Skilled nursing facility · CMS certification number 676375
St. Giles Nursing and Rehabilitation Center
El Paso, Texas · Medicare and Medicaid
Certified beds, as filed in Care Compare: 124
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 29 June 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,852,912 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,452,877 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,400,035 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,484,386 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$84,351 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $668,102 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $583,751 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $583,751 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 124 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 45,384 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 792 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 35,491 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 9,868 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 46,151 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 13 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 141 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 195 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 349 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 60.92 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 251.71 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 132.24 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1450665, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 31 December 2023
Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 12 August 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,270,589 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,323,924 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,946,665 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,484,108 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$537,443 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,424,505 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $887,062 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $887,062 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 124 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,099 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 222 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 321.72 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 153.6 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1391874, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended 31 December 2022
Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 31 July 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,235,403 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $820,875 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,414,528 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,355,379 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$940,851 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,569,830 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $628,979 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $628,979 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 124 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,621 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 202 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.55 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 328.53 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 166.44 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1360495, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 31 December 2021
Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 July 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,536,297 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $777,974 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,758,323 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,617,065 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$858,742 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,589,302 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $730,560 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $730,560 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 124 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,135 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 165 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.48 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 353.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 188.7 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1328003, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended 31 December 2020
Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 24 February 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,124,380 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,080,824 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,043,556 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,167,373 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$123,817 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,358,877 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,235,060 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,235,060 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 124 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,264 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 296 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.84 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 306.83 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 112.38 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1343174, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 31 December 2019
Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 7 February 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,201,548 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,506,625 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,694,923 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,838,895 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$143,972 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,436 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$142,536 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$142,536 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 124 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,436 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 194 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.92 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 468.83 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 177.51 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1310034, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended 31 December 2018
Cost report for 1 June 2018 to 31 December 2018 — a reporting period of 213 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 24 September 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,887,521 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $709,211 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,178,310 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,347,105 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$168,795 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $277 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$168,518 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$168,518 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 124 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,166 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 89 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 81.96 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 499.66 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 226.58 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1269620, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended 31 December 2017
Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 December 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,910,970 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,808,308 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,102,662 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,400,003 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$297,341 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $25,340 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$272,001 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$272,001 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 124 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,352 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 298 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.78 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 208.24 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 115.28 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1248620, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended 31 December 2016
Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 21 December 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,458,775 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $164,164 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,294,611 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,920,899 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $373,712 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$32,799 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $340,913 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $340,913 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 124 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,674 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 355 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 53.21 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 51.1 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 46.97 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1216848, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended 31 December 2015
Cost report for 1 August 2015 to 31 December 2015 — a reporting period of 152 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 19 August 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,769,805 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $140,195 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,629,610 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,502,479 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $127,131 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,425 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $130,556 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $130,556 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 124 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,142 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 163 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 51.16 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 320 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 80.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1141929, read from the public cost report file SNF10FY2015.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| BLAKE, GARY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 06/01/2018 |
| BLAKE, MALISA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 06/01/2018 |
| CREATIVE SOLUTIONS IN HEALTHCARE INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 06/01/2018 |
| HUGGINS, LINDA | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 06/01/2018 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of EL PASO IV ENTERPRISES, LLC (enrollment ID O20180618002801).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| HONOR X ENTERPRISES, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 6/1/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| GARY R BLAKE | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50 | 6/1/2018 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MALISA A BLAKE | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50 | 6/1/2018 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| CREATIVE SOLUTIONS IN HEALTHCARE INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 6/1/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| GARY R BLAKE | Individual | OPERATIONAL/MANAGERIAL CONTROL | 50 | 6/1/2018 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MALISA A BLAKE | Individual | OPERATIONAL/MANAGERIAL CONTROL | 50 | 6/1/2018 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| LINDA F HUGGINS | Individual | W-2 MANAGING EMPLOYEE | 0 | 6/1/2018 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
Changes in ownership
No change in ownership appears in the CMS files on record since 20 September 2022.
Recent changes on this record
- 29 June 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 12 August 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 31 July 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 24 February 2023: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 26 July 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 7 February 2022: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 24 September 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 24 December 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 24 January 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 21 December 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 19 August 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 11 May 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 14 April 2026 | 14 April 2026 | 15 | 5 |
| 2 | 13 February 2025 | 13 February 2025 | 10 | 6 |
| 3 | 5 January 2024 | 5 January 2024 | 19 | 2 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
44 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 8 May 2026 | Health | F 0585 | 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. | E | Yes | Deficient, Provider has date of correction | 11 May 2026 |
| 8 May 2026 | Health | F 0849 | Administration Deficiencies | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Yes | Deficient, Provider has date of correction | 11 May 2026 |
| 14 April 2026 | Health | F 0575 | Resident Rights Deficiencies | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | D | No | Deficient, Provider has date of correction | 27 May 2026 |
| 14 April 2026 | Health | F 0585 | 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. | D | No | Deficient, Provider has date of correction | 27 May 2026 |
| 14 April 2026 | Health | F 0656 | 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. | D | No | Deficient, Provider has date of correction | 27 May 2026 |
| 14 April 2026 | Health | F 0687 | Quality of Life and Care Deficiencies | Provide appropriate foot care. | D | No | Deficient, Provider has date of correction | 27 May 2026 |
| 14 April 2026 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | E | No | Deficient, Provider has date of correction | 27 May 2026 |
| 14 April 2026 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | 27 May 2026 |
| 14 April 2026 | Health | F 0761 | 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. | E | No | Deficient, Provider has date of correction | 27 May 2026 |
| 14 April 2026 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | 27 May 2026 |
| 1 April 2026 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Yes | Deficient, Provider has date of correction | 12 April 2026 |
| 1 April 2026 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | 12 April 2026 |
| 1 April 2026 | Health | F 0690 | 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. | D | Yes | Deficient, Provider has date of correction | 12 April 2026 |
| 1 April 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | 12 April 2026 |
| 26 February 2026 | Health | F 0551 | Resident Rights Deficiencies | Give the resident's representative the ability to exercise the resident's rights. | D | Yes | Deficient, Provider has date of correction | 31 March 2026 |
| 13 February 2025 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | E | No | Deficient, Provider has date of correction | 23 March 2025 |
| 13 February 2025 | Health | F 0584 | 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. | D | No | Deficient, Provider has date of correction | 23 March 2025 |
| 13 February 2025 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | E | No | Deficient, Provider has date of correction | 23 March 2025 |
| 13 February 2025 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | 23 March 2025 |
| 13 February 2025 | Health | F 0761 | 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. | D | No | Deficient, Provider has date of correction | 23 March 2025 |
| 13 February 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | No | Deficient, Provider has date of correction | 23 March 2025 |
| 25 November 2024 | Health | F 0656 | 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. | D | Yes | Deficient, Provider has date of correction | 23 December 2024 |
| 3 September 2024 | Health | F 0656 | 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. | D | Yes | Deficient, Provider has date of correction | 25 September 2024 |
| 3 September 2024 | Health | F 0657 | 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. | D | Yes | Deficient, Provider has date of correction | 25 September 2024 |
| 3 September 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Yes | Deficient, Provider has date of correction | 25 September 2024 |
| 2 February 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | 20 February 2024 |
| 16 January 2024 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | Yes | Deficient, Provider has date of correction | 5 February 2024 |
| 16 January 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | 5 February 2024 |
| 5 January 2024 | Health | F 0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | E | No | Deficient, Provider has date of correction | 22 January 2024 |
| 5 January 2024 | Health | F 0656 | 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. | E | No | Deficient, Provider has date of correction | 22 January 2024 |
| 5 January 2024 | Health | F 0687 | Quality of Life and Care Deficiencies | Provide appropriate foot care. | E | Yes | Deficient, Provider has date of correction | 22 January 2024 |
| 5 January 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | E | Yes | Deficient, Provider has date of correction | 22 January 2024 |
| 5 January 2024 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | 22 January 2024 |
| 5 January 2024 | Health | F 0908 | Environmental Deficiencies | Keep all essential equipment working safely. | E | No | Deficient, Provider has date of correction | 2 February 2024 |
| 8 December 2023 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Yes | Deficient, Provider has date of correction | 29 December 2023 |
| 8 December 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Yes | Deficient, Provider has date of correction | 29 December 2023 |
| 8 December 2023 | Health | F 0842 | 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. | D | Yes | Deficient, Provider has date of correction | 29 December 2023 |
| 15 November 2023 | Health | F 0559 | Resident Rights Deficiencies | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | E | Yes | Deficient, Provider has date of correction | 7 December 2023 |
| 15 November 2023 | Health | F 0656 | 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. | D | Yes | Deficient, Provider has date of correction | 7 December 2023 |
| 15 November 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | 7 December 2023 |
| 15 November 2023 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | C | Yes | Deficient, Provider has date of correction | 7 December 2023 |
| 15 November 2023 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Deficient, Provider has date of correction | 7 December 2023 |
| 29 August 2023 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | Yes | Deficient, Provider has date of correction | 29 September 2023 |
| 29 August 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Yes | Deficient, Provider has date of correction | 19 September 2023 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| 7 July 2026 | Fine | $13,065 | 142359 |
From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | EL PASO IV ENTERPRISES, LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 2015-01-28 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | El Paso |
| Telephone Number | 9158593010 |
| Chain Name | CREATIVE SOLUTIONS IN HEALTHCARE |
| Chain ID | 169 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 124 |
| Average Number of Residents per Day | 89.6 |
| Overall Rating | 2 |
| Health Inspection Rating | 3 |
| QM Rating | 3 |
| Long-Stay QM Rating | 3 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
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