Mountain Villa Nursing Center is an average performer in CMS ratings, earning a C grade with a score of 66/100. Located in El Paso, Texas, the facility meets baseline standards across most quality metrics.
Staffing at Mountain Villa Nursing Center is near the national average, with 3.46 total nursing hours per resident per day (national average: 3.8 hours).
Recent inspections identified 23 deficiencies at Mountain Villa Nursing Center. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.46 | 3.8 | Average |
| Registered Nurses (RN) | 0.31 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.64 | 0.7 | Average |
| Certified Nursing Assistants (CNA) | 2.51 | 2.4 | Average |
| Weekend Total Nursing | 3.10 | 3.8 | Below Average |
| Weekend RN Hours | 0.22 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0656 Severity EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Dec 3, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0940 Severity EDevelop, implement, and/or maintain an effective training program for all new and existing staff members.Dec 3, 2025 · Administration Deficiencies
- Tag 0755 Severity DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Dec 3, 2025 · Pharmacy Service Deficiencies
- Tag 0761 Severity DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiDec 3, 2025 · Pharmacy Service Deficiencies
- Tag 0656 Severity DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Mar 19, 2025 · Resident Assessment and Care Planning Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 4.6% | 4.5% | Average |
| Falls with major injury | 3.6% | 3.0% | Worse |
| On antipsychotic medication | 19.8% | 14.5% | Worse |
| Urinary tract infections | 3.1% | 2.5% | Worse |
| ADL decline (daily activities) | 33.9% | 14.0% | Worse |
| Excessive weight loss | 7.5% | 7.5% | Average |
| New/worsened incontinence | 11.5% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of C is based on a score of 66 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 4★ → 32 pts (max 40)
- Health Inspection Rating: 4★ → 20 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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