Edgemere Estates

10880 Edgemere Blvd, El Paso, TX 79935

Phone: 9155907800

CMS ratings and facility information

Edgemere Estates is a Medicare-certified nursing facility in El Paso, El Paso County, Texas. CMS data for this profile was updated August 2026. Ratings and facility details can change; confirm current information with CMS and the facility.

CMS overall rating1 of 5 stars
Health inspection rating2 of 5
Staffing rating1 of 5
Quality measures rating4 of 5
Certified beds138
OwnershipFor profit - Corporation
CMS certification number675831

Staffing

Total nurse hours per resident day3.34
RN hours per resident day0.37
Nurse aide hours per resident day1.97
Total nursing staff turnover percent52.6
RN turnover percent66.7

Resident outcome measures

MeasureValueUnitPeriod
HospitalizationsNot availableevents_per_1000_resident_days20250101-20251231
Emergency-department visitsNot availableevents_per_1000_resident_days20250101-20251231
Falls with major injury0percent2025Q2-2026Q1
Pressure ulcers2.91percent2025Q2-2026Q1
Urinary tract infections1.98percent2025Q2-2026Q1
Antipsychotic medication use6.49percent2025Q2-2026Q1

Health inspection citations

Survey dateTagCitationSeverity
2025-04-300689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E
2025-04-300812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2025-04-300921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E
2025-04-300558Reasonably accommodate the needs and preferences of each resident.D
2025-04-300755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2024-03-140689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2024-03-140921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.F
2024-03-140575Post 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.E
2024-03-140577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.E
2024-03-140580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.E
2024-03-140585Honor 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.E
2024-03-140609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E
2024-03-140610Respond appropriately to all alleged violations.E
2024-03-140641Ensure each resident receives an accurate assessment.E
2024-03-140686Provide appropriate pressure ulcer care and prevent new ulcers from developing.E
2024-03-140695Provide safe and appropriate respiratory care for a resident when needed.E
2024-03-140755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E
2024-03-140756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.E
2024-03-140758Implement 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.E
2024-03-140812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2024-03-140814Dispose of garbage and refuse properly.E
2024-03-140835Administer the facility in a manner that enables it to use its resources effectively and efficiently.E
2024-03-140842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E
2024-03-140868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyE
2024-03-140880Provide and implement an infection prevention and control program.E
2024-03-140908Keep all essential equipment working safely.E
2024-03-140690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D
2024-03-140732Post nurse staffing information every day.C
2024-03-140559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.D
2023-02-100808Ensure 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.E
2023-02-100812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2023-02-100578Honor 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.D
2023-02-100655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD
2023-02-100656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D
2023-02-100689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2023-02-100755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2023-02-100761Ensure 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.D
2023-02-100805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.D
2023-02-100842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2023-02-100847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.D
2023-02-100848Provide a neutral and fair arbitration process and agree to arbitrator and venue.D

Penalties

DateTypeAmount
2024-07-19Fine,801
2024-03-14Fine,039
2024-03-14Fine,452
2024-03-14Payment Denial

Ownership records

NameTypeRole
EL PASO COUNTY HOSPITAL DISTRICTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST
CINTRON, ROBERTIndividualCORPORATE OFFICER
EL PASO CONTINUING CARE CENTER LTD. CO.OrganizationOPERATIONAL/MANAGERIAL CONTROL
AMAKIRI, ONYEMAIndividualOPERATIONAL/MANAGERIAL CONTROL
ESTRADA, ARACELYIndividualOPERATIONAL/MANAGERIAL CONTROL
HICKS, DAVIDIndividualOPERATIONAL/MANAGERIAL CONTROL
EL PASO CONTINUING CARE CENTER LTD. CO.OrganizationADP OF THE SNF
AMAKIRI, ONYEMAIndividualADP OF THE SNF
ESTRADA, ARACELYIndividualADP OF THE SNF
HICKS, DAVIDIndividualADP OF THE SNF

Compare nursing homes in El Paso County, Texas.

Source: Centers for Medicare & Medicaid Services Care Compare data. Data snapshot: August 2026. Read Our Data & Methodology. This directory does not provide medical or legal advice.