• CMS rates this facility 3/5 stars (average)
• Has 48 certified beds with an average of 39.3 residents per day (82% occupancy)
• Last health inspection found 10 deficiencies (inspected Sep 12, 2024)
• No fines on record
• Total nursing staff: 3.46 hours per resident per day
• Staff turnover rate: 36.1%
Mountain Villa Nursing Center is a 3-star Medicare and Medicaid certified nursing home in El Paso, Texas with 48 certified beds. It has been operating since 1998. The facility scored at average compared to Texas facilities.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Reasonably accommodate the needs and preferences of each resident.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Ensure medication error rates are not 5 percent or greater.
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide and implement an infection prevention and control program.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Provide safe and appropriate respiratory care for a resident when needed.
Post nurse staffing information every day.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Dispose of garbage and refuse properly.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
PASARR screening for Mental disorders or Intellectual Disabilities
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Provide and implement an infection prevention and control program.
No penalties on record.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| MAHARLIKA RESOURCES, INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | N/A | Jul 1, 1994 |
| RIVERA, DONOVAN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | N/A | Mar 21, 2018 |
| MAHARLIKA RESOURCES, INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Jul 1, 1994 |
| RIVERA, DONOVAN | W-2 MANAGING EMPLOYEE | Individual | N/A | Sep 27, 2011 |