Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 245 Google reviews

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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
This facility has areas of concern that warrant careful consideration. Registered Nurse hours are 63% of the EveryPlace reference benchmark; ask how RN coverage is allocated across shifts. The latest standard survey recorded 16 findings, above the TX average of 9.1. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
Families considering St. Teresa Nursing & Rehab Center will find a polarizing environment. While many reviewers praise the compassionate nursing staff, excellent rehabilitation services, and high-quality food, there are serious, recurring allegations of neglect, including improper hygiene care, failure to respond to call buttons, and inadequate wound management. The facility is highly regarded for its respiratory care and physical therapy, but significant concerns regarding staffing levels and medical oversight persist.
Quality Themes
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Concerns
Rating Trends
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Distribution · 141 analyzed
The owner uses highly repetitive, templated responses that follow a nearly identical structure for almost every review. While they personalize the greeting with the reviewer's name, they fail to address the specific medical or neglect-related allegations mentioned in the reviews.
Personalized based on this facility's data
Key Review Excerpts
“The facility is always clean, welcoming, and safe. They provide excellent medical care while also creating a warm environment filled with activities, smiles, and kindness.”
“My brother has been in this home due to a stroke and his recovery here has been awesome. Rehab is the best.”
“They leave my father's food on the tray and walk away without seeing if he needs help eating. After they change him they forget to put his CALL BUTTON within reach.”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
10
measures
5
measures
2
measures
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents with pressure sores (bedsores)
Residents on antipsychotic medication
Residents vaccinated for pneumonia
Residents on anti-anxiety or sleep medication
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
Detailed Medicare record · up to 3-year lookback
Families have filed numerous complaints triggering 43 deficiencies, indicating serious ongoing concerns about daily living assistance, safety hazards, and care planning. Recent issues from December 2025 lack correction plans, suggesting unresolved problems with infection control, resident transfers, and staffing. While most violations have been addressed, the persistent pattern of complaint-driven deficiencies across resident rights and quality of care warrants careful consideration before visiting.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
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.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Administration Deficiencies
Hire a qualified full-time social worker in a facility with more than 120 beds.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
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.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Federal Penalties
Fine
May 16, 2025
$10,531
Fine
Apr 25, 2024
$10,199
El Paso VI Enterprises, LLC
for profit
CREATIVE SOLUTIONS IN HEALTHCARE, INC
SANDRA ESPINO
Creative Solutions in Healthcare
149 facilities nationwide
Chain avg rating: 2.7/5 · Rank 114 of 148 (Lowest rating)
Key personnel
Contact this facility directly and verify the details that matter most to your family.
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
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Google Reviews
245 reviews from families & visitors
Official Website
Visit stteresanursing.com
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. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. 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.
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