Search for Skilled Nursing by ZIP Code:  :

Monarch Pavilion Rehabilitation Suites

  1. Skilled Nursing Home Facilities
  2. Texas
  3. Dallas Skilled Nursing Home Facilities
Full Name

Phone Number

Email Address

City of interest
We value your privacy. By submitting this form, you agree to the terms and conditions of our privacy policy and our Agreement to be Contacted by Telephone. You also consent that we can reach out to you using automated calling technology.

Photos

About Monarch Pavilion Rehabilitation Suites

General Information

Legal Business NameDallas County Hospital District
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsYes
First Accepted MedicareSeptember 13, 2011 (7 years)
Capacity150
Residents67
Percent Occupied45%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Monarch Pavilion Rehabilitation Suites

Monarch Pavilion Rehabilitation Suites was reviewed by Medicare to have a rating of 2 out of 5 stars.

About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Texas Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Note that this facility has changed ownership within the past 12 months.

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

September 27, 2017 - 12 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
FManyPotential for HarmHealth InspectionMake sure that nurse aides show they have the skills and techniques to be able to care for residents' needs.
ESomePotential for HarmComplaint+InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmComplaint+InspectionListen to the resident groups and act on their complaints and suggestions that affect resident care and life.
ESomePotential for HarmHealth InspectionCoordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients.

September 19, 2017 - 12 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmComplaintMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
ESomePotential for HarmComplaintKeep clinical record information safe.

October 5, 2016 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaint+InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

October 30, 2015 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Payment DenialPayment denial for 62 days
---Fine$34,450 fine
---Fine$2,275 fine
HSomeActual HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
ESomePotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionProvide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay.
ESomePotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmHealth InspectionReasonably accommodate the needs and preferences of each resident.
DFewPotential for HarmHealth InspectionMake sure that nurse aides show they have the skills and techniques to be able to care for residents' needs.
DFewPotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Monarch Pavilion Rehabilitation Suites require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

1hr 35min
2hr 25min
ReportedExpected
CNA
55min
45min
ReportedExpected
LPN
25min
1hr 15min
ReportedExpected
RN
3hr
4hr 25min
ReportedExpected
Total Nursing

This facility also provides approximately 35min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

27.9%
39.4%
39.4%
39.4%
93.1%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
50.0%
50.8%
59.3%
74.5%
92.0%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
34.8%
35.7%
25.0%
40.0%
49.5%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of low risk long-stay residents who lose control of their bowels or bladder
6.1%
13.7%
23.3%
31.2%
25.9%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of long-stay residents who received an antianxiety or hypnotic medication
-
-
-
27.0%
20.7%
Q4 2016Q1 2017Q2 2017Q3 2017TX
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents whose ability to move independently worsened
9.6%
10.7%
9.8%
9.4%
16.8%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of long-stay residents who received an antipsychotic medication
-
18.2%
21.6%
17.0%
18.7%
Q4 2016Q1 2017Q2 2017Q3 2017TX
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents whose need for help with daily activities has increased
0.0%
1.7%
11.3%
5.5%
5.8%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of long-stay residents who lose too much weight
13.5%
17.5%
16.7%
5.4%
6.2%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of high risk long-stay residents with pressure ulcers
0.0%
1.9%
9.4%
7.3%
4.8%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of long-stay residents who self-report moderate to severe pain
0.0%
0.0%
0.0%
4.1%
3.8%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of long-stay residents who have depressive symptoms
3.6%
1.7%
3.8%
1.8%
3.4%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of long-stay residents with a urinary tract infection
1.8%
1.7%
1.9%
1.8%
3.5%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of long-stay residents experiencing one or more falls with major injury
3.6%
3.0%
1.0%
0.0%
1.9%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
0.2%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

1.4%
21.1%
45.2%
46.8%
78.7%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
20.8%
21.4%
21.4%
21.4%
75.4%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
-
-
-
27.9%
60.0%
Q4 2016Q1 2017Q2 2017Q3 2017TX
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who made improvements in function
0.0%
-
36.4%
16.7%
11.5%
Q4 2016Q1 2017Q2 2017Q3 2017TX
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who self-report moderate to severe pain
0.0%
0.0%
0.0%
6.1%
2.7%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of short-stay residents who newly received an antipsychotic medication
1.6%
4.3%
3.3%
0.0%
0.8%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of short-stay residents with pressure ulcers that are new or worsened