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Mountain Villa Nursing Center
2729 PORTER AVE
El Paso, TX 79930
(915) 566-2111
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 48 |
| Number of Residents: | 48 |
| Percent of Occupied Beds: | 100% |
| Sprinkler Status: | Fully Sprinklered |
| Program Participation: | Medicare and Medicaid |
| Type of Ownership: | For profit - Corporation |
| Located Within a Hospital? | No |
| Multi Nursing Home Ownership? | No |
| Resident and Family Councils? | Both |
| Continuing Care Retirement Community? | No |
| Quality Indicator Survey? | No |
| Special Focus Facility? | No |
| Overall: |  |
| Health Inspection: | |
| Nurse Staffing: | |
| Quality Measures: |  |
| RN Only: | |
| Date | Type | Category | Deficiency | Scope | Level of Harm | Date of Correction |
| 20081106 | Health | Resident Rights Deficiencies | Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | Isolated | Minimal harm or potential for actual harm | 20090115 |
| 20081106 | Health | Resident Rights Deficiencies | Try to resolve each resident's complaints quickly. | Isolated | Minimal harm or potential for actual harm | 20090115 |
| 20081106 | Health | Mistreatment Deficiencies | 1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Pattern | Minimal harm or potential for actual harm | 20090115 |
| 20081106 | Health | Mistreatment Deficiencies | Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | Pattern | Minimal harm or potential for actual harm | 20090115 |
| 20091022 | Health | Mistreatment Deficiencies | Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | Pattern | Minimal harm or potential for actual harm | 20091125 |
| 20091022 | Health | Administration Deficiencies | Get proof that a nurse aide has the training and skills that the State requires. | Isolated | Minimal harm or potential for actual harm | 20091125 |
| 20100210 | Health | Mistreatment Deficiencies | Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | Widespread | Immediate jeopardy to resident health or safety | 20100320 |
| 20100210 | Health | Mistreatment Deficiencies | 1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Widespread | Immediate jeopardy to resident health or safety | 20100320 |
| 20100210 | Health | Resident Rights Deficiencies | Protect the resident from a transfer or discharge that is not wanted or needed. | Isolated | Minimal harm or potential for actual harm | 20100320 |
| 20100210 | Health | Mistreatment Deficiencies | Protect each resident from all abuse, physical punishment, and being separated from others. | Widespread | Immediate jeopardy to resident health or safety | 20100320 |
| 20100210 | Health | Administration Deficiencies | Be administered in a way that leads to the highest possible level of well being for each resident. | Widespread | Immediate jeopardy to resident health or safety | 20100320 |
| 20100427 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Minimal harm or potential for actual harm | 20100528 |
| 20100427 | Health | Resident Assessment Deficiencies | Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | Isolated | Minimal harm or potential for actual harm | 20100528 |
| 20100722 | Health | Mistreatment Deficiencies | 1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Pattern | Minimal harm or potential for actual harm | 20100811 |
| 20100820 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Minimal harm or potential for actual harm | 20100925 |
| 20100820 | Health | Environmental Deficiencies | Have a program to keep infection from spreading. | Isolated | Minimal harm or potential for actual harm | 20100925 |
| 20100820 | Health | Environmental Deficiencies | Make sure there is a program to prevent/deal with mice, insects, or other pests. | Widespread | Minimal harm or potential for actual harm | 20100925 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 100 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 100 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 37 | |
| Percent of long-stay residents who have moderate to severe pain: | 9 | |
| Percent of high-risk long-stay residents who have pressure sores: | 13 | |
| Percent of low-risk long-stay residents who have pressure sores: | Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure. | |
| Percent of long-stay residents who were physically restrained: | 2 | |
| Percent of long-stay residents who are more depressed or anxious: | 26 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 42 | |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 0 | |
| Percent of long-stay residents who spend most of their time in bed or in a chair: | 8 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure. | |
| Percent of long-stay residents who had a urinary tract infection: | 5 | |
| Percent of long-stay residents who lose too much weight: | 5 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 94 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 100 | |
| Percent of short-stay residents who have delirium: | 37 | |
| Percent of short-stay residents who had moderate to severe pain: | 14 | |
| Percent of short-stay residents who have pressure sores: | Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure. | |
| # of Residents: | 48 |
| # RN Hours per Resident: | 0.31 |
| # LPN Hours per Resident: | 0.5 |
| # CNA Hours per Resident: | 2.2 |
| Total Staff Hours per Resident: | 0.81 |
