Ambrosio Guillen Texas State Veterans Home
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 292 Google reviews
Watch Ambrosio Guillen Texas State Veterans Home
Get an email when new inspections, ratings, or penalties are published for this facility.
We’ll only email you about this — no spam, unsubscribe anytime.
Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Above-median deficiencies (13 vs median 8.0)
- High RN turnover (54%)
Top 25% in Texas · Below recommended RN staffing · Above average staffing · No penalties on record
What this means for your family
This facility is an excellent choice for veterans, characterized by an exceptionally clean environment and a staff that treats residents with deep respect. While the care is highly rated, you may want to observe how frequently staff interact with residents regarding hydration during your visits.
Google Reviews
Google Reviews
292 reviews on Google“Families considering this facility can expect a highly clean, well-maintained, and professional environment that many reviewers describe as feeling more like a 'home' than a nursing facility. The staff is overwhelmingly praised for being compassionate, attentive, and respectful toward veterans. While the majority of experiences are excellent, one visitor noted a need for more proactive hydration monitoring for residents.”
Quality Themes
Tap a score for detailsStrengths
- Exceptionally clean and well-maintained facility
- Compassionate and professional nursing staff
- Welcoming and friendly atmosphere for visitors
- High standard of respect for military veterans
Concerns
- Need for more proactive hydration/water distribution
Rating Trends
Tap a year to see what changed
Distribution · 208 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1It is wonderful to see how clean and well-maintained the facility is; what specific cleaning protocols do you have in place for the resident rooms?
- 2Since we are looking for the best care for our veteran, how do you incorporate military traditions or honors into the daily culture here?
- 3How does the nursing team ensure that residents are staying well-hydrated and getting enough water throughout the day?
- 4What kind of specialized activities or engagement programs do you offer specifically for those in the memory care unit?
- 5How is the nursing staff structured during the night shifts to ensure medical emergencies are handled promptly?
- 6We've heard such lovely things about the friendly atmosphere here; how do you encourage family members to stay involved in daily visits?
Personalized based on this facility's data
Key Review Excerpts
“The entire staff are professional, warm and friendly, helpful with the big and little things that make him comfortable, safe, and healthy. The entire facility is well maintained and VERY clean.”
“I have unfortunately been a visitor to many rehab and skilled nursing facilities. By far the Ambrosio Guillén Texas State Veteran’s facility is overwhelmingly the best.”
“My sweet Marvin has been in the Memory Care Unit for soon to be 7 years. He is happy at Ambrosio and has made many friends.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
8
measures
6
measures
3
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents needing more daily help over time
Residents whose walking got worse
Residents whose bladder or bowel control got worse
Residents on anti-anxiety or sleep medication
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Nearly half of this facility's 45 deficiencies stem from family complaints, indicating ongoing resident and family concerns about care quality. The most frequent problems involve medication management, care planning and assessment, and abuse/neglect prevention policies. While all violations show correction dates, the recurring pattern of complaint-driven deficiencies across multiple areas—including medication errors, inadequate care plans, and failure to prevent abuse—suggests families should carefully evaluate current conditions during visits.
Mar 19, 2026Complaint2
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Feb 3, 2026Complaint3
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Nov 20, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Sep 15, 2025Complaint4
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Apr 3, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Jan 31, 2025Routine9
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
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.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
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.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Egress Deficiencies
Install proper backup exit lighting.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Ownership & Operations
Who Operates This Facility
State of Texas Veterans Land Board
government
TEXAS VSI, LLC
JONATHAN LONG
Chain Affiliation
Texvet
9 facilities nationwide
Chain avg rating: 3.7/5 · Rank 4 of 9
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
292 reviews from families & visitors
Official Website
Visit vlb.texas.gov
Medicare data downloads
Original nursing home datasets
EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
Safer Alternatives Nearby
Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
Eden North Assisted Living Center
1.6 miAssisted Living · El Paso, TX
Serenity House Assisted Living Facility
1.6 miAssisted Living · El Paso, TX
Los Arcos Del Norte Care Center
3.2 miNursing Home · El Paso, TX
Good Life Senior Living & Memory Care
3.7 miAssisted Living · El Paso, TX
Avir at Patriot
4.0 miNursing Home · El Paso, TX
The Montevista at Coronado
5.8 miAssisted Living · El Paso, TX