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Complaint Investigation

Vista Hills Health Care Center

October 31, 2025 · El Paso, TX · 1599 Lomaland Dr
Citations 2
CMS Rating 1/5
Beds 120
Provider ID 455493
Healthcare Facility
Vista Hills Health Care Center
El Paso, TX  ·  View full profile →
Inspection Summary

Vista Hills Health Care Center in El Paso, TX — inspection on October 31, 2025.

Found 2 citations. 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

FF0684
Quality of Life and Care Deficiencies
Potential for More Than Minimal Harm

harm.

She stated the DON and ADONs were responsible for ensuring nursing staff were completing assigned responsibilities.

She stated the DON and ADON should have followed up with LVN E.

She stated being busy was not an acceptable reason for nurses not to follow up on STAT x-rays. In an interview on 10/16/2025 at 04:46 PM over the phone with Provider H, he stated he was aware of Resident #1's case and recalled seeing her during the subsequent hospital evaluation on 05/30/2025 to 06/04/2025.

Provider H stated that facility staff contacted the on-call service after a CNA C reported hearing a pop during peri-care.

He stated RN G promptly notified the answering service, and a STAT x-ray was ordered. He emphasized that because the setting was a nursing facility, there was typically a delay between the order, the mobile x-ray's arrival, and the radiologist's read. He explained that once the x-ray report was received, he instructed staff to transfer the resident to the local hospital due to findings consistent with a fracture. He stated that, in his view, staff acted appropriately and proactively. He expressed that he had no concerns regarding the care provided and pain was managed and effective, noting that the CNA and nurse followed proper procedure by reporting the incident and ensuring timely physician notification and diagnostic follow-up.

Record review of Professional Service Agreement with the x-ray provider revealed the facility and the x-ray provider had been in contractual partnership since 12/16/2019. An exert under Now; Therefore in section 2 stated, Any notice or communication required or permitted to be given by one party to the other pursuant to this agreement shall be in writing, shall be effective upon receipt and shall be sent by United states mail, by telegram, telefax, or facsimile transmission.The facsimile transmission of any signed document shall be the same as a delivery of an original. At request of either party, parties will confirm facsimile transmitted signatures by signing the original document for delivery between the parties. In a secondary exert under Exhibit A Scope of Work in section 1 - C stated .[x-ray provider] shall be responsible for transporting the image to the radiologist and facsimile transmission of results .

Record review of the facility's Nursing Policy and Procedure Manual: Abuse/Neglect policy dated 03/29/2018 revealed the facility defined neglect as, the failure of the facility, its employees or service providers to provide goods and services to a resident that are necessary to avoid physical harm, pain, mental anguish, or emotional distress.

Record review of the facility's Nursing Policy and Procedure Manual: Notifying the Physician of Change in Status policy undated revealed .the nurse will gather and organize resident information.

Applicable information will include current medications, vital signs, signs and symptoms initiating call, current laboratory information.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

10/31/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Vista Hills Health Care Center

1599 Lomaland Dr El Paso, TX 79935

SUMMARY STATEMENT OF DEFICIENCIES

jeopardy to resident health or safety

resident and received positive head gestures from the resident when asked about comfort and preference.

No distress was noted. 10/16/25 at 10:56 am- Resident #3 was repositioned by CNA K and CNA L.

The resident was repositioned, and a pillow was placed behind his back.

Another staff member assisted by turning the resident to his left side and placing a pillow between his legs.

The staff informed the resident they would raise the bed and asked him to extend his legs.

The CNA asked the resident if he was doing okay, to which he responded yes and requested the light be turned off.

The call light was positioned within reach on his right side. No distress was noted.

Facility ID:

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 Vista Hills Health Care Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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