MONTEREY CARE CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Monterey Care 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

MONTEREY CARE CENTER
3101 10TH ST
WICHITA FALLS, TX 76309
(940) 766-0281

Nursing Home Ratings

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

Percent of Beds Occupied

82%

Number of Residents and Certified Beds

  • Residents: 75
  • Certified Beds: 91

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Both Resident and Family Counseling Services
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Iowa Park | Burkburnett | Henrietta

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Medium 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 Monterey Care Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 6-107.8%
Total Percent:7.8%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-168.4%
ADL Index Range: 0-519.6%
Total Percent:28.0%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-165.5%
ADL Index Range: 6-104.7%
ADL Index Range: 0-514.7%
Total Percent:25.0%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-1619.1%
ADL Index Range: 6-101.9%
ADL Index Range: 0-58.7%
Total Percent:29.7%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 0-1
- No Signs of depression
0.2%
Total Percent:0.2%
 

Behavioral Symptoms and Cognitive Performance

  • Cognitive impairment BIMS score less than or equal to 9
  • CPS great than or equal to 3
  • Hallucinations or delusions
  • Physical or verbal behavioral symptoms toward others
  • Other behavioral symptoms
  • Rejection of care or wandering
  • Activities of Daily Living (ADL) score of 5 or less
ADL Index Range: 0-1
- Less restorative nursing
4.7%
Total Percent:4.7%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 0-1
- Less restorative nursing
4.6%
Total Percent:4.6%
 

Rating Details For Monterey Care 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 DayReportedExpected
Registered Nurse (RN) Hours23 Minutes1 Hour and 9 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours53 Minutes42 Minutes
Certified Nursing Assistant (CNA) Hours1 Hour and 9 Minutes2 Hours and 20 Minutes
Total Licensed Nurse Hours1 Hour and 16 Minutes1 Hour and 51 Minutes
Total Nurse Hours2 Hours and 25 Minutes4 Hours and 11 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 FacilityTexas Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination38%88%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season81%91%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased19%18%
Percent of Long-Stay Residents Who Lose Too Much Weight6%6%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair-6%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse16%12%
Percent of Long-Stay Residents Who Are More Depressed or Anxious50%13%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder11%5%
Percent of Long-Stay Residents Who Were Physically Restrained1%4%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder35%46%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain2%4%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores12%12%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection6%9%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season46%84%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination20%79%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain4%16%
Percent of Short-Stay Residents Who Have Pressure Sores4%11%
Percent of Short-Stay Residents Who Have Delirium4%3%

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 05/12/2011.

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 InspectorsDegree of HarmResidents Affected

Administration

Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 04/14/2010
  • Correction Date: 05/31/2010
Have a Detailed, Written Plan for Disasters and Emergencies.
  • Inspection Date: 04/14/2010
  • Correction Date: 05/31/2010

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 04/14/2010
  • Correction Date: 05/31/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 04/14/2010
  • Correction Date: 05/31/2010

Pharmacy Service

Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 06/18/2009
  • Correction Date: 08/10/2009

Resident Assessment

Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record.
  • Inspection Date: 05/12/2011
  • Correction Date: 05/26/2011

Resident Rights

Have a Private Telephone Available for Use.
  • Inspection Date: 06/18/2009
  • Correction Date: 08/10/2009

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 TakenDateAmount
Civil Money Penalty (CMP)09/15/2010$4,000
Civil Money Penalty (CMP)09/15/2010$6,000

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Monterey Care 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 ComplaintsDegree of HarmResidents Affected

Administration

Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident.
  • Complaint Filed: 09/15/2010
  • Correction Date: 10/11/2010
Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 03/10/2011
  • Correction Date: 05/01/2011

Environmental

Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Complaint Filed: 06/18/2009
  • Correction Date: 08/10/2009
Have a Program to Keep Infection from Spreading.
  • Complaint Filed: 03/10/2011
  • Correction Date: 05/01/2011

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 06/24/2009
  • Correction Date: 08/10/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 09/15/2010
  • Correction Date: 10/11/2010
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.
  • Complaint Filed: 09/15/2010
  • Correction Date: 10/11/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 06/24/2009
  • Correction Date: 08/10/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 03/10/2011
  • Correction Date: 05/01/2011

Resident Assessment

Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health.
  • Complaint Filed: 06/18/2009
  • Correction Date: 08/10/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 06/18/2009
  • Correction Date: 08/10/2009

Resident Rights

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.
  • Complaint Filed: 04/03/2008
  • Correction Date: 04/25/2008
Tell the Resident Completely About His or Her Health Status.
  • Complaint Filed: 06/18/2009
  • Correction Date: 08/10/2009

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Monterey Care Center had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 05/25/2011.

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 InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 06/16/2009
  • Correction Date: 08/10/2009
Portable Fire Extinguishers.
  • Inspection Date: 06/16/2009
  • Correction Date: 08/10/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 04/19/2010
  • Correction Date: 05/31/2010

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 06/16/2009
  • Correction Date: 08/10/2009
Approved Construction Type or Materials.
  • Inspection Date: 05/25/2011
  • Correction Date: 06/17/2011

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 06/16/2009
  • Correction Date: 08/10/2009
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 04/19/2010
  • Correction Date: 05/31/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 06/16/2009
  • Correction Date: 08/10/2009

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 06/16/2009
  • Correction Date: 08/10/2009

Emergency Plans and Fire Drills

Did Not Have a Written Emergency Evacuation Plan.
  • Inspection Date: 04/19/2010
  • Correction Date: 05/31/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 06/16/2009
  • Correction Date: 08/10/2009
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 04/19/2010
  • Correction Date: 05/31/2010

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 06/16/2009
  • Correction Date: 08/10/2009
Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 04/19/2010
  • Correction Date: 05/31/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 06/16/2009
  • Correction Date: 08/10/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 05/25/2011
  • Correction Date: 06/17/2011

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 06/16/2009
  • Correction Date: 08/10/2009
Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 04/19/2010
  • Correction Date: 05/31/2010
Source: Medicare Nursing Home Compare; Department of Aging and Disability Services - Retrieved 2011