Mountain Villa Nursing Center - El Paso Nursing Home
General Information
UPDATEFederal Provider Number
675768
Provider Name
MOUNTAIN VILLA NURSING CENTER
Provider Address
2729 PORTER AVE
EL PASO, TX 79930
EL PASO, TX 79930
Provider Phone Number
(915) 566-2111
Provider SSA County
480
Provider County Name
El Paso
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
48
Number of Residents in Certified Beds
47
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
J SQUARED, INC.
Date First Approved to Provide Medicare and Medicaid services
1998-09-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.01809
Reported LPN Staffing Hours per Resident per Day
0.64149
Reported RN Staffing Hours per Resident per Day
0.24255
Reported Licensed Staffing Hours per Resident per Day
0.88404
Reported Total Nurse Staffing Hours per Resident per Day
2.90213
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.62473
Expected LPN Staffing Hours per Resident per Day
0.54462
Expected RN Staffing Hours per Resident per Day
0.83181
Expected Total Nurse Staffing Hours per Resident per Day
4.00116
Adjusted CNA Staffing Hours per Resident per Day
1.88659
Adjusted LPN Staffing Hours per Resident per Day
0.97763
Adjusted RN Staffing Hours per Resident per Day
0.21788
Adjusted Total Nurse Staffing Hours per Resident per Day
2.92370
Cycle 1 Total Number of Health Deficiencies
17
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
221
Cycle 1 Standard Survey Health Date
2014-07-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
221
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2013-09-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
76
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-08-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
142.50000
Number of Facility Reported Incidents
6
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
26878
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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