HILLCREST NURSING HOME

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.

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 California are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

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 02/18/2011.

Administration

1) Set Up a Group That is Legally Responsible for Writing and Setting Up Policies for Leading and Running the Nursing Home; or 2) Hire a Properly Licensed Administrator. Inspection Date: 02/20/2009 Correction Date: 04/21/2009
Choose a Doctor to Be the Medical Director. Inspection Date: 02/20/2009 Correction Date: 04/21/2009
Post Nurse Staffing Information. Inspection Date: 02/18/2011 Correction Date: 01/01/1900
1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides. Inspection Date: 02/18/2011 Correction Date: 01/01/1900
Keep Clinical Information Safe, So That It Will Not Be Lost, Destroyed or Used by the Wrong Person. Inspection Date: 02/18/2011 Correction Date: 01/01/1900
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 02/18/2011 Correction Date: 01/01/1900

Environmental

Have a Program to Keep Infection from Spreading. Inspection Date: 02/20/2009 Correction Date: 04/21/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 02/20/2009 Correction Date: 06/11/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 04/08/2010 Correction Date: 08/26/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 02/18/2011 Correction Date: 01/01/1900
Have a Program to Keep Infection from Spreading. Inspection Date: 02/18/2011 Correction Date: 01/01/1900
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 02/18/2011 Correction Date: 01/01/1900

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 02/20/2009 Correction Date: 06/11/2009
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: 04/08/2010 Correction Date: 08/26/2010
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 02/18/2011 Correction Date: 01/01/1900
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 02/18/2011 Correction Date: 01/01/1900

Nutrition and Dietary

Hire a Qualified Dietician. Inspection Date: 02/20/2009 Correction Date: 04/21/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 02/20/2009 Correction Date: 04/21/2009

Pharmacy Service

Make Sure That Residents Are Safe from Serious Medication Errors. Inspection Date: 02/20/2009 Correction Date: 04/21/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 02/20/2009 Correction Date: 04/21/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 02/18/2011 Correction Date: 01/01/1900
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 02/18/2011 Correction Date: 01/01/1900

Quality Care

Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 02/20/2009 Correction Date: 04/21/2009
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 02/18/2011 Correction Date: 01/01/1900
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 02/18/2011 Correction Date: 01/01/1900
Prevent a Loss in Range of Motion Among Residents Who Entered the Nursing Home with a Full Range of Motion. Inspection Date: 02/18/2011 Correction Date: 01/01/1900

Resident Assessment

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: 02/18/2011 Correction Date: 01/01/1900
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 02/18/2011 Correction Date: 01/01/1900

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 02/20/2009 Correction Date: 04/21/2009
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: 02/18/2011 Correction Date: 01/01/1900

The table below lists incident reports by the nursing staff or administration for HiLLCrest Nursing Home, as well as complaints by residents or their family in the previous three years.

Administration

Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident. Complaint Filed: 04/08/2010 Correction Date: 08/26/2010
1) Set Up a Group That is Legally Responsible for Writing and Setting Up Policies for Leading and Running the Nursing Home; or 2) Hire a Properly Licensed Administrator. Complaint Filed: 04/08/2010 Correction Date: 08/26/2010
Choose a Doctor to Be the Medical Director. Complaint Filed: 04/08/2010 Correction Date: 08/26/2010
Give or Get Lab Tests to Meet the Needs of Residents. Complaint Filed: 04/08/2010 Correction Date: 08/26/2010
Keep Accurate and Appropriate Medical Records. Complaint Filed: 04/08/2010 Correction Date: 08/26/2010
Set Up or Keep a Group of People to Review and Ensure Quality. Complaint Filed: 04/08/2010 Correction Date: 08/26/2010

Environmental

Keep Safe, Clean and Homelike Surroundings. Complaint Filed: 04/08/2010 Correction Date: 08/26/2010
Provide Needed Housekeeping and Maintenance. Complaint Filed: 04/08/2010 Correction Date: 08/26/2010
Have a Program to Keep Infection from Spreading. Complaint Filed: 04/08/2010 Correction Date: 08/26/2010
Keep All Essential Equipment Working Safely. Complaint Filed: 04/08/2010 Correction Date: 08/26/2010
Provide at Least One Room to Use As a Dining Room and for Activities, That is a Good Size, with Good Lighting, Airflow and Furniture. Complaint Filed: 04/08/2010 Correction Date: 08/26/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Complaint Filed: 04/08/2010 Correction Date: 08/26/2010

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. Complaint Filed: 04/08/2010 Correction Date: 08/26/2010
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Complaint Filed: 04/08/2010 Correction Date: 08/26/2010

Quality Care

Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Complaint Filed: 04/08/2010 Correction Date: 08/26/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 04/08/2010 Correction Date: 08/26/2010
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable. Complaint Filed: 04/08/2010 Correction Date: 08/26/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Complaint Filed: 04/08/2010 Correction Date: 08/26/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Complaint Filed: 04/08/2010 Correction Date: 08/26/2010

Resident Assessment

Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them. Complaint Filed: 04/08/2010 Correction Date: 08/26/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Complaint Filed: 04/08/2010 Correction Date: 08/26/2010
Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record. Complaint Filed: 04/08/2010 Correction Date: 08/26/2010

Resident Rights

Tell the Resident Completely About His or Her Health Status. Complaint Filed: 04/08/2010 Correction Date: 08/26/2010
Provide Enough Notice Before Discharging or Transferring a Resident. Complaint Filed: 04/08/2010 Correction Date: 08/26/2010
Tell the Resident or the Resident's Representative in Writing How Long the Nursing Home Will Hold the Resident's Bed when the Resident Temporarily Leaves the Facility. Complaint Filed: 04/08/2010 Correction Date: 08/26/2010
Provide Services to Meet the Needs and Preferences of Each Resident. Complaint Filed: 04/08/2010 Correction Date: 08/26/2010

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that HiLLCrest Nursing Home had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 02/22/2011.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 02/06/2009 Correction Date: 02/17/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 02/22/2011 Correction Date: 04/06/2011

Building Construction

Approved Construction Type or Materials. Inspection Date: 03/30/2010 Correction Date: 05/04/2010
Approved Construction Type or Materials. Inspection Date: 02/22/2011 Correction Date: 04/06/2011

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 02/06/2009 Correction Date: 02/17/2009
Properly Protected Cooking Facilities. Inspection Date: 03/30/2010 Correction Date: 05/04/2010
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 02/22/2011 Correction Date: 04/06/2011
Properly Protected Cooking Facilities. Inspection Date: 02/22/2011 Correction Date: 04/06/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 03/30/2010 Correction Date: 05/04/2010
Corridor and Hallway Doors That Block Smoke. Inspection Date: 02/22/2011 Correction Date: 04/06/2011

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 02/06/2009 Correction Date: 02/17/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 02/06/2009 Correction Date: 02/17/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 03/30/2010 Correction Date: 05/04/2010
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 02/22/2011 Correction Date: 04/06/2011
Properly Installed Electrical Wiring and Equipment. Inspection Date: 02/22/2011 Correction Date: 04/06/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 02/06/2009 Correction Date: 02/17/2009

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 03/30/2010 Correction Date: 05/04/2010

Fire Alarm Systems

Properly Maintained Smoke Detectors. Inspection Date: 02/22/2011 Correction Date: 04/06/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 02/06/2009 Correction Date: 02/17/2009

Illumination and Emergency Power

Properly Located and Lighted "Exit" Signs. Inspection Date: 02/22/2011 Correction Date: 04/06/2011

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 02/22/2011 Correction Date: 04/06/2011

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 02/22/2011 Correction Date: 04/06/2011