MOUNTAIN VILLA NURSING CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Mountain Villa Nursing Center. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

MOUNTAIN VILLA NURSING CENTER
2729 PORTER AVE
EL PASO, TX 79930
(915) 566-2111

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only

Overall Rating

Percent of Beds Occupied

100%

Number of Residents and Certified Beds

Residents: 48
Certified Beds: 48

This Facility Accepts

Medicare
Medicaid

Operational Details

Operated By For Profit - Corporation
Offers Both Resident and Family Counseling Services
This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Alpine

Resident Services

The information below lists services this facility has provided for residents from November through December 2010. During this period, the most common type of service provided was "Very High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Mountain Villa Nursing Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident Services

Resident Conditions

Percent of Service Days

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 6-10	45.2%
Total Percent:	45.2%

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 11-16	33.3%
Total Percent:	33.3%

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum

Five days any combination of three rehabilitation disciplines

ADL Index Range: 6-10	2.4%
Total Percent:	2.4%

Special Care Low

Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
Respiratory failure and oxygen therapy while a resident
Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
Ulcers: 2 or more venous or arterial ulcers
Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
Foot infection/diabetic foot ulcer/open lesions of foot with treatment
Radiation therapy while a resident
Dialysis while a resident
Activities of Daily Living (ADL) score of 2 or more

ADL Index Range: 11-14 - No Signs of depression	19.0%
Total Percent:	19.0%

Rating Details For Mountain Villa Nursing Center

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per Day	Reported	Expected
Registered Nurse (RN) Hours	19 Minutes	1 Hour
Licensed Practical/Vocational Nurse (LPN/LVN) Hours	30 Minutes	39 Minutes
Certified Nursing Assistant (CNA) Hours	2 Hours and 12 Minutes	2 Hours and 33 Minutes
Total Licensed Nurse Hours	49 Minutes	1 Hour and 39 Minutes
Total Nurse Hours	3 Hours	4 Hours and 12 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Texas are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This Facility

Texas Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	90-100%	88%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season	90-100%	91%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	-	5%
Percent of Long-Stay Residents Who Were Physically Restrained	2%	4%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased	37%	18%
Percent of Long-Stay Residents Who Lose Too Much Weight	5%	6%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder	42%	46%
Percent of Long-Stay Residents Who Are More Depressed or Anxious	26%	13%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair	8%	6%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain	9%	4%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores	13%	12%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection	5%	9%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season	90-100%	84%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	90-100%	79%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium	37%	3%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain	14%	16%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 06/10/2010.

Degree of Harm

- Potential for Minimal Harm
- Minimal Harm or Potential for Harm
- Resident Harmed
- Immediate Jeopardy to Resident Health

Residents Affected

- Isolated
- Some Residents
- Many Residents

Deficiencies Found By Inspectors

Degree of Harm

Residents Affected

Administration

Train All Employees on What to Do in an Emergency.

Inspection Date: 04/30/2009
Correction Date: 06/26/2009

Environmental

Have a Program to Keep Infection from Spreading. Inspection Date: 06/11/2008 Correction Date: 09/15/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 04/30/2009 Correction Date: 06/26/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 04/30/2009 Correction Date: 06/26/2009
Be Designed, Built, Equipped, or Well Kept to Protect the Health and Safety of Residents, Workers, and the Public. Inspection Date: 04/30/2009 Correction Date: 06/26/2009

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.

Inspection Date: 06/11/2008
Correction Date: 08/15/2008

Resident Rights

Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help. Inspection Date: 06/11/2008 Correction Date: 08/15/2008
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. Inspection Date: 04/30/2009 Correction Date: 06/26/2009
Have a Private Telephone Available for Use. Inspection Date: 04/30/2009 Correction Date: 06/26/2009

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action Taken	Date	Amount
Civil Money Penalty (CMP)	11/06/2008	$5,200
Denial of Payment for New Admission (DPNA)	02/10/2010	-
Denial of Payment for New Admission (DPNA)	06/10/2010	-

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Mountain Villa Nursing Center, as well as complaints by residents or their family in the previous three years.

Degree of Harm

- Potential for Minimal Harm
- Minimal Harm or Potential for Harm
- Resident Harmed
- Immediate Jeopardy to Resident Health

Residents Affected

- Isolated
- Some Residents
- Many Residents

Formal Complaints

Degree of Harm

Residents Affected