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Nursing HomeMedicaid Investigative

St Teresa Nursing & Rehab Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

10350 Montana Avenue, Scotsdale · El Paso, TX 79925124 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.1/5

based on 242 Google reviews

5
4
3
2
1
St Teresa Nursing & Rehab Center Nursing Home in El Paso, TX — Street View
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6/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Abuse citation on record
  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (11 vs median 8.0)

Bottom 25% in Texas · Below recommended RN staffing · Above average staffing · Worst in CREATIVE SOLUTIONS IN HEALTHCARE chain · $33,787 in fines · Abuse citation

Source: Medicare data

What this means for your family

This facility offers exceptional rehabilitation and respiratory care, making it a strong candidate for post-surgery or ventilator-dependent patients. However, families must be extremely vigilant regarding daily hygiene and medication administration, as multiple reviewers have documented significant neglect in these areas.

Google Reviews

Google Reviews

242 reviews on Google
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

Tap a score for details
Food8.0Staff4.0Clean6.0Activities9.0Meds2.0MemoryN/AComms3.0Value2.0

Strengths

  • Compassionate and professional nursing staff
  • High-quality rehabilitation and physical therapy
  • Excellent food variety and quality
  • Clean and well-maintained environment
  • Specialized respiratory/ventilator care

Concerns

  • Neglect regarding hygiene and diaper changes (mentioned by 4 reviewers)
  • Inadequate response to call buttons and medical emergencies (mentioned by 3 reviewers)
  • Poor wound care and development of bed sores (mentioned by 3 reviewers)
  • Staffing shortages and high turnover (mentioned by 3 reviewers)
  • Communication issues between management and families (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2344.7'19(31)3.83.5'21(8)3.54.3'23(29)2.94.2'25(11)2.3'26(9)

Distribution · 138 analyzed

5
93
4
6
3
0
2
2
1
37
13 reviews posted between May 25, 2023May 26, 2023 · 13 were 5-star
13 reviews posted between Dec 10, 2019Dec 12, 2019 · 13 were 5-star

How They Respond to Reviews

33%response rate
Generic

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.

Questions for Your Tour

  • 1We've heard wonderful things about the quality of the food and the variety of meals here; could you tell us more about the dining experience for residents?
  • 2With the specialized respiratory and ventilator care you provide, how do you ensure medical emergencies are responded to immediately at any time of night?
  • 3How does the nursing team manage daily hygiene routines and regular checks to ensure residents are always comfortable and clean?
  • 4We noticed some mentions of great physical therapy here; how does the rehab program help residents regain their independence?
  • 5How do you ensure that medication management is handled accurately and that there is a clear system for tracking changes in a resident's needs?
  • 6What is the best way for us to stay in regular contact with the management team to ensure we are always updated on our loved one's care?

Personalized based on this facility's data


Key Review Excerpts

The th is, however, the best quality of care I’ve ever received. Brandon, Kelly, and the rest of the staff are very kind and attentive.

Rehab patient · 2025★★★★★

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.

Long-term resident's family · 2025★★★★★

My brother has been in this home due to a stroke and his recovery here has been awesome. Rehab is the best.

Rehab patient's family · 2022★★★★★
Source: 242 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.54hrs
72%
Registered nurses for medical care
Total Nursing
3.61hrs
88%
All nurses + aides combined
Staff Turnover
99%
Lower is better (< 30% = good)
RN Turnover
92%
Lower is better (< 30% = good)

Both 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

Medicare Rating
3/ 5
Better Than Avg

9

measures

Worse Than Avg

5

measures

Mixed Results

3

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility25.2%
Worse than Avg
Here
25.2%
US
19.4%
TX
14.2%
El paso
16.7%
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.3%
Better than Avg
Here
2.3%
US
12.1%
TX
2.5%
El paso
4.2%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility10.5%
Worse than Avg
Here
10.5%
US
4.9%
TX
4.0%
El paso
5.2%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility9.3%
Better than Avg
Here
9.3%
US
15.4%
TX
9.4%
El paso
14.6%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.4%
Better than Avg
Here
99.4%
US
93.4%
TX
96.9%
El paso
94.8%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility13.7%
Better than Avg
Here
13.7%
US
19.5%
TX
18.4%
El paso
14.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility89.2%
Better than Avg
Here
89.2%
US
79.7%
TX
88.0%
El paso
82.2%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility84.4%
Mixed vs Avgs
Here
84.4%
US
81.8%
TX
89.2%
El paso
82.9%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility3.8%
Worse than Avg
Here
3.8%
US
1.6%
TX
1.5%
El paso
2.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

14deficiencies
4penalties
Well above state avg (9.1)
46 complaint-triggered
$33,787 in fines

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.

Feb 4, 2026Complaint
3
0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0656Potential for harm · IsolatedCorrected

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.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Dec 19, 2025Complaint
4
0690Potential for harm · PatternCorrected

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.

0627Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

0850Potential for harm · IsolatedCorrected

Administration Deficiencies

Hire a qualified full-time social worker in a facility with more than 120 beds.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Sep 17, 2025Routine
8
0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0558Potential for harm · PatternCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0656Potential for harm · IsolatedCorrected

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.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

May 16, 2025Complaint
1
0600Actual harm · IsolatedResolved (past non-compliance)

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.

Feb 6, 2025Complaint
1
0693Potential for harm · IsolatedCorrected

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.

Jan 6, 2025Complaint
1
0842Potential for harm · IsolatedCorrected

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.

Federal Penalties

Fine

May 16, 2025

$10,531

Fine

Apr 25, 2024

$10,199

Fine

May 19, 2023

$13,057

Payment Denial

May 19, 2023

21-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

El Paso VI Enterprises, LLC

Organization Type

for profit

Management Company

CREATIVE SOLUTIONS IN HEALTHCARE, INC

Administrator

SANDRA ESPINO

Chain Affiliation

Chain Name

Creative Solutions in Healthcare

Chain Size

149 facilities nationwide

Chain avg rating: 2.7/5 · Rank 114 of 148 (Worst)

Ownership & Management

Key personnel

Huggins, LindaW-2 Managing EmployeeCreative Solutions in Healthcare INCManagerBlake, GaryManagerBlake, MalisaManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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.

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