Carmel Hills Care Center
23795 W. R. Holman Highway, Monterey CA 93940 · (831) 624-1875 · 82.92% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Lata
Carmel Hills Care Center is an average-sized nursing home in Monterey, California. This turns out to be an A rated facility, which is one of the top ratings that we offer. In fact, we were so impressed with this facility that we rated it ahead of the majority of the nursing homes in Monterey, which has a strong selection of facilities. We also gave this facility impressive ratings in each of the major categories. More information about these categories can be found below.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 99 Beds
CCRC :
For profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Nurse Quality
In addition to receiving a great overall grade, this facility also received an excellent nursing score, with a grade of A. There are a host of subcategories included in this grade. Many of the subcategories reflect the quantity and quality of nurse staffing. This nursing home provided 4 hours of nursing care per resident daily. Roughly a quarter of this care was provided by registered nurses, which are highly skilled nurses. Both of these statistics beat out the national average. Lastly, this place also excelled in several of the quality measures we assessed. With less than five percent of its residents suffering from pressure ulcers, it performed as well as any facility California in this category.
Short-term Care Quality
This facility also excelled in the category of short-term care, where we awarded it a grade of A. Not many facilities fared better in this area. Our short-term care ratings are thought to be more critical for patients needing rehabilitation services. Rehabilitation usually requires additional highly-skilled nursing services. Skilled nursing means not merely nursing services, but also physical and speech therapy, as well as other variations of therapy. One of this facility's strengths is that it provides more than seven hours of care per week from registered nurses to each resident. This is the gold standard for this metric, as it's roughly 50% higher than a typical place's level of registered nurse staffing. The final statistic we considered in this category is the percentage of residents who were able to leave the nursing home and return home. We found that it performed as well as just about any nursing home in California in this area with 56.9 percent of its patients returning home. With most facilities, fewer than half of their short-term residents return home.
Facility Inspections
This nursing home also received a nearly flawless government inspection report. It received one of our highest grades in that category with an A-. We take several aspects of a facility's inspection report into consideration in determining these inspection grades. One key factor is health deficiencies. It should be noted that the severity of deficiencies is arguably more important than the quantity of deficiencies, as some of these are quite minor. Although this place had some deficiencies on its inspection report, none were major deficiencies based on CMS' scale. The fact that the deficiencies were relatively minor made us feel better about this inspection report.
Long-term Care Quality
The fourth area we assessed is long-term care, where this facility was awarded a grade of B+. This topped off a first-rate report card. Only a select few nursing homes received a B+ or better in in each area we assessed. When nursing homes receive this kind of grade in long-term care it is a good sign for resident care and suggests that the nursing home is well-staffed with nurses aids. On top of assessing the quantity of care provided by aids and other staff, we looked at the percentage of residents vaccinated against pneumonia. This facility administered the vaccine to 99.27798 percent of its residents, which is an impressive figure. Pneumonia can be a life or death condition for nursing home patients so we like it when a facility does not take any chances. The last statistic we assessed was the nursing home's hospitalization rate. We found that this nursing home had 1.97 hospitalizations per 1,000 long-term resident days, which is middle of the road in this area.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Carmel Hills Care Center Quality Metrics
Minimizes Pressure Ulcers
This tells you the percent of residents that sustained a pressure ulcer. Pressure ulcers are skin damage caused by staying in one position for an excessive period of time.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This statistic is a measure of the percentage of long-term care patients which suffered a fall which caused serious injury. Falls can arise for a variety of reasons, but high rates of falls resulting in injuries may be a sign of poor nursing care.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This statistic is an indication of the percentage of long-term stay patients that had a urinary tract infection. UTI's could be an indicator of poor nursing care. Nevertheless, this datapoint can be skewed for certain nursing homes due to inconsistent reporting standards for these infections.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This indicates the percent of patients who were prescribed antipsychotic drugs. While antipsychotic drugs may be vital to many patients, it is important to ensure these medications are being used appropriately. In some situations, high levels of antipsychotic drug use may suggest a facility is using these drugs to control patient behavior.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This indicates the percent of patients prescribed antianxiety medications. These medications are generally used to treat patients suffering from depression and anxiety.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This metric is a measure of the percent of long-term care patients who are showing signs of depression. Some would argue this is a reliable measure of patient quality of life.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This indicates the percent of residents who were given the pneumonia and flu vaccines. Higher vaccination rates should be the norm at this point.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This metric measures the percentage of long-term care residents who required increased assistance with activities of daily living over time. ADL's include activities such as dressing and using the bathroom.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
Measures the percentage of long-term patients that maintained mobility.
Percentage of Residents
Higher is Better
Hospitalizations
This tells you the number of times residents are hospitalized per thousand days of care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This indicates the number of times residents are rehospitalized per 1,000 days of short-term patient care.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This metric measures the number of emergency room visits per 1,000 days of short-term patient care.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This indicates the percent of short-term stay patients who experienced functional improvements, such as enhanced ability to perform activities of daily living.
Percentage of Resident
Higher is Better