St Giles Nursing and Rehabilitation Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 131 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Low staffing rating (1/5 stars)
- High staff turnover (56%)
Below average in Texas · Below recommended RN staffing · Below chain average · No penalties on record
What this means for your family
This facility is an excellent choice if you prioritize cleanliness and a welcoming admissions process. However, you must be vigilant regarding medication administration and the security of your loved one's personal belongings, as these are recurring points of failure in several reviews.
Google Reviews
Google Reviews
131 reviews analyzed“Families considering St. Giles often praise the facility for its exceptional cleanliness and the compassionate, attentive nature of the nursing and admissions staff. However, there are serious, recurring allegations regarding medication errors, neglectful care during night/weekend shifts, and issues with the loss of residents' personal belongings.”
Quality Themes
Tap a score for detailsStrengths
- Immaculate facility cleanliness
- Compassionate and friendly nursing staff
- Welcoming and helpful admissions team
- Effective rehabilitation and therapy services
Concerns
- Medication management errors and missed doses (mentioned by 2 reviewers)
- Loss or mismanagement of residents' personal belongings (mentioned by 3 reviewers)
- Unpleasant odors or hygiene issues in certain areas (mentioned by 2 reviewers)
- Inadequate responsiveness from staff during certain shifts (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
The owner uses highly repetitive, templated responses that follow a strict formula of apologizing, stating the issue is not their standard, and directing the reviewer to a single phone number. The responses rarely address the specific allegations (such as hygiene, theft, or staffing) and instead rely on a standardized script.
Questions for Your Tour
- 1I've heard wonderful things about how clean and immaculate the facility is; what specific cleaning protocols do you have in place for the resident rooms?
- 2Could you walk me through your process for ensuring medication is administered accurately and on schedule every day?
- 3How does the nursing team communicate updates or changes in care to family members during different shifts?
- 4What systems do you use to help residents keep track of and protect their personal belongings?
- 5What kind of daily activities or social events do you have planned to keep residents engaged and active?
- 6In the event of a medical emergency during the night, what is the immediate protocol for resident care?
Personalized based on this facility's data
Key Review Excerpts
“I visit my abuelo at St. Giles every week, and I truly can’t say enough good things about the care and environment there. A special thank you to April, who is now the Admissions Coordinator... She is always so kind, welcoming, caring, and helpful.”
“First impression of this facility when I went to the open house: immaculate cleanliness!!! I have worked and been in facilities but this is the one and only facility I have gone to with no smell or odor at all.”
“My dad has passed away "in care". This was made worse by the way we were treated hours before my dad's foreseeable death. The nurse that was on duty on swing shift came to give my dad a nebulizer treatment (which had enough already been disconnected) at 16:30, after I told her my dad couldn't breathe without the oxygen mask.”
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
4
measures
5
measures
Residents on anti-anxiety or sleep medication
Residents needing more daily help over time
Residents with depression symptoms
Residents vaccinated for pneumonia
Residents vaccinated for the flu
Residents whose walking got worse
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has a concerning pattern of 40% complaint-triggered deficiencies, indicating families have repeatedly filed reports about care quality. The most recurring problems involve care planning, accident prevention and safety, and medication management, with these issues persisting across multiple years despite corrections. While all deficiencies show correction dates, the repeated nature of similar violations—particularly around resident safety and care planning—suggests ongoing challenges in maintaining consistent quality standards.
Feb 26, 2026Complaint1
Resident Rights Deficiencies
Give the resident's representative the ability to exercise the resident's rights.
Feb 13, 2025Routine12
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Have an alternate power supply for its alarm system.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
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
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the installation and maintenance of electrical systems.
Nov 25, 2024Complaint1
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Sep 3, 2024Complaint3
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Feb 2, 2024Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jan 16, 2024Complaint2
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ownership & Operations
Who Operates This Facility
El Paso IV Enterprises, LLC
for profit
CREATIVE SOLUTIONS IN HEALTHCARE, INC
ANGELA ANDAYA
Chain Affiliation
Creative Solutions in Healthcare
149 facilities nationwide
Chain avg rating: 2.7/5 · Rank 81 of 148
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
131 reviews from families & visitors
Official Website
Visit stgilesnursing.com
Medicare data downloads
Original nursing home datasets
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