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Ambrosio Guillen Texas State Veterans Home is a 4-star nursing home in El-paso, TX with 160 beds. It has 59 health violations on record and $37,451 in fines.

Inspection History Overview

Data current as of March 24, 2026 · Source: CMS Provider Data

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Detailed Inspection Reports

Notice: These are official CMS inspection narratives containing detailed regulatory findings. This information is not available in searchable format anywhere else online.

November 20, 2025 Complaint Investigation
September 15, 2025 Complaint Investigation

Fines and Penalties by Year

2022 2 penalties totaling $9,750

$9,750
Aug 11, 2022

Fine

$9,750
Apr 7, 2022

Fine

2018 1 penalties totaling $27,701

$27,701
Jul 30, 2018

Fine

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Health Violations by Year

2025 8 violations

Tag 0609 D Apr 3, 2025

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: May 25, 2025
Tag 0550 E Jan 31, 2025

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Mar 15, 2025
Tag 0558 D Jan 31, 2025

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Mar 15, 2025
Tag 0585 E Jan 31, 2025

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: Mar 15, 2025
Tag 0695 E Jan 31, 2025

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Mar 15, 2025
Tag 0755 E Jan 31, 2025

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Mar 15, 2025
Tag 0761 E Jan 31, 2025

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 15, 2025
Tag 0804 E Jan 31, 2025

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

✓ Corrected: Mar 15, 2025

2024 6 violations

Tag 0690 D Jul 26, 2024

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: Aug 30, 2024
Tag 0695 D Jul 26, 2024

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Aug 30, 2024
Tag 0842 D Jul 26, 2024

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Aug 30, 2024
Tag 0641 D May 31, 2024

Ensure each resident receives an accurate assessment.

✓ Corrected: Jun 21, 2024
Tag 0656 D May 31, 2024

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Jun 21, 2024
Tag 0607 D Apr 24, 2024

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: May 22, 2024

2023 10 violations

Tag 0558 E Dec 1, 2023

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Jan 14, 2024
Tag 0656 E Dec 1, 2023

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Jan 14, 2024
Tag 0693 D Dec 1, 2023

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

✓ Corrected: Jan 14, 2024
Tag 0755 E Dec 1, 2023

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Jan 14, 2024
Tag 0761 D Dec 1, 2023

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: Jan 14, 2024
Tag 0804 E Dec 1, 2023

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

✓ Corrected: Jan 14, 2024
Tag 0805 D Dec 1, 2023

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

✓ Corrected: Jan 14, 2024
Tag 0812 E Dec 1, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Jan 14, 2024
Tag 0880 E Dec 1, 2023

Provide and implement an infection prevention and control program.

✓ Corrected: Jan 14, 2024
Tag 0921 D Dec 1, 2023

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

✓ Corrected: Jan 14, 2024

2022 17 violations

Tag 0557 E Oct 6, 2022

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

✓ Corrected: Nov 18, 2022
Tag 0641 D Oct 6, 2022

Ensure each resident receives an accurate assessment.

✓ Corrected: Nov 18, 2022
Tag 0645 E Oct 6, 2022

PASARR screening for Mental disorders or Intellectual Disabilities

✓ Corrected: Nov 18, 2022
Tag 0693 D Oct 6, 2022

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

✓ Corrected: Nov 18, 2022
Tag 0732 E Oct 6, 2022

Post nurse staffing information every day.

✓ Corrected: Nov 18, 2022
Tag 0744 D Oct 6, 2022

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

✓ Corrected: Nov 18, 2022
Tag 0755 D Oct 6, 2022

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Nov 18, 2022
Tag 0758 D Oct 6, 2022

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: Nov 18, 2022
Tag 0759 E Oct 6, 2022

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Nov 18, 2022
Tag 0761 E Oct 6, 2022

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: Nov 18, 2022
Tag 0812 E Oct 6, 2022

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Nov 18, 2022
Tag 0842 D Oct 6, 2022

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Nov 18, 2022
Tag 0908 E Oct 6, 2022

Keep all essential equipment working safely.

✓ Corrected: Nov 18, 2022
Tag 0880 D Aug 11, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: Sep 23, 2022
Tag 0755 D Apr 29, 2022

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: May 27, 2022
Tag 0880 D Apr 29, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: May 27, 2022
Tag 0626 D Apr 7, 2022

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

✓ Corrected: May 9, 2022

2020 1 violations

Tag 0880 D Mar 13, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Apr 27, 2020

2019 8 violations

Tag 0689 D Dec 12, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Dec 31, 2019
Tag 0880 E Nov 7, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: Dec 7, 2019
Tag 0641 D Oct 17, 2019

Ensure each resident receives an accurate assessment.

✓ Corrected: Nov 30, 2019
Tag 0644 E Oct 17, 2019

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

✓ Corrected: Nov 30, 2019
Tag 0755 D Oct 17, 2019

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Nov 30, 2019
Tag 0759 D Oct 17, 2019

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Nov 30, 2019
Tag 0806 E Oct 17, 2019

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

✓ Corrected: Nov 30, 2019
Tag 0880 C Oct 17, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: Nov 30, 2019

2018 6 violations

Tag 0726 E Nov 15, 2018

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

✓ Corrected: Dec 20, 2018
Tag 0758 E Nov 15, 2018

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: Dec 20, 2018
Tag 0842 E Nov 15, 2018

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Dec 20, 2018
Tag 0880 E Nov 15, 2018

Provide and implement an infection prevention and control program.

✓ Corrected: Dec 20, 2018
Tag 0580 K Jul 30, 2018

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Aug 9, 2018
Tag 0600 K Jul 30, 2018

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Aug 9, 2018

2017 3 violations

Tag 0755 E Dec 8, 2017

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Jan 29, 2018
Tag 0812 E Dec 8, 2017

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Jan 29, 2018
Tag 0880 E Dec 8, 2017

Provide and implement an infection prevention and control program.

✓ Corrected: Jan 29, 2018
🏥 Facility Summary

Ambrosio Guillen Texas State Veterans Home is a 4-star nursing home in El Paso, TX with 160 beds.

Most recent inspection: April 3, 2025. Currently has 59 violation(s) on record.

📞 (915) 751-0967
📍 9650 Kenworthy St, El Paso, TX
💵 Accepts Medicare and Medicaid
Data source: Centers for Medicare & Medicaid Services (CMS). Facility information updated daily. Star ratings range from 1 (much below average) to 5 (much above average).

Frequently Asked Questions About Ambrosio Guillen Texas State Veterans Home

What violations has Ambrosio Guillen Texas State Veterans Home received?
Ambrosio Guillen Texas State Veterans Home has 59 health and safety violation(s) documented by CMS inspections. All violation data comes from official Medicare inspection reports and is updated regularly from government sources.
What is the quality rating of Ambrosio Guillen Texas State Veterans Home?
Ambrosio Guillen Texas State Veterans Home has a 4-star rating out of 5 from CMS. This is an above-average rating, indicating better quality care compared to most nursing homes. The rating is based on health inspections, staffing levels, and quality measures.
When was Ambrosio Guillen Texas State Veterans Home last inspected?
Inspection reports are documented by state survey agencies and the Centers for Medicare & Medicaid Services (CMS). Reports typically lag 2-3 months behind the actual inspection date. Visit the facility's full profile page for detailed violation information and inspection history.
Is Ambrosio Guillen Texas State Veterans Home safe?
Safety at Ambrosio Guillen Texas State Veterans Home should be evaluated based on multiple factors: the facility's CMS rating, recent violation history, and personal visits. We recommend reviewing the complete inspection history, speaking with current residents and families, consulting healthcare professionals, and visiting in person before making placement decisions.
How do I contact Ambrosio Guillen Texas State Veterans Home?
Phone: (915) 751-0967. Address: 9650 Kenworthy St, El Paso, TX. For visiting hours and admission information, call the facility directly.
What services does Ambrosio Guillen Texas State Veterans Home offer?
Ambrosio Guillen Texas State Veterans Home is a skilled nursing facility with 160 beds. The facility accepts Medicare and Medicaid. For specific services like rehabilitation, memory care, or short-term recovery, contact the facility directly.
What are better facilities near El Paso, TX?
Compare Ambrosio Guillen Texas State Veterans Home with other nursing homes in El Paso, TX on our facilities page. Filter by star rating, bed count, and recent inspection results to find the best match for your needs.

Editorial Standards & Data Oversight

Data Source: This report is based on official public inspection records from the Centers for Medicare & Medicaid Services (CMS) Provider Data Catalog.

Editorial Process: Content generated using AI to synthesize complex regulatory data, then reviewed and verified for accuracy by our editorial team.

Professional Review: All content undergoes standards and compliance oversight by Christopher F. Nesbitt, Sr., Nationally Registered EMT & BU-trained Paralegal, using professional regulatory data auditing protocols.

Last verified: April 3, 2025 | Our methodology | Editorial standards | Report an error

This page is maintained by NursingHomeNews.org and is not affiliated with Ambrosio Guillen Texas State Veterans Home.

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