Ambrosio Guillen Texas State Veterans Home
Ambrosio Guillen Texas State Veterans Home in El Paso, TX — inspection on November 20, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
not suspended because the initial and the 5-day paperwork were submitted within 30 minutes on 10/13/25.
He stated that himself and the DON investigated there was no abuse on 10/01/25 by reviewing progress notes, speaking with LVN B, and Resident #1 did not report allegations of abuse and Resident #1 denied that her hand was squeezed on 10/01/25, though the Administrator stated he did not speak with Resident #1 on 10/01/25.
Record review of the nursing facility's policy Abuse dated October 2022, revealed the purpose of the policy was to identify, prohibit, and prevent resident abuse.
Under procedure, Abuse was defined as the willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain or mental anguish.
Abuse also includes deprivation by an individual including caretaker, of goods or services necessary to attain or maintain physical, mental, and psychosocial well-being. It reflected, 4.
The facility will ensure the resident is free from physical or chemical restraints imposed for purposes of discipline or convenience and that are not required to treat the resident's medical symptoms.
The policy reflected, 6.
Any allegation of abuse will be immediately reported to the Administrator.
The facility will designate an Abuse Prevention Coordinator who is responsible for reporting allegations or suspected abuse, neglect, or exploitation to the state survey agency, law enforcement, and other officials in accordance with state law.
The policy also reflected 8.a.
Any reasonable suspicion of a crime will be reported to the state agency and law enforcement immediately, but no later than 2 hours after forming the suspicion if results in serious bodily injury, or not later than 24 hours if the events that cause the suspicion do not result in serious bodily injury.
Lastly, the policy reflected 9.
Covered individual is anyone who is an owner, operator, employee, manager, or agent or contractor of facility.
The covered individual will report the suspicion of a crime to the state agency and law enforcement within the required regulatory timeframes.
Record review of the nursing facility policy Abuse Reporting with revision date October 2022, revealed the purpose of abuse reporting was to ensure allegations of abuse are reported immediately to the Administrator and/or Director of Nursing and required Agencies.
Under procedure, it noted: 1.
The facility will designate an Abuse Prevention Coordinator who is responsible for reporting allegations of abuse to the state agencies, law enforcement, and other officials in accordance with state law. It also reflected, 4.
The facility will have a process in place to report allegations of abuse, neglect, exploitation, or mistreatment including injuries of unknown origin and misappropriation of resident property, and suspected crimes to the required agencies within twenty-four (24) hours of identification if the events that cause the allegation do not involve abuse or result in serious bodily injury.
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