50.7/100
Below average
221 Bartlett Drive, El Paso, TX 79912
These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.
Abuse icon on record
CMS flags this facility for citations of abuse that caused harm, or potential for harm, to residents.
2 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
$34,613 in federal fines
CMS has fined this facility across 2 penalty action(s).
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Grade ceiling applied
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: August 22, 2025 (1 year ago).
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Actual harm to a resident
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
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.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
No actual harm, potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
No actual harm, potential for more than minimal harm
Infection Control Deficiencies
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
No actual harm, potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
| Owner | Type | Role | Since |
|---|---|---|---|
| DOUGLAS G PENDERGRAS SR ESTATE | Organization | 5% OR GREATER SECURITY INTEREST | — |
| PENDERGRAS, DON | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| PENAN RETIREMENT INC. | Organization | GENERAL PARTNERSHIP INTEREST | — |
| DOUGLAS G PENDERGRAS SR ESTATE | Organization | ADP OF THE SNF | — |
| ANNABI, MICHAEL | Individual | ADP OF THE SNF | — |
| PERKINS, MICHAEL | Individual | ADP OF THE SNF | — |
| PENAN RETIREMENT INC. | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — |
| DOUGLAS G PENDERGRAS SR ESTATE | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — |
| PENDERGRAS, DON | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — |
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The Bartlett Skilled Nursing And Assisted Living holds an ElderGrade of D (50.7 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 3.58 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 2 of the 36 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, The Bartlett Skilled Nursing And Assisted Living is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.