Eagle Pass Nursing And Rehabilitation
2550 ZACATECAS DRIVE, Eagle Pass, TX, 78852
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Government - Hospital district · Chain: Creative Solutions In Healthcare
- Certified beds
- 114 · avg 65 residents/day
- Total nursing staff turnover
- 27.9% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $17,419 total
State licensing & capacity
- License number
- 148975
- Service type
- Medicare/medicaid
- Licensed capacity
- 114 beds
- Bed type breakdown
- 34 Medicare-only · 80 Medicaid/Medicare
- Current license effective
- March 1, 2024
- Current license expires
- March 1, 2027
- Initial license date
- May 27, 1974
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Eagle Pass I Enterprises, Llc (Limited Liability Company (LLC))
- Operator / manager
- Creative Solutions In Healthcare, Inc
- Administrator
- Victor Nazario
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Creative Solutions in Healthcare chain — 149 facilities. Chain-wide average overall rating 2.7 / 5.
Disclosed owners (5 on record)
- Honor x Enterprises, Llc
5% or Greater Direct Ownership Interest · 100% · since 2013
- Creative Solutions in Healthcare Inc
Operational/managerial Control · 100% · since 2012
- Gary r Blake
Operational/managerial Control · 50% · since 2012
- Linda f Huggins
W-2 Managing Employee · since 2012
- Malisa a Blake
Operational/managerial Control · 50% · since 2012
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 26)
- D0942·May 21, 2025
Resident Rights Deficiencies
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
- E0912·May 21, 2025
Environmental Deficiencies
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
- E0812·May 21, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- C0732·May 21, 2025
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
- J0689·Apr 25, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0946·Apr 17, 2024
Administration Deficiencies
Provide training in compliance and ethics.
- D0944·Apr 17, 2024
Administration Deficiencies
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
- E0880·Apr 17, 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Federal penalties
By year
- 20251 fine · $9,244
- 20241 fine · $8,175
Most recent events
- Apr 25, 2025Fine · $9,244
- Feb 10, 2024Fine · $8,175
Largest single fine on record: $9,244.
Fire-safety citations
12 Life-Safety-Code citations on file. Most recent: May 21, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Eagle Pass Nursing And Rehabilitation is a 114-bed nursing home in Eagle Pass (Maverick County) accepting Medicare and Medicaid, managed by Creative Solutions In Healthcare. CMS rates it 2 stars overall — with a 1-star staffing rating and a 4-star quality-measures rating. About 65 residents are currently in residence, well below licensed capacity. The license is active through March 2027.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star — the bottom tier among Texas nursing homes. Each resident receives about 168 minutes of nursing care per day, roughly 73 minutes less than at a 4-star-staffing facility in Texas. Of that, only 12 minutes involves a registered nurse. Residents here require more hands-on care than at a typical facility — they are sicker or less mobile on average — so those 168 minutes stretch thinner than the raw number suggests.
Roughly 3 in 10 nursing staff left in the past year. That rate falls below Texas's 25th-percentile cutoff, meaning turnover is better than about three-quarters of nursing homes in the state. For long-stay residents, a stable team reduces the disruption of repeatedly meeting new caregivers.
The facility is operating at about 57% of its licensed beds — roughly 65 residents in a 114-bed home. That is notably below typical occupancy. Low census and low staffing ratings appear together in this record.
CMS issued 2 fines totaling $17,419 since the last processing date. The state median fine total among Texas facilities that receive any fine is $20,699, and about 30% of Texas nursing homes have no fines at all. The quality-measures rating is 4 stars — the same data that covers outcomes like pain management, falls, and pressure wounds — placing this facility above most peers on that dimension despite the staffing and overall ratings.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing coverage on nights and weekends
With a 1-star staffing rating and weekend nursing hours reported at 2.19 per resident per day, ask how many nurses and aides are scheduled on overnight and weekend shifts specifically.
How RN hours are allocated
Reported registered-nurse time is about 12 minutes per resident per day — ask which tasks RNs handle directly and when a charge RN is physically on the floor.
Current census and waitlist status
The facility is running at roughly 57% occupancy; ask whether that reflects a deliberate staffing decision, recent discharges, or another operational factor.
What the two recent fines covered
CMS issued 2 fines totaling $17,419 — ask what deficiencies prompted them and what process changes followed.
Resident Council meeting schedule
A Resident Council is listed but no Family Council; ask how often the Resident Council meets and how family members receive updates from those meetings.
Quality outcomes behind the 4-star score
The quality-measures rating is 4 stars despite a 2-star overall rating — ask which specific outcome measures drive that score and whether any are below the state average.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.