HERITAGE HILLS LIVING & REHABILITATION CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Heritage Hills Living & Rehabilitation Center. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

HERITAGE HILLS LIVING & REHABILITATION CENTER
411 NORTH WEST STREET
MCALESTER, OK 74502
(918) 423-2920

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only

Overall Rating

Percent of Beds Occupied

69%

Number of Residents and Certified Beds

Residents: 56
Certified Beds: 81

This Facility Accepts

Medicare
Medicaid

Operational Details

Operated By For Profit - Corporation
Offers Only Resident Counseling
This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Wilburton | Quinton | Weleetka

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Heritage Hills Living & Rehabilitation Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident Services

Resident Conditions

Percent of Service Days

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week
A second rehabilitation discipline three days/week

ADL Index Range: 11-16	21.2%
Total Percent:	21.2%

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 11-16	11.7%
ADL Index Range: 6-10	18.2%
Total Percent:	29.9%

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 11-16	35.8%
ADL Index Range: 0-5	13.1%
Total Percent:	48.9%

Rating Details For Heritage Hills Living & Rehabilitation Center

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per Day	Reported	Expected
Registered Nurse (RN) Hours	24 Minutes	57 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours	28 Minutes	37 Minutes
Certified Nursing Assistant (CNA) Hours	1 Hour and 17 Minutes	2 Hours and 12 Minutes
Total Licensed Nurse Hours	51 Minutes	1 Hour and 34 Minutes
Total Nurse Hours	2 Hours and 9 Minutes	3 Hours and 46 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Oklahoma are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This Facility

Oklahoma Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	90%	90%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season	90-100%	94%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Were Physically Restrained	-	4%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores	4%	13%
Percent of Long-Stay Residents Who Lose Too Much Weight	6%	8%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair	4%	6%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	5%	6%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection	6%	10%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain	-	6%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores	-	3%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased	10%	11%
Percent of Long-Stay Residents Who Are More Depressed or Anxious	4%	9%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse	8%	8%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder	17%	40%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season	87%	89%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	82%	85%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium	-	3%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain	10%	23%
Percent of Short-Stay Residents Who Have Pressure Sores	15%	13%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 11/18/2010.

Degree of Harm

- Potential for Minimal Harm
- Minimal Harm or Potential for Harm
- Resident Harmed
- Immediate Jeopardy to Resident Health

Residents Affected

- Isolated
- Some Residents
- Many Residents

Deficiencies Found By Inspectors

Degree of Harm

Residents Affected

Environmental

Get Rid of Garbage Properly. Inspection Date: 09/22/2009 Correction Date: 10/12/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 09/22/2009 Correction Date: 10/16/2009
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area. Inspection Date: 09/22/2009 Correction Date: 09/23/2009
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area. Inspection Date: 11/18/2010 Correction Date: 12/28/2010

Nutrition and Dietary

Make Sure That Residents Are Well Nourished. Inspection Date: 08/01/2008 Correction Date: 08/22/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 08/01/2008 Correction Date: 08/27/2008
Make Sure That Residents Are Well Nourished. Inspection Date: 11/18/2010 Correction Date: 12/28/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 11/18/2010 Correction Date: 12/28/2010

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 09/22/2009 Correction Date: 10/09/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 11/18/2010 Correction Date: 12/28/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 09/22/2009 Correction Date: 10/16/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 09/22/2009 Correction Date: 10/08/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 09/22/2009 Correction Date: 10/16/2009
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 11/18/2010 Correction Date: 12/28/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 11/18/2010 Correction Date: 12/28/2010

Resident Assessment

1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan. Inspection Date: 08/01/2008 Correction Date: 08/08/2008
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan. Inspection Date: 09/22/2009 Correction Date: 10/07/2009
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them. Inspection Date: 11/18/2010 Correction Date: 12/28/2010

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 08/01/2008 Correction Date: 08/08/2008
Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help. Inspection Date: 11/18/2010 Correction Date: 12/08/2010

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action Taken	Date	Amount
Civil Money Penalty (CMP)	02/23/2010	$3,250
Civil Money Penalty (CMP)	08/11/2010	$3,640
Civil Money Penalty (CMP)	08/11/2010	$36,654
Denial of Payment for New Admission (DPNA)	11/18/2010	-

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Heritage Hills Living & Rehabilitation Center, as well as complaints by residents or their family in the previous three years.

Degree of Harm

- Potential for Minimal Harm
- Minimal Harm or Potential for Harm
- Resident Harmed
- Immediate Jeopardy to Resident Health

Residents Affected

- Isolated
- Some Residents
- Many Residents

Formal Complaints

Degree of Harm

Residents Affected

Administration

Keep Accurate and Appropriate Medical Records. Complaint Filed: 03/12/2010 Correction Date: 04/19/2010
Give or Get Lab Tests to Meet the Needs of Residents. Complaint Filed: 11/18/2010 Correction Date: 04/13/2011