Vista Hills Health Care Center
Vista Hills Health Care Center in El Paso, TX — inspection on April 30, 2026.
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.
Inspection Findings
and administer orders in a private setting.
She stated that care for residents needed to be completed
protecting residents private information.
She stated that staff should redirect residents at least once
nurse's station.
She stated it was not the facility's standard to allow staff to provide glucose reading and insulin injections in the open.
She stated that any staff member who saw care being provided in the open could advise the nurse to redirect the resident to their room to receive care.
She stated the ADON and herself were responsible for ensuring it was being completed. In an interview on 04/30/2026 at 1:58 PM the Administrator stated that glucose reading and insulin injections should be completed in the resident's room due to privacy concerns.
She stated that the resident's diagnosis and treatments were exposed if care was completed at the nurse's station.
She stated the nurses were responsible for ensuring that care was completed in the resident's room.
She stated it if a resident approached a nurse requesting care it was the expectation for the staff to prompt and educate residents on privacy standards before providing care in the open.
She stated if the resident was insistent on receiving glucose and insulin injection at the nurse's station then the care plan needed to be updated.
She stated DON D and ADON were responsible for ensuring staff were adhering to these standards.
She stated the last facility wide in service for resident's rights was in November
- Documentation was provided by the HR coordinator on 04/30/2026 at 11:33 AM.
Record review of the facility's in-service titled, Resident Rights in Nursing Facilities revealed tenured staff completed this training within the first 3 weeks of November 2025
Record review of the facility's policy titled Resident Rights undated read in part, The resident has a right to a dignified existence, self-determination, and communication with and access to persons and services inside and outside the facility, including those specified in this policy. A facility must treat each resident with respect and dignity and care for each resident in a manner and in an environment that promoted maintenance or enhancement of his or her quality of life, recognizing each resident's individuality. (Privacy and Confidentiality) The resident has a right to personal privacy and confidentiality of his or her personal and medical records.
Personal privacy includes accommodations, medical treatment personal care.
455493 04/30/2026
Vista Hills Health Care Center 1599 Lomaland Dr El Paso, TX 79935
The facility failed to ensure they
04/19/2026.
This failure could place all residents at risk of not receiving necessary care and services.
Findings included:
Record review of DON E's timesheet, with no date, revealed his last day working was 03/03/2026.
Record review of Job Offer letter dated 03/19/2026, noted a job offer was extended to DON F for the role of the Nursing Facility's DON with start date 03/18/2026.
Record review of a printed email from the Payroll Clerk dated 04/07/2026, noted DON F's termination date was 03/31/2026 due to Resignation, Health reasons.
Record review of Job Offer letter dated 04/23/2026, noted a job offer was extended to DON D for the role of the Nursing Facility's DON with effective date 04/20/2026.
During an observation and interview on 04/29/2026 at 08:35 AM, the Administrator stated DON D was at a sister Nursing Facility, training under another DON. DON D was not at the Nursing Facility during this State Surveyor's investigation on 04/29/26. In an interview on 04/29/2026 at 2:49 PM, the HR Coordinator stated DON E's last day of employment was 03/04/2026 and DON D was promoted to the role of DON on 04/20/2026. In an interview on 04/30/2026 at 10:48 AM, DON D stated she took the role as the Nursing Facility's DON on 04/20/2026.
She stated the Nursing Facility had 2 ADONs who were assisting with overseeing residents and compensated for the lack of DON.
She stated that there would be potential barriers or risks to residents if a Nursing Facility did not have a DON. DON D did not want to explain the potential barriers or risks. In an interview on 04/30/2026 at 1:10 PM the Administrator stated DON E's last day of employment was 03/03/2026, and there was no DON for two weeks, from 03/04/2026 to 03/17/2026, until DON F was hired in Mid-March 2026.
She stated DON F then worked approximately 1-2 weeks; termination date noted was 03/31/2026.
The Administrator stated DON F resigned due to health reasons.
She stated that the Nursing Facility did not have a DON for those following two weeks, from 04/01/2026 to 04/19/2026.
She stated that the Nursing Facility did advertise for the Job Opening for the Nursing Facility's DON online.
She stated there were multiple Job Applicants, but many applicants were from the hospital, and she thought it would be in the Nursing Facility's best interest to have a DON with Nursing Facility experience.
She stated there were possible barriers for residents if the Nursing Facility did not have a DON, including lack of supervision over the nursing staff which affects the residents.
The Administrator added the potential risks to residents including residents' documentation, or residents could have a change of condition. In a follow up interview on 04/30/2026 at 2:04 PM, the Administrator stated the facility did not have a policy for the DON requirement, and the facility followed state regulations.
Record review of the Texas State Regulations, it read in part: 483.35(b)(2) Except when waived under paragraph (e) or (f) of this section, the facility must designate a registered nurse to serve as the director of nursing on a full time basis.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.