Nursing homes › Texas › El Paso › The Bartlett Skilled Nursing and Assisted Living
221 Bartlett Drive, El Paso, TX 79912 · (915) 584-8438 · 58 certified beds
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Open your comparisonCMS overall star rating: this provider 1/5; median among 1,165 providers with a published value in the same state and provider category: 3/5.
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CMS lists no chain affiliation for this facility. Ownership type on record: For profit - Partnership.
Total nurse staffing: 3.58 (Texas median: 3.27). RN hours: 0.15. Weekend total: 3.16.
In the downloaded CMS dataset: 37 deficiency citations. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-06-17 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | complaint | corrected 2026-06-18 |
| 2026-04-11 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | G | complaint | corrected 2026-04-30 |
| 2026-04-11 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | complaint | corrected 2026-04-30 |
| 2026-04-11 | 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. | D | complaint | corrected 2026-04-30 |
| 2025-08-22 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2025-08-25 |
| 2025-08-22 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2025-08-25 |
| 2025-08-22 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | E | Health | corrected 2025-08-25 |
| 2025-08-22 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2025-08-25 |
| 2025-08-22 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-08-25 |
| 2025-08-07 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | complaint | corrected 2025-08-27 |
| 2025-08-07 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | complaint | corrected 2025-08-27 |
| 2025-08-07 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-08-27 |
| 2025-03-13 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2025-03-14 |
| 2025-02-06 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | E | complaint | corrected 2025-02-07 |
| 2025-02-06 | 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. | D | complaint | corrected 2025-02-07 |
| 2024-07-11 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | F | Health | corrected 2024-08-01 |
| 2024-07-11 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Health | corrected 2024-07-26 |
| 2024-07-11 | 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. | E | Health | corrected 2024-07-12 |
| 2024-07-11 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2024-07-12 |
| 2024-07-11 | Provide and implement an infection prevention and control program. | E | Health | corrected 2024-07-12 |
| 2024-07-11 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2024-07-12 |
| 2024-07-11 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Health | corrected 2024-07-26 |
| 2024-07-11 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2024-07-26 |
| 2023-06-15 | Provide safe and appropriate respiratory care for a resident when needed. | E | Health | corrected 2023-07-03 |
| 2023-06-15 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Health | corrected 2023-07-03 |
| 2023-06-15 | 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. | E | Health | corrected 2023-07-03 |
| 2023-06-15 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2023-07-03 |
| 2023-06-15 | Dispose of garbage and refuse properly. | E | Health | corrected 2023-07-03 |
| 2023-06-15 | Provide and implement an infection prevention and control program. | E | Health | corrected 2023-07-03 |
| 2023-06-15 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2023-07-03 |
| 2023-06-15 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | Health | corrected 2023-07-03 |
| 2023-06-15 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D | Health | corrected 2023-07-03 |
| 2023-06-15 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Health | corrected 2023-07-03 |
| 2023-06-15 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Health | corrected 2023-07-03 |
| 2023-06-15 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2023-07-03 |
| 2023-06-15 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Health | corrected 2023-07-03 |
| 2023-06-15 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2023-07-03 |
| Date | Type | Amount |
|---|---|---|
| 2026-04-11 | Fine | $13,065 |
| 2025-08-07 | Fine | $21,548 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| DOUGLAS G PENDERGRAS SR ESTATE | 5% Or Greater Direct Ownership Interest | Organization | 50% | since 03/20/2018 |
| PENAN RETIREMENT INC. | 5% Or Greater Direct Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 01/01/2018 |
| PENDERGRAS, DON | 5% Or Greater Direct Ownership Interest | Individual | 50% | since 01/01/2018 |
| PENDERGRAS, DON | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2018 |
How to cite this page: CareRecords, “The Bartlett Skilled Nursing and Assisted Living — compliance, penalty and ownership record” (CCN 676457), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/the-bartlett-skilled-nursing-and-assisted-living-el-paso-tx/
Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 676457. Corrections: data@carerecords.org.