Mountain Villa Nursing Home

Nursing Home · El Paso, TX

CMS overall rating 4/5 For profit - Corporation

CMS certification number675768

Contact & location

2729 Porter Ave
El Paso, TX 79930
El Paso County
Phone
(915) 566-2111
ZIP code
79930 – all care providers

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Facility details

Certified beds
48
Residents per day
38.4 (80% occupied)
Ownership
For profit - Corporation
Legal name
J Squared, INC.
Medicare certified since
September 1, 1998
Participates in
Medicare and Medicaid
Continuing care
Part of a continuing care retirement community
Council
Both council

CMS star ratings

Overall★★★★★ 4/5
State avg 2.6
Health inspections★★★★★ 4/5
State avg 2.8
Staffing★★★★★ 2/5
State avg 1.9
Quality measures★★★★★ 2/5
State avg 3.7
Long-stay quality★★★★★ 2/5
Short-stay qualityNot rated

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.49 (state 3.39 · U.S. 3.86)
Registered nurses (RN)
0.35 (state 0.43 · U.S. 0.69)
Licensed practical nurses
0.65 (state 0.95 · U.S. 0.86)
Nurse aides
2.50 (state 2.00 · U.S. 2.32)
Weekend total
3.15 (state 2.98 · U.S. 3.42)
Nursing staff turnover
43.9 (state 55.3 · U.S. 45.8)%
RN turnover
—
Administrators who left
0 in the last year

Inspections

Last standard inspection
December 4, 2025
Health deficiencies (last cycle)
4.0 (state 9.3 · U.S. 9.3)
From complaints
0
Citations on record (3 years)
23 health · 29 fire safety
DateCitationSeverityStatus
2025-12-04 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-12-30
2025-12-04 Develop, implement, and/or maintain an effective training program for all new and existing staff members.
F0940 · Administration Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-12-30
2025-12-04 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-30
2025-12-04 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.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-30
2025-03-20 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-07
2024-11-18 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-30
2024-09-12 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-10-15
2024-09-12 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-10-15
2024-09-12 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.
F0727 · Nursing and Physician Services Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-10-15
2024-09-12 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-10-15
2024-09-12 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.
F0803 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-10-15
2024-09-12 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-10-15
2024-09-12 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-10-15
2024-09-12 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-10-15
2024-09-12 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F0655 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-10-15
2023-08-09 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-09-30
2023-08-09 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-09-30
2023-08-09 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-09-30
2023-08-09 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-30
2023-08-09 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.
F0693 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-30
2023-08-09 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-30
2023-08-09 Dispose of garbage and refuse properly.
F0814 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-30
2023-08-09 Post nurse staffing information every day.
F0732 · Nursing and Physician Services Deficiencies		 C
No actual harm, potential for minimal harm		 Corrected 2023-09-30

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Maharlika Resources, INC (organization)5%+ Direct Ownership Interest
Rivera, Donovan (individual)5%+ Direct Ownership Interest
Maharlika Resources, INC (organization)Operational/managerial Control · NOT APPLICABLE
Rivera, Donovan (individual)W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Mountain Villa Nursing Home?

Mountain Villa Nursing Home has a 4-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.

How many beds does Mountain Villa Nursing Home have?

It has 48 certified beds and cares for about 38 residents per day.

Has Mountain Villa Nursing Home been fined?

CMS lists no federal fines or payment denials in the last three years.

What is the phone number of Mountain Villa Nursing Home?

(915) 566-2111. The facility is located at 2729 Porter Ave, El Paso, TX 79930.

Other nursing homes in El Paso

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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.