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Data / Nursing homes / Texas / The Bartlett Skilled Nursing and Assisted Living

The Bartlett Skilled Nursing and Assisted Living, El Paso, TX: 2 star rating, fined $30,355 across 2 fines

The Bartlett Skilled Nursing and Assisted Living in El Paso, TX is owned by Douglas G Pendergras Sr Estate and Penan Retirement Inc., is rated 2 of 5 stars by Medicare, and was fined $30,355 across 2 fines in the three years to October 1, 2026. CMS lists 23 health citations from inspections in that time, the latest survey on June 17, 2026, and 2 of them found actual harm or immediate jeopardy.

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Address
221 Bartlett Drive, El Paso, TX 79912
Overall rating
2 of 5 stars
Health inspection rating
3 of 5
Staffing rating
1 of 5
Quality measure rating
2 of 5
Certified beds
58
Residents per day
52 on average
Ownership type
For profit, partnership
Legal business name
Penan Retirement Centers Limited Partnership
Fines
$30,355 across 2 fines, three years to October 1, 2026
Payment denials
0
Health citations
23, of which 2 with actual harm or immediate jeopardy
Latest survey
June 17, 2026
CMS Certification Number
676457
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
April 11, 2026Fine$8,492Not listeddata.cms.gov
August 7, 2025Fine$21,863Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
June 17, 2026F698Provide safe, appropriate dialysis care/services for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 18, 2026data.cms.gov
April 11, 2026F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.G: isolated, actual harmCorrectedApril 30, 2026data.cms.gov
April 11, 2026F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 30, 2026data.cms.gov
April 11, 2026F585Honor 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: isolated, no actual harm, potential for more than minimal harmCorrectedApril 30, 2026data.cms.gov
August 22, 2025F945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 25, 2025data.cms.gov
August 22, 2025F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 25, 2025data.cms.gov
August 22, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 25, 2025data.cms.gov
August 22, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 25, 2025data.cms.gov
August 22, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 25, 2025data.cms.gov
August 7, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G: isolated, actual harmCorrectedAugust 27, 2025data.cms.gov
August 7, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 27, 2025data.cms.gov
August 7, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 27, 2025data.cms.gov
March 13, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 14, 2025data.cms.gov
February 6, 2025F761Ensure 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: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 7, 2025data.cms.gov
February 6, 2025F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 7, 2025data.cms.gov
July 11, 2024F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.F: widespread, no actual harm, potential for more than minimal harmCorrectedAugust 1, 2024data.cms.gov
July 11, 2024F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 12, 2024data.cms.gov
July 11, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 26, 2024data.cms.gov
July 11, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 12, 2024data.cms.gov
July 11, 2024F758Implement 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 12, 2024data.cms.gov
July 11, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 26, 2024data.cms.gov
July 11, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 26, 2024data.cms.gov
July 11, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 12, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 4 individual or personal trusts (1 owners, 1 managers, 2 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Douglas G Pendergras Sr EstateDirect owner50%March 20, 2018data.cms.gov
Penan Retirement Inc.Direct ownerNot listedJanuary 1, 2018data.cms.gov
Penan Retirement Inc.General partnerNot listedJanuary 1, 2018data.cms.gov
Douglas G Pendergras Sr EstateSecurity interestNot listedMarch 20, 2018data.cms.gov
Douglas G Pendergras Sr EstateAdditional disclosable partyNot listedJanuary 1, 2018data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.