COLLEGE HILL NURSING & REHAB CENTER

The information listed below provides an in-depth look into the type and quality of care offered at College Hill Nursing & Rehab 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

COLLEGE HILL NURSING & REHAB CENTER
5005 E 21ST ST N
WICHITA, KS 67208
(316) 685-9291

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: 66
Certified Beds: 96

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:

Bel Aire | Andover | Haysville

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 "Very 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 College Hill Nursing & Rehab 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 Plus Extensive Services

Rehabilitation 720 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week
A second rehabilitation discipline three days/week
Tracheostomy care
Ventilator or respirator
Isolation for active infectious disease while a resident
Activities of Daily Living (ADL) score of 2 or more

ADL Index Range: 11-16	4.1%
Total Percent:	4.1%

Very High Rehabilitation Plus Extensive Services

Rehabilitation 500 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week
Tracheostomy care
Ventilator or respirator
Isolation for active infectious disease while a resident
Activities of Daily Living (ADL) score of 2 or more

ADL Index Range: 11-16	5.9%
Total Percent:	5.9%

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: 6-10	16.3%
ADL Index Range: 0-5	7.0%
Total Percent:	23.3%

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 11-16	3.6%
ADL Index Range: 6-10	6.8%
ADL Index Range: 0-5	40.5%
Total Percent:	50.9%

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 6-10	4.1%
ADL Index Range: 0-5	3.2%
Total Percent:	7.2%

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum

Five days any combination of three rehabilitation disciplines

ADL Index Range: 6-10	3.4%
ADL Index Range: 0-5	5.2%
Total Percent:	8.6%

Rating Details For College Hill Nursing & Rehab 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	19 Minutes	1 Hour and 2 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours	58 Minutes	38 Minutes
Certified Nursing Assistant (CNA) Hours	2 Hours and 40 Minutes	2 Hours and 11 Minutes
Total Licensed Nurse Hours	1 Hour and 17 Minutes	1 Hour and 40 Minutes
Total Nurse Hours	3 Hours and 58 Minutes	3 Hours and 51 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 Kansas are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This Facility

Kansas Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season	90%	93%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	85%	91%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Lose Too Much Weight	4%	8%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse	5%	11%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain	3%	4%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased	13%	14%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	5%	6%
Percent of Long-Stay Residents Who Were Physically Restrained	-	3%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder	51%	44%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores	4%	4%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair	1%	3%
Percent of Long-Stay Residents Who Are More Depressed or Anxious	20%	17%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection	8%	10%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores	7%	10%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	67%	82%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season	73%	86%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain	12%	20%
Percent of Short-Stay Residents Who Have Pressure Sores	5%	10%
Percent of Short-Stay Residents Who Have Delirium	4%	4%

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 02/22/2011.

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

Administration

Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident. Inspection Date: 02/22/2011 Correction Date: 03/24/2011
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 02/22/2011 Correction Date: 03/24/2011

Environmental

Keep Safe, Clean and Homelike Surroundings. Inspection Date: 11/13/2008 Correction Date: 12/13/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 11/13/2008 Correction Date: 12/13/2008
Keep Sound Levels Comfortable. Inspection Date: 11/13/2008 Correction Date: 12/13/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 11/13/2008 Correction Date: 12/13/2008
Have a Program to Keep Infection from Spreading. Inspection Date: 11/13/2008 Correction Date: 12/13/2008
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area. Inspection Date: 11/13/2008 Correction Date: 12/13/2008
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 01/05/2010 Correction Date: 02/02/2010
Provide Needed Housekeeping and Maintenance. Inspection Date: 02/22/2011 Correction Date: 03/24/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 02/22/2011 Correction Date: 03/24/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 02/22/2011 Correction Date: 03/24/2011

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 01/05/2010 Correction Date: 02/02/2010
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents. Inspection Date: 02/22/2011 Correction Date: 03/24/2011

Nutrition and Dietary

Hire Enough Skilled Workers to Carry out Dietary Service. Inspection Date: 11/13/2008 Correction Date: 12/13/2008
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 02/22/2011 Correction Date: 03/24/2011
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 02/22/2011 Correction Date: 03/24/2011

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects. Inspection Date: 11/13/2008 Correction Date: 12/13/2008
Properly Mark Drugs and Other Similar Products. Inspection Date: 11/13/2008 Correction Date: 12/13/2008
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects. Inspection Date: 02/22/2011 Correction Date: 03/24/2011
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 02/22/2011 Correction Date: 03/24/2011
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 02/22/2011 Correction Date: 03/24/2011
Properly Mark Drugs and Other Similar Products. Inspection Date: 02/22/2011 Correction Date: 03/24/2011

Quality Care

Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 11/13/2008 Correction Date: 12/13/2008
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration. Inspection Date: 11/13/2008 Correction Date: 12/13/2008
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 11/13/2008 Correction Date: 12/13/2008
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 02/22/2011 Correction Date: 03/24/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 02/22/2011 Correction Date: 03/24/2011
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable. Inspection Date: 02/22/2011 Correction Date: 03/24/2011
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 02/22/2011 Correction Date: 03/24/2011
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 02/22/2011 Correction Date: 03/24/2011
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration. Inspection Date: 02/22/2011 Correction Date: 03/24/2011

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 11/13/2008 Correction Date: 12/13/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 11/13/2008 Correction Date: 12/13/2008
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: 11/13/2008 Correction Date: 12/13/2008
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 02/22/2011 Correction Date: 03/24/2011
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 02/22/2011 Correction Date: 03/24/2011

Resident Rights

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: 11/13/2008 Correction Date: 12/13/2008
Listen to the Resident or Family Groups or Act on Their Complaints or Suggestions. Inspection Date: 11/13/2008 Correction Date: 12/13/2008
Give Enough Notice to the Resident Before Changing the Resident's Room or Roommate. Inspection Date: 11/13/2008 Correction Date: 12/13/2008
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: 01/05/2010 Correction Date: 02/02/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 02/22/2011 Correction Date: 03/24/2011
Listen to the Resident or Family Groups or Act on Their Complaints or Suggestions. Inspection Date: 02/22/2011 Correction Date: 03/24/2011
Give Enough Notice to the Resident Before Changing the Resident's Room or Roommate. Inspection Date: 02/22/2011 Correction Date: 03/24/2011

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)	04/14/2010	$5,000

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for College Hill Nursing & Rehab 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