Focused Care at Monahans

Although we didn't grade this facility favorably overall, we did give it an excellent score in the category of inspections, where it received an A. Inspection grades weigh several factors, including deficiencies and substantiated complaints. You can find more information about each of these items by obtaining copies of nursing homes' inspection reports. Although this nursing home had some deficiencies on its inspection report, none were severe based on CMS' deficiency scale. A couple minor deficiencies are not the end of the world.

This facility was given its next most favorable category score in the area of short-term care. We gave this nursing home a grade of C in this area, which is an acceptable grade. In our short-term care rating, we endeavor to forge a fair barometer for rehabilitation. In this process, we assess the facility's levels of skilled nursing services, including both registered nurses and physical therapy, as well as respiratory therapy. We were surprised to find that this facility was below average in the two key staffing areas we focus on. It supplied fewer registered nurse and physical therapist hours per resident than most other nursing homes. It is still important to determine whether this also correlates to a lower quality of care. Finally, we looked at the number of patients who who were able to eventually return home from this facility. We found that 0 percent of this facility's residents were able to return home. This figure was actually well below average.

The third category we analyzed was long-term care, in which this nursing home received an F. For long-term care residents, the facility's primary goal is to maintain patients' quality of life and keep them safe. After looking at the quantity of care provided by nurses and other staff, we then looked at the facility's vaccination records. We were optimistic to discover that this nursing home vaccinated 99.29578 percent of its patients for pneumonia. To our surprise, this facility was able to keep its residents out of the hospital. Indeed, it had just 0.01 hospitalizations per 1,000 long-term resident days. Sadly, a few of its other scores in the category weren't as favorable as these.

Moving on to the next category, this nursing home really didn't fare very well here either. With a very poor grade of F in nursing, this is about as as uninspiring as it gets. There are several subcategories within this category. Most of these data points relate to the quantity of nurse staffing. This facility provided only 0.3 hours of nursing care per patient per day. This is not a very impressive figure. To pair with its subpar totals in the area of nursing hours per patient, this facility also didn't perform as well in the quality-based measures we looked at in determining our nursing grades. We looked at the percent of patients experiencing pressure ulcers and major falls. This place had more pressure ulcers and falls than the average nursing home. This could be a bad sign when you consider that many bed sores and falls are believed to be preventable with better nursing care. Unfortunately, these scores hurt this facility's nursing rating significantly.