Patriot Rehabilitation and Wellness Center: Data Analysis and Ratings
CMS Five Star Rating(1 out of 5):
11490 GATEWAY NORTH BLVD. EL PASO, TX 79934
318-812-2140
Data date: May 01, 2023
Get Monthly Updates for this Facility
CMS has identified this facility as either having actual cases of abuse or has decided that abuse is possible.
The Most Important Data about Patriot Rehabilitation and Wellness Center
We've looked at a lot of nursing homes, this is what we think you need to see first and if you don't want to spend a lot of time. (It's the tl;dr section.)
CMS has identified this facility as either having actual cases of abuse or has decided that abuse is possible.
CMS 5-Star Overall Rating:
(1 out of 5):
(The national average overall star rating is 3 stars.)
Current Trend: Worsening
Total Nursing Hours Spent Per Resident Per Day: 2.64
(The national average is 3.74 )
According to our analysis, Patriot Rehabilitation and Wellness Center is ranked #21 out of 24 skilled nursing homes within a 25 mile radius. See detailed information from recent inspection reports, nursing hours analysis, surverys, and information on owners and operators. Click here to view the ranked list of nursing homes near Patriot Rehabilitation and Wellness Center.
What is this page all about?
Below is everything shred of information that we can find about Patriot Rehabilitation and Wellness Center, along with our best effort to make sense of the data. Our purpose here is to help you to make good decisions when picking a nursing home and to keep you informed once you have chosen a home. We know from personal experience that choosing a nursing home is not something you do once and then you forget about it. In fact, it gets worse. Once you select a nursing home and get through the initial steps of figuring out how to pay for it, then the real worries start. Are they taking good care of me or my loved one? This is the question that will keep you up at night: Can I really trust these people? We wish we could answer this question, we can't. What he can do is churn through the tons of data and try and help you to make sense of it. We hope it helps.
General Data Card
These are the basic data points for the facility.
Data date: May 01, 2023
Address: 11490 GATEWAY NORTH BLVD.
EL PASO, TX 79934
Phone: 318-812-2140
Ranking: Patriot Rehabilitation and Wellness Center is ranked #10 out of 10 facilities within a 10 mile radius and #21 out of 24 facilities within a 25 mile radius.
Medicare Provider Number: 676468
Participating in Medicare Since: August 30, 2019
No. of Certified Beds: 124
No. of Residents: 104
Occupancy: 83.87 % (as of 05/21/2023 )
Amount fined in recent period: $65,104.32
Complaints filed: 27
Ratings History for Patriot Rehabilitation and Wellness Center
Review of Patriot Rehabilitation and Wellness Center Ratings and Inspection Scores
CMS regularly inspects every skilled nursing facility. (The timing is supposed to be annually, but since the beginning of the Covid pandemic, these inspections have not occured as frequently.) The results of the multi-day inspection is reduced to a series of scores which are then translated into the star ratings. The health inspection scores are an absolute value, so you can compare one facility's score directly to another. The Overall Star rating is based on the facility's performance as compared to other facilities in the same state, so you cannot easily compare one facility's Overall star rating to a facility in another state.
Ratings
| Overall Rating | 1: |
| Health Inspection Rating | 1: |
| Quality Rating | 3: |
| Staffing Rating | 1: |
Inspection Scores
| Cycle 1 Score (as of March 11, 2022) | 211 |
| Cycle 2 Score (as of April 09, 2021) | 92 |
| Cycle 3 Score | NA |
| Weighted All Cycles Score | 136 |
It has been 13 months since the most recent inspection.
What Goes Into the Nursing Home's 5-Star Rating
CMS has put a lot of effort into creating its very elaborate 5-Star Quality Rating System specifically to provide a quick way for residents and family members to easily understand how well a nursing home is performing and to make comparing nursing homes easier. The rating system allows people to easily compare facilities across numerous dimensions with the express purpose of identifying the best and best performing nursing homes. The rating system was initially developed in 2008 and the methodologies are regularly reviewed and updated.
The rating system has five separate ratings including:
- Overall rating
- Health Inspection rating
- Staff rating
- RN Staffing rating
- Quality Measures rating
Nursing homes are rated from 1-star to 5-stars with 1-star being the best rating and 5-star being the best rating. For the Health Inspection Rating the nursing homes in each state are ranked based on their weighted three year inspection score. The top 10 percent of nursing homes (those with the lowest scores) are awarded a 5-star rating; the bottom 20 percent (those with the highest scores) are awarded a 1-star rating. In between 1-star and 5-star, the remaining homes are divided equally into three tranches which correspond with the stars 2 to 4. The staff ratings and quality measure ratings follow a similar process but the divisions are based on a national ranking. The division between star ratings is called the “cut-rate”. Cut-rates are redefined periodically and are published by CMS. See the latest cut rates on this table.
Calculating the Overall Star Rating is done differently. According to CMS, the reason for adopting a different system is to give the Health Inspection Rating higher weight in the Overall Rating. So, since there are FIVE ratings and FIVE stars for each rating, there must also be a FIVE step process to calculate the Overall Rating (so symetrical!) :
- Begin with the Health Inspection Rating
- Add one star to the Health Inspection Rating if the Staffing Rating is at least four-stars and is higher than the Health Inspection Rating. (We will call this the "Adjusted Rating".)
- Subtract one star from the Health Inspection Rating if the Staffing Rating is one-star.
- Add a star to the Adjusted Rating if the Quality Measure Rating is 5-stars.
- Subtract one star from the Adjusted Rating if the Quality Measure Rating is 1-star.
Throughout the calculation of the Overall Rating, the rating cannot exceed 5-stars. The Overall Rating is capped at 2-stars if the Health Inspection rating is 1-star. No Overall Rating is awarded if the nursing home does not have a Health Inspection Rating (This effectively means that a nursing home is not rated until the home has been operating for more than two years.)
Changes in a nursing homes star rating can be due to the results of a new health inspection report, the processing of new complaints, the aging of older complaints, a new inspection control survey, a revisit, or the resolution of disputes that change the scope and or severity of deficiencies.
Most Recent Nursing Home Inspections
CMS is required to inspect each senior nursing facility at least annually. These inspections take several days. Additional follow-up inspections as conducted as needed or for certain purposes. Inspections stopped for more than seven months in 2020 due to the Covid pandemic. That stoppage has caused all inspections to be delayed as the inspectors continue to deal with a backlog. The table below shows the latest inspections for Patriot Rehabilitation and Wellness Center including health, fire, and inspection control inspections:
| Inspection Type | Inspection Date |
|---|---|
| Fire Safety Standard | March 11, 2022 |
| Fire Safety Standard | April 09, 2021 |
| Fire Safety Standard | August 30, 2019 |
| Health Complaint | February 14, 2023 |
| Health Complaint | January 13, 2023 |
| Health Complaint | December 24, 2022 |
| Health Complaint | September 08, 2022 |
| Health Complaint | May 26, 2022 |
| Health Complaint | March 30, 2022 |
| Health Complaint | January 25, 2022 |
| Health Complaint | December 22, 2021 |
| Health Complaint | September 22, 2021 |
| Health Complaint | April 09, 2021 |
| Health Standard | March 11, 2022 |
| Health Standard | April 09, 2021 |
| Health Standard | August 30, 2019 |
| Infection Control | November 02, 2022 |
| Infection Control | September 08, 2022 |
| Infection Control | May 26, 2022 |
| Infection Control | January 25, 2022 |
| Infection Control | January 12, 2022 |
| Infection Control | December 31, 2021 |
| Infection Control | December 22, 2021 |
| Infection Control | May 28, 2021 |
| Infection Control | April 06, 2021 |
| Infection Control | December 10, 2020 |
| Infection Control | July 30, 2020 |
Owner and Operator Information for Patriot Rehabilitation and Wellness Center
Our database of owners and operators shows all direct owners of the nursing nurse, any managers and directors, and the most adjacent indirect owners of the facility (that is, if the direct owner is company, then the owners of that company.) Lists of nursing home owners are available and you can search for nursing home owners and operators on our site.
Business Entity Name:
PATRIOT SKILLED NURSING AND REHABILITATION LLC
Owners:
- LLOYD DOUGLAS (DIRECT- NO PERCENTAGE PROVIDED)
- PATRIOT SKILLED NURSING AND REHABILITATION LLC (DIRECT- NO PERCENTAGE PROVIDED)
Managers and Directors:
- LLOYD DOUGLAS (OPERATIONAL/MANAGERIAL CONTROL)
Analysis of Nursing Hours Spent Per Patient
CMS provides detailed information about how long nursing staff spends with residents. This data includes nursing subcategories of Registered Nurse, Licensed Practical Nurse, and non-nursing Certified Nursing Assistants. More hours spend per patient should can indicate a better facility or it could indicate more complicated situations.
The nursing staff of Patriot Rehabilitation and Wellness Center spends LESS time on average with its residents than the state average and LESS time than the national average for total nursing homes spent per resident.
| Type | Facility | State / National Avg |
|---|---|---|
| Registered Nurse (RN) | ||
| Hours | 0.19 | 0.36 / 0.65 |
| Case Mix | 0.51 | 0.42 / 0.39 |
| Adjusted | 0.15 | NA / NA |
| Licensed Practical Nurse (LPN) | ||
| Hours | 1.03 | 1.02 / 0.88 |
| Case Mix | 0.83 | NA / NA |
| Adjusted | 0.91 | NA / NA |
| Certified Nursing Assistants (CNA) | ||
| Hours | 1.42 | 1.93 / 2.21 |
| Case Mix | 2.10 | NA / NA |
| Adjusted | 1.38 | NA / NA |
| Total Licensed Staff | ||
| Hours | 1.22 | 1.38 / 1.53 |
| Physical Therapist (PT) | ||
| Hours | 0.07 | 0.06 / 0.07 |
| Total Nursing Homes Spent per Resident on Average | ||
| Hours | 2.64 | 3.30 / 3.74 |
| Case Mix | 3.44 | 3.22 / 3.16 |
| Adjusted | 2.42 | NA / NA |
Quality Measures
Quality measures are based both on patient survey information and on the results of actual claims that are filed with CMS. It is not clear what period is covered in the measures.
| Desc. | Perc. | State Avg. / Comparison |
|---|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursing home admission (qm521) | 26.7% |
24.5% Worse |
| Percentage of short-stay residents who had an outpatient emergency department visit (qm522) | 17.2% |
12.2% Worse |
| Number of hospitalizations per 1000 long-stay resident days (qm551) | 0.6% |
1.9% Better |
| Number of outpatient emergency department visits per 1000 long-stay resident days (qm552) | 1.7% |
1.2% Worse |
| Percentage of long-stay residents whose need for help with daily activities has increased (qm401) | 13.6% |
17.2% Better |
| Percentage of long-stay residents who lose too much weight (qm404) | 9.8% |
4.9% Worse |
| Percentage of low risk long-stay residents who lose control of their bowels or bladder (qm405) | 55.7% |
52.3% Worse |
| Percentage of long-stay residents with a catheter inserted and left in their bladder (qm406) | 1.7% |
1.5% Worse |
| Percentage of long-stay residents with a urinary tract infection (qm407) | 1.8% |
1.4% Worse |
| Percentage of long-stay residents who have depressive symptoms (qm408) | 6.3% |
5.3% Worse |
| Percentage of long-stay residents who were physically restrained (qm409) | 0.0% |
0.0% Better |
| Percentage of long-stay residents experiencing one or more falls with major injury (qm410) | 0.4% |
3.4% Better |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (qm415) | 89.0% |
95.6% Worse |
| Percentage of long-stay residents who received an antipsychotic medication (qm419) | 17.0% |
10.1% Worse |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (qm430) | 63.7% |
83.9% Worse |
| Percentage of short-stay residents who newly received an antipsychotic medication (qm434) | 0.9% |
1.9% Better |
| Percentage of long-stay residents whose ability to move independently worsened (qm451) | 12.0% |
13.4% Better |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication (qm452) | 13.5% |
22.0% Better |
| Percentage of high risk long-stay residents with pressure ulcers (qm453) | 9.3% |
7.3% Worse |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (qm454) | 98.7% |
96.1% Better |
| Percentage of short-stay residents who made improvements in function (qm471) | 61.8% |
66.6% Worse |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (qm472) | 88.0% |
77.8% Better |
Patriot Rehabilitation and Wellness Center Violations, Complaints and Fines
These are complaints and fines that are reported by CMS. Some of the data is not very recent, but we have decided to include it here so that you have as much information as possible.
Amount fined in recent period: $65,104.32, Complaints filed: 27
| Deficiency | Deficiency Date / Date Corrected |
|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Health) | 04-09-2021 / 04-12-2021 |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Health) | 04-09-2021 / 04-19-2021 |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Health) | 09-22-2021 / 11-04-2021 |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Health) | 09-22-2021 / 11-04-2021 |
| Respond appropriately to all alleged violations. (Health) | 09-22-2021 / 11-04-2021 |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. (Health) | 09-22-2021 / 11-04-2021 |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (Health) | 09-22-2021 / 11-04-2021 |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Health) | 09-22-2021 / 11-04-2021 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Health) | 09-22-2021 / 11-04-2021 |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. (Health) | 09-22-2021 / 11-04-2021 |
| Provide and implement an infection prevention and control program. (Health) | 09-22-2021 / 11-04-2021 |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (Health) | 09-22-2021 / 11-04-2021 |
| Provide care and assistance to perform activities of daily living for any resident who is unable. (Health) | 12-22-2021 / 12-26-2021 |
| Provide safe and appropriate respiratory care for a resident when needed. (Health) | 12-22-2021 / 12-26-2021 |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Health) | 12-31-2021 / 02-04-2022 |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Health) | 12-31-2021 / 02-04-2022 |
| Post nurse staffing information every day. (Health) | 12-31-2021 / 02-04-2022 |
| Provide and implement an infection prevention and control program. (Health) | 01-25-2022 / 02-17-2022 |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). (Health) | 03-11-2022 / 04-15-2022 |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (Health) | 03-11-2022 / 04-15-2022 |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (Health) | 03-11-2022 / 04-15-2022 |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Health) | 03-11-2022 / 04-15-2022 |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Health) | 03-11-2022 / 04-15-2022 |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. (Health) | 03-11-2022 / 04-15-2022 |
| Ensure medication error rates are not 5 percent or greater. (Health) | 03-11-2022 / 04-15-2022 |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Health) | 03-11-2022 / 04-15-2022 |
| Provide safe and appropriate respiratory care for a resident when needed. (Health) | 03-30-2022 / 04-15-2022 |
| Reasonably accommodate the needs and preferences of each resident. (Health) | 05-26-2022 / 06-11-2022 |
| Provide safe and appropriate respiratory care for a resident when needed. (Health) | 05-26-2022 / 06-11-2022 |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Health) | 05-26-2022 / 06-11-2022 |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. (Health) | 09-08-2022 / 10-08-2022 |
| Post nurse staffing information every day. (Health) | 09-08-2022 / 10-08-2022 |
| Hire a qualified full-time social worker in a facility with more than 120 beds. (Health) | 09-08-2022 / 10-08-2022 |
| Provide and implement an infection prevention and control program. (Health) | 09-08-2022 / 10-08-2022 |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Health) | 12-24-2022 / 01-11-2023 |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Health) | 12-24-2022 / 01-11-2023 |
| Provide care and assistance to perform activities of daily living for any resident who is unable. (Health) | 12-24-2022 / 01-11-2023 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Health) | 12-24-2022 / 01-11-2023 |
| Provide and implement an infection prevention and control program. (Health) | 01-13-2023 / 02-06-2023 |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Health) | 02-14-2023 / 02-23-2023 |
| Provide safe and appropriate respiratory care for a resident when needed. (Health) | 02-14-2023 / 03-05-2023 |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Health) | 02-14-2023 / 03-05-2023 |
Hospitals Near Patriot Rehabilitation and Wellness Center
Quite often skilled nursing facilities and hospitals work closely together to help patients recover or manage a terminal illness. Hospitals deals with acute care while nursing homes treat patients for a longer period of time. New residents at skilled nursing homes typically come from a hospital and nursing home residents may be readmitted to a hospital if their recovery does not proceed well. (Hospital readmission rates are closely monitored by CMS.) Consequently it is important that you consider which hospitals are near a nursing home which choosing one. Below is a list of hospitals near Patriot Rehabilitation and Wellness Center.
This information is based on the most recent Hospital data. Historical data is not available.
| Hospital | 5-Star Overall Rating |
|---|---|
|
MEMORIAL MEDICAL CENTER 2450 SOUTH TELSHOR BLVD LAS CRUCES, NM 88011 |
2 |
|
UNIVERSITY MEDICAL CENTER OF EL PASO 4815 ALAMEDA AVE EL PASO, TX 79905 |
2 |
|
LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC 1801 NORTH OREGON STREET EL PASO, TX 79902 |
2 |
|
SIERRA MEDICAL CENTER 1625 MEDICAL CENTER DR EL PASO, TX 79902 |
2 |
|
THE HOSPITALS OF PROVIDENCE - EAST CAMPUS 3280 JOE BATTLE BLVD EL PASO, TX 79938 |
2 |
|
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS 2001 N OREGON ST EL PASO, TX 79902 |
3 |
|
FOUNDATION SURGICAL HOSPITAL OF EL PASO 1416 GEORGE DIETER EL PASO, TX 79936 |
3 |
|
THE HOSPITALS OF PROVIDENCE TRANSMOUNTAIN CAMPUS 2000 TRANSMOUNTAIN RD EL PASO, TX 79911 |
3 |
|
BAYLOR SCOTT & WHITE MEDICAL CENTER- COLLEGE STATI 700 SCOTT & WHITE DRIVE COLLEGE STATION, TX 77845 |
4 |
|
William Beaumont AMG (FT Bliss) 5005 N. Piedras St. El Paso, TX 79920 |
Not Available |
|
EL PASO CHILDREN'S HOSPITAL 4845 ALAMEDA AVENUE EL PASO, TX 79905 |
Not Available |
|
EL PASO PSYCHIATRIC CENTER 4615 ALAMEDA AVENUE EL PASO, TX 79905 |
Not Available |
|
EL PASO BEHAVIORAL HEALTH SYSTEM 1900 DENVER AVE EL PASO, TX 79902 |
Not Available |
|
RIO VISTA BEHAVIORAL HEALTH 1390 NORTHWESTERN DR. EL PASO, TX 79912 |
Not Available |
|
THE HOSPITALS OF PROVIDENCE HORIZON CITY CAMPUS 13600 HORIZON STREET, SUITE 100 HORIZON CITY, TX 79928 |
Not Available |
Medical Professionals Associated with Patriot Rehabilitation and Wellness Center
These are the doctors who are affiliated with Patriot Rehabilitation and Wellness Center. The data is from the most recent period. Historical data is not available.
- JAIME SQUARE ( INTERNAL MEDICINE - WORKERS PAIN MANAGEMENT CENTER, PLLC )
- JOSE BURGOS ( INTERNAL MEDICINE - COGENT HEALTHCARE OF TEXAS PA )
- DOUGLAS ALORGBEY ( FAMILY PRACTICE - HOSPITALIST MEDICINE PHYSICIANS OF TEXAS PLLC )
- NAHID VANDSHEKARI ( FAMILY PRACTICE )
Detailed Analysis Pages:
Depending on the nursing home, this page can get really long. So, we have also broken up the data onto separate pages to allow you to find what you want more easily. We will keep adding to these pages as we continue to analyze the nursing home database.
CMS Five Star Ratings and Quality Measures for Patriot Rehabilitation and Wellness Center
Five different rating results plus detailed inspection numbers and quality measures for Patriot Rehabilitation and Wellness Center.
Covid Infections at Patriot Rehabilitation and Wellness Center
This report is updated weekly and shows new and historical infection levels.
Nursing Hours Analysis for Patriot Rehabilitation and Wellness Center
How long a nurse spends with a resident can be an important factor in their recovery. This page shows the average nursing hours spent per resident for RNs, LPNs, CNAs, PTs and all licensed staff.
Ownership Details for Patriot Rehabilitation and Wellness Center
A list of all of the registered owners for Patriot Rehabilitation and Wellness Center. This includes direct and indirect owners and managers.
Noted Deficiencies for Patriot Rehabilitation and Wellness Center
A list of all of the deficiencies for the facility. This includes a description, type of deficiency, incident date and when the facility reports that the incident was corrected.
Comparison Ranking of Nearby Skilled Nursing Facilities
How does Patriot Rehabilitation and Wellness Center compare to other skilled nursing facilities? This list shows the competitive set within a 25 mile radius.
Best Nursing Homes in EL PASO, TX
Homes that you should consider. A list ranking the best skilled nursing facilities in EL PASO based on their weighted inspection score as of May 01, 2023.
Worst Nursing Homes in EL PASO, TX
Homes that you avoid if possible. A list ranking the worst skilled nursing facilities in EL PASO based on their weighted inspection score as of May 01, 2023.
Other Data Periods:
Data on Patriot Rehabilitation and Wellness Center is available for the following periods:
