Nazareth Living Care Center
1475 RAYNOLDS ST., El Paso, TX, 79903
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
- For profit - Limited Liability company · Chain: Paradigm Healthcare
- Certified beds
- 108 · avg 65 residents/day
- Total nursing staff turnover
- 41.7% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 80% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
State licensing & capacity
- License number
- 308254
- Service type
- Medicare/medicaid
- Licensed capacity
- 108 beds
- Bed type breakdown
- 24 Medicare-only · 84 Medicaid/Medicare
- Current license effective
- December 11, 2025
- Current license expires
- May 1, 2027
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- El Paso County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Nazareth Mgr Holdco Llc
- Administrator
- Clark K Yoquelet
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Paradigm Healthcare chain — 18 facilities across 2 states. Chain-wide average overall rating 2.1 / 5.
Disclosed owners (4 on record)
- Carlos Yanez
W-2 Managing Employee · since 2022
- Nazareth Mgr Holdco Llc
Operational/managerial Control · 100% · since 2022
- el Paso County Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2021
- Robert Cintron
Corporate Officer · since 2021
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 58)
- E0919·Jan 28, 2026Complaint
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
- D0842·Jan 28, 2026Complaint
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.
- E0755·Jan 28, 2026Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E0695·Jan 28, 2026Complaint
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- D0693·Jan 28, 2026Complaint
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.
- D0580·Jan 28, 2026Complaint
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D0842·Jun 18, 2025Complaint
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.
- D0656·Jun 18, 2025Complaint
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.
Fire-safety citations
26 Life-Safety-Code citations on file. Most recent: Oct 31, 2024. 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
Nazareth Living Care Center is a 108-bed nursing home in El Paso, licensed since 1971 and currently managed by Paradigm Healthcare under El Paso County Hospital District. CMS rates it 3 stars overall, with a 2-star staffing rating and a 2-star health inspection rating — though quality measures reach 5 stars on both long-stay and short-stay metrics. About 60% of licensed beds are occupied. No CMS fines are on record.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 2 stars — residents receive about 220 minutes of nursing care per day, roughly 21 minutes less than at a 4-star-staffing facility in Texas. About 32% of Texas nursing homes share this staffing rating, so this is a common but not baseline level of staffing. Of those 220 minutes, only 11 are covered by a registered nurse; Texas 4-star facilities average 37 RN minutes per resident per day.
Overall nursing staff turnover runs low — about 4 in 10 nursing staff left in the past year, below Texas's 25th-percentile cutoff, meaning turnover is better than roughly three-quarters of nursing homes in the state. RN turnover tells a different story: about 8 in 10 RNs left in the past year. Given that RN minutes per resident are already thin, cycling through most of the RN staff in a single year means the residents who most depend on registered-nurse oversight are seeing frequent changes in that specific role.
Quality measures — which track outcomes like pressure wounds, falls, pain management, and hospitalizations — rate 5 stars on both long-stay and short-stay measures. That is the top rating CMS assigns, and it holds across both resident groups.
The facility is operating at roughly 60% of its 108 licensed beds, with about 65 residents on a typical day. At this occupancy level, beds are available without a waitlist.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
RN coverage on each shift
With 80% of RNs leaving in the past year and only 11 RN minutes per resident per day on record, ask which shifts have a registered nurse physically present in the building.
How quality scores stay high
CMS rates quality measures at 5 stars while staffing rates 2 stars — ask which specific protocols the facility uses to maintain those outcomes with the current staffing levels.
Role of the management company
The licensed owner is El Paso County Hospital District, but day-to-day management runs through Paradigm Healthcare — ask which entity sets staffing budgets and responds to regulatory findings.
Current bed availability and admissions pace
At roughly 60% occupancy, the facility has open beds — ask whether that reflects a recent discharge surge, slower admissions, or a planned operational change.
Weekend staffing levels
CMS data shows weekend nursing hours at about 178 minutes per resident per day, noticeably below the weekday figure — ask how many nurses and aides are scheduled on a typical Saturday or Sunday.
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.