has date of correction
Corrected 04/18/2024
E 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
Standard Deficient, Provider has date of correction
Corrected 04/18/2024
E F-0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies
Standard Deficient, Provider has date of correction
Corrected 04/18/2024
E F-0577 Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights Deficiencies
Standard Deficient, Provider has date of correction
Corrected 04/18/2024
E F-0575 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.
Resident Rights Deficiencies
Standard Deficient, Provider has date of correction
Corrected 04/18/2024
D F-0559 Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Resident Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 04/18/2024

Source: CMS Health Deficiencies: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Fire safety inspections

22 fire safety citations across 3 inspection dates
DateSeverityTagWhat was citedStatus
06/03/2026EK-0922Meet requirements for the use and maintenance of medical gas equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Deficient, Provider has plan of correction
Corrected 09/01/2026
06/03/2026EK-0511Have properly installed electrical wiring and gas equipment.
Services Deficiencies
Deficient, Provider has plan of correction
Corrected 09/01/2026
06/03/2026FK-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies
Deficient, Provider has plan of correction
Corrected 09/01/2026
06/03/2026EK-0363Install corridor and hallway doors that block smoke.
Smoke Deficiencies
Deficient, Provider has plan of correction
Corrected 09/01/2026
06/03/2026EK-0343Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Smoke Deficiencies
Deficient, Provider has plan of correction
Corrected 09/01/2026
06/03/2026EK-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies
Deficient, Provider has plan of correction
Corrected 09/01/2026
06/03/2026EK-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies
Deficient, Provider has plan of correction
Corrected 09/01/2026
04/30/2025EK-0920Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies
Deficient, Provider has date of correction
Corrected 09/10/2025
04/30/2025EK-0751Have restrictions on the use of flammable curtains.
Miscellaneous Deficiencies
Deficient, Provider has date of correction
Corrected 09/10/2025
04/30/2025EK-0511Have properly installed electrical wiring and gas equipment.
Services Deficiencies
Deficient, Provider has date of correction
Corrected 09/10/2025
04/30/2025EK-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 09/10/2025
04/30/2025FK-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 09/10/2025
04/30/2025FK-0353Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 09/10/2025
04/30/2025FK-0352Properly install and monitor supervisory attachments on automatic sprinkler systems.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 09/10/2025
04/30/2025FK-0351Install an approved automatic sprinkler system.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 09/10/2025
04/30/2025EK-0341Install a fire alarm system that can be heard throughout the facility.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 09/10/2025
04/30/2025EK-0251Conform to length requirements for dead end corridors.
Egress Deficiencies
Deficient, Provider has date of correction
Corrected 09/10/2025
04/30/2025EK-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies
Deficient, Provider has date of correction
Corrected 09/10/2025
04/30/2025EK-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies
Deficient, Provider has date of correction
Corrected 09/10/2025
04/30/2025FE-0026Establish roles under a Waiver declared by secretary.
Emergency Preparedness Deficiencies
Deficient, Provider has date of correction
Corrected 09/10/2025
03/14/2024DK-0345Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 04/14/2024
03/14/2024DK-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 04/14/2024

Automatic sprinklers in all required areas: Yes. CMS does not count fire safety citations in the health inspection star rating.

Source: CMS Fire Safety Deficiencies: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Penalties

DateTypeFine amountPayment denial
July 19, 2024Fine$16,801—
March 14, 2024Fine$16,039—
March 14, 2024Fine$16,452—
March 14, 2024Payment Denial—Starting April 12, 2024, 63 days

Source: CMS Penalties: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Staffing

MeasureThis facilityTexas averageU.S. average
Total nurse staff hours per resident per day3.343.393.86
Registered nurse (RN) hours per resident per day0.370.430.69
LPN/LVN hours per resident per day1.01Not publishedNot published
Nurse aide hours per resident per day1.97Not publishedNot published
Total nurse staff hours per resident per day, weekends2.86Not publishedNot published
RN hours per resident per day, weekends0.3Not publishedNot published
Total nursing staff turnover (%)52.655.345.8
Registered nurse turnover (%)66.7Not publishedNot published
Administrators who have left0Not publishedNot published

Reported hours come from the Payroll-Based Journal (PBJ) staffing data that facilities submit to CMS each quarter.

Source: CMS Provider Information; State and US Averages: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Facility details

Legal business name
El Paso County Hospital District
Ownership type
For profit - Corporation
Chain
Not published
Ownership changed in last 12 months
No
Certified beds
138
Average residents per day
76.9
Participates in
Medicare and Medicaid
Located inside a hospital
No
Continuing care retirement community
No
Resident and family council
Resident
First approved for Medicare/Medicaid
January 20, 2000
County/parish
El Paso

Source: CMS Provider Information: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Owners and managers reported to CMS

10 ownership and management records
NameRoleTypeOwnership %Since
EL PASO COUNTY HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%undefined undefined, NaN
CINTRON, ROBERTCORPORATE OFFICERIndividualNOT APPLICABLEundefined undefined, NaN
EL PASO CONTINUING CARE CENTER LTD. CO.OPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEundefined undefined, NaN
AMAKIRI, ONYEMAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEundefined undefined, NaN
ESTRADA, ARACELYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEundefined undefined, NaN
HICKS, DAVIDOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEundefined undefined, NaN
EL PASO CONTINUING CARE CENTER LTD. CO.ADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
AMAKIRI, ONYEMAADP OF THE SNFIndividualNOT APPLICABLEundefined undefined, NaN
ESTRADA, ARACELYADP OF THE SNFIndividualNOT APPLICABLEundefined undefined, NaN
HICKS, DAVIDADP OF THE SNFIndividualNOT APPLICABLEundefined undefined, NaN

Source: CMS Ownership: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Check it yourself

Page built from CMS data files processed September 1, 2026 (CMS refreshes monthly). Last checked October 26, 2026. Not a ranking or endorsement.