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Complaint Investigation

Grace Pointe Wellness Center

December 31, 2025 · El Paso, TX · 2301 N Oregon St
Citations 1
CMS Rating 1/5
Beds 154
Provider ID 675106
Healthcare Facility
Grace Pointe Wellness Center
El Paso, TX  ·  View full profile →
Inspection Summary

GRACE POINTE WELLNESS CENTER in EL PASO, TX — inspection on December 31, 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.

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Inspection Findings

FF0755
Pharmacy Service Deficiencies

the ADON and DON were responsible for monitoring Narcotic Count Sheets. MA A stated the facility

medications. He stated nurses were to document on the EMAR and Narcotic Count Sheet immediately

resident, medication, dosage, and time. He stated nurses monitor Narcotic Count during shift change, 2 nurses count and confirm there were no discrepancies. LVN B stated the DON monitored the Narcotic Count Sheets but was unsure how often. LVN B stated the risk for the resident included double dosing the resident.Interview on 12/31/25 at 3:14 PM with the DON revealed nursing staff were responsible for documenting on the EMAR and Narcotic Count sheet as they pull medications.

She stated the purpose of accurately documenting the correct EMAR was to ensure the resident was being treated accurately, according to the physician's orders.

She stated the narcotic count would trigger during shift change, which was completed by 2 nurses.

She stated as the DON, she monitored monthly, or if notified by nursing staff of discrepancies.

Record review of the facility's policy Controlled Medications-Administration dated 2025, read in part: when a controlled medication is administered, the licensed nurse administering the medication immediately enters all of the following information on the accountability record: date and time of administration, amount administered, signature of the nurse administering the dose, completed after the medication is actually administered.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in EL PASO, TX, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from GRACE POINTE WELLNESS CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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