The Bartlett Skilled Nursing and Assisted Living
The Bartlett Skilled Nursing and Assisted Living is a 58-bed nursing home in El Paso, Texas. CMS has certified it for Medicare and Medicaid since 2018-11-02. It averages 53.7 residents a day.
What harm was found in the violations cited at The Bartlett Skilled Nursing and Assisted Living?
CMS lists 37 health-inspection deficiencies for The Bartlett Skilled Nursing and Assisted Living since 2023-06-15, 23 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-06-17.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-06-17 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D |
| 2026-04-11 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | G |
| 2026-04-11 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E |
| 2026-04-11 | F0585 | 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 |
| 2025-08-22 | F0656, F0812, F0945 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | E |
| 2025-08-22 | F0550, F0880 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Provide and implement an infection prevention and control program. | D |
| 2025-08-07 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G |
| 2025-08-07 | F0607, F0609 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2025-03-13 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2025-02-06 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | E |
| 2025-02-06 | F0761 | 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 |
| 2024-07-11 | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | F |
| 2024-07-11 | F0698, F0758, F0812, F0880 | Provide safe, appropriate dialysis care/services for a resident who requires such services. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. | E |
| 2024-07-11 | F0656, F0756, F0842 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2023-06-15 | F0695, F0755, F0758, F0812, F0814, F0880 | Provide safe and appropriate respiratory care for a resident when needed. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Dispose of garbage and refuse properly. / Provide and implement an infection prevention and control program. | E |
| 2023-06-15 | F0558, F0565, F0576, F0609, F0655, F0656, F0690, F0842 | Reasonably accommodate the needs and preferences of each resident. / Honor the resident's right to organize and participate in resident/family groups in the facility. / Ensure residents have reasonable access to and privacy in their use of communication methods. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
Why was The Bartlett Skilled Nursing and Assisted Living fined 2 times?
| Date | Type | Amount |
|---|---|---|
| 2026-04-11 | Fine | $13,065 |
| 2025-08-07 | Fine | $21,548 |
How is The Bartlett Skilled Nursing and Assisted Living staffed?
| Measure | This facility | TX average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.57563 | 3.38539 |
| Average number of residents per day | 53.7 | 75.8 |
Who owns The Bartlett Skilled Nursing and Assisted Living?
The Bartlett Skilled Nursing and Assisted Living is registered with CMS as For profit - Partnership, operates under the legal business name PENAN RETIREMENT CENTERS LIMITED PARTNERSHIP.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | DOUGLAS G PENDERGRAS SR ESTATE, PENAN RETIREMENT INC., PENDERGRAS, DON | since 01/01/2018 |
| 5% OR GREATER SECURITY INTEREST | DOUGLAS G PENDERGRAS SR ESTATE | since 03/20/2018 |
| OPERATIONAL/MANAGERIAL CONTROL | PENDERGRAS, DON | since 01/01/2018 |
| GENERAL PARTNERSHIP INTEREST | PENAN RETIREMENT INC. | since 01/01/2018 |
| ADP OF THE SNF | DOUGLAS G PENDERGRAS SR ESTATE, ANNABI, MICHAEL, PERKINS, MICHAEL | since 01/01/2018 |
Were you or a family member harmed at The Bartlett Skilled Nursing and Assisted Living?