UNIVERSITY HILLS HEALTH AND REHABILITATION

The information listed below provides an in-depth look into the type and quality of care offered at University Hills Health and Rehabilitation. 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

UNIVERSITY HILLS HEALTH AND REHABILITATION
10040 HILLVIEW ROAD
PENSACOLA, FL 32514
(850) 474-0570

Nursing Home Ratings

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

Percent of Beds Occupied

89%

Number of Residents and Certified Beds

  • Residents: 107
  • Certified Beds: 120

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Both Resident and Family Counseling Services
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Milton | Gulf Breeze | Century

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 "Ultra-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 University Hills Health and Rehabilitation. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

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: 11-160.2%
Total Percent:0.2%
 

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: 11-1615.9%
ADL Index Range: 6-1015.3%
ADL Index Range: 0-538.0%
Total Percent:69.2%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-106.6%
ADL Index Range: 0-52.3%
Total Percent:8.8%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-163.8%
ADL Index Range: 6-102.3%
ADL Index Range: 0-55.2%
Total Percent:11.3%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 0-50.9%
Total Percent:0.9%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-14
- No Signs of depression
4.7%
Total Percent:4.7%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 2-5
- No Signs of depression
1.0%
ADL Index Range: 0-1
- No Signs of depression
0.5%
Total Percent:1.6%
 

Behavioral Symptoms and Cognitive Performance

  • Cognitive impairment BIMS score less than or equal to 9
  • CPS great than or equal to 3
  • Hallucinations or delusions
  • Physical or verbal behavioral symptoms toward others
  • Other behavioral symptoms
  • Rejection of care or wandering
  • Activities of Daily Living (ADL) score of 5 or less
ADL Index Range: 2-5
- Less restorative nursing
1.2%
Total Percent:1.2%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 11-14
- Less restorative nursing
2.3%
Total Percent:2.3%
 

Rating Details For University Hills Health and Rehabilitation

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 DayReportedExpected
Registered Nurse (RN) Hours18 Minutes1 Hour and 7 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours37 Minutes41 Minutes
Certified Nursing Assistant (CNA) Hours1 Hour and 44 Minutes2 Hours and 16 Minutes
Total Licensed Nurse Hours55 Minutes1 Hour and 48 Minutes
Total Nurse Hours2 Hours and 39 Minutes4 Hours and 4 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 Florida are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityFlorida Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season80%87%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination81%86%

Long-Term Stay Deficiencies

Percent of High-Risk Long-Stay Residents Who Have Pressure Sores21%12%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection7%11%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair14%5%
Percent of Long-Stay Residents Who Lose Too Much Weight3%8%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder6%5%
Percent of Long-Stay Residents Who Are More Depressed or Anxious8%10%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores3%3%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse3%9%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder48%54%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain2%3%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased11%12%
Percent of Long-Stay Residents Who Were Physically Restrained-5%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination54%81%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season62%80%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium1%2%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain18%17%
Percent of Short-Stay Residents Who Have Pressure Sores15%14%

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 10/02/2010.

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 InspectorsDegree of HarmResidents Affected

Administration

Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident.
  • Inspection Date: 07/19/2008
  • Correction Date: 09/04/2008
Follow All Laws and Professional Standards.
  • Inspection Date: 07/19/2008
  • Correction Date: 09/04/2008
Set Up or Keep a Group of People to Review and Ensure Quality.
  • Inspection Date: 07/19/2008
  • Correction Date: 09/04/2008

Environmental

Keep Safe, Clean and Homelike Surroundings.
  • Inspection Date: 07/19/2008
  • Correction Date: 09/04/2008
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 07/19/2008
  • Correction Date: 09/04/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 07/19/2008
  • Correction Date: 09/04/2008
Get Rid of Garbage Properly.
  • Inspection Date: 07/19/2008
  • Correction Date: 09/04/2008
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 07/19/2008
  • Correction Date: 09/04/2008
Provide Bedrooms That Don't Allow Residents to See Each Other when Privacy is Needed.
  • Inspection Date: 07/19/2008
  • Correction Date: 09/04/2008
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area.
  • Inspection Date: 07/19/2008
  • Correction Date: 09/04/2008
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests.
  • Inspection Date: 07/19/2008
  • Correction Date: 09/04/2008
Keep Safe, Clean and Homelike Surroundings.
  • Inspection Date: 10/02/2010
  • Correction Date: 11/02/2010
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 10/02/2010
  • Correction Date: 12/20/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 10/02/2010
  • Correction Date: 11/02/2010
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area.
  • Inspection Date: 10/02/2010
  • Correction Date: 11/02/2010

Mistreatment

Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others.
  • Inspection Date: 07/19/2008
  • Correction Date: 09/04/2008
Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property.
  • Inspection Date: 07/19/2008
  • Correction Date: 09/04/2008
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 10/02/2010
  • Correction Date: 11/02/2010

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 07/19/2008
  • Correction Date: 09/04/2008
Offer Other Nutritional Food to Each Resident Who Will Not Eat the Food Served.
  • Inspection Date: 07/19/2008
  • Correction Date: 09/04/2008
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 07/19/2008
  • Correction Date: 09/04/2008
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 10/02/2010
  • Correction Date: 12/20/2010

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.
  • Inspection Date: 07/19/2008
  • Correction Date: 09/04/2008
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 07/19/2008
  • Correction Date: 09/04/2008
Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 07/19/2008
  • Correction Date: 09/04/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 07/19/2008
  • Correction Date: 09/04/2008
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 07/19/2008
  • Correction Date: 09/04/2008
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: 08/13/2009
  • Correction Date: 10/02/2009
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 08/13/2009
  • Correction Date: 10/02/2009
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: 10/02/2010
  • Correction Date: 11/02/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 07/19/2008
  • Correction Date: 09/04/2008
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 07/19/2008
  • Correction Date: 09/04/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 07/19/2008
  • Correction Date: 09/04/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 07/19/2008
  • Correction Date: 09/04/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 07/19/2008
  • Correction Date: 09/04/2008
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 07/19/2008
  • Correction Date: 09/04/2008
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 07/19/2008
  • Correction Date: 09/04/2008
Give or Get Dental Care for Each Resident.
  • Inspection Date: 08/13/2009
  • Correction Date: 10/02/2009
Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 10/02/2010
  • Correction Date: 11/02/2010
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 10/02/2010
  • Correction Date: 11/02/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 10/02/2010
  • Correction Date: 11/02/2010
Give or Get Special Rehabilitation if in the Patient's Plan of Care.
  • Inspection Date: 10/02/2010
  • Correction Date: 11/02/2010

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.
  • Inspection Date: 07/19/2008
  • Correction Date: 09/04/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 07/19/2008
  • Correction Date: 09/04/2008
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: 07/19/2008
  • Correction Date: 09/04/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 08/13/2009
  • Correction Date: 10/02/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 10/02/2010
  • Correction Date: 11/02/2010

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: 07/19/2008
  • Correction Date: 09/04/2008
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home.
  • Inspection Date: 07/19/2008
  • Correction Date: 09/04/2008
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 07/19/2008
  • Correction Date: 09/04/2008
Let Residents Give Themselves Their Drugs if They Are Able.
  • Inspection Date: 07/19/2008
  • Correction Date: 09/04/2008
Protect the Resident from a Transfer or Discharge That is Not Wanted or Needed.
  • Inspection Date: 07/19/2008
  • Correction Date: 09/04/2008
Provide Care for Each Resident in a Way That Keeps or Builds the Resident's Quality of Life.
  • Inspection Date: 07/19/2008
  • Correction Date: 09/04/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 07/19/2008
  • Correction Date: 09/04/2008
Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care.
  • Inspection Date: 07/19/2008
  • Correction Date: 09/04/2008
Give Enough Notice to the Resident Before Changing the Resident's Room or Roommate.
  • Inspection Date: 07/19/2008
  • Correction Date: 09/04/2008
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 08/13/2009
  • Correction Date: 10/02/2009
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: 10/02/2010
  • Correction Date: 11/02/2010

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 TakenDateAmount
Civil Money Penalty (CMP)10/02/2010$2,600

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for University Hills Health and Rehabilitation, 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 ComplaintsDegree of HarmResidents Affected

Administration

Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 06/25/2008
  • Correction Date: 09/04/2008

Mistreatment

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.
  • Complaint Filed: 11/12/2008
  • Correction Date: 12/23/2008

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 11/12/2008
  • Correction Date: 12/23/2008

Resident Rights

Provide Services to Meet the Needs and Preferences of Each Resident.
  • Complaint Filed: 06/25/2008
  • Correction Date: 09/04/2008
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Complaint Filed: 11/12/2008
  • Correction Date: 12/23/2008
Write and Use a Policy That Lets Each Resident Return to the Nursing Home After a Hospital Stay or Leave for Therapy.
  • Complaint Filed: 11/12/2008
  • Correction Date: 12/23/2008

Fire Safety

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 University Hills Health and Rehabilitation 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 09/30/2010.

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 InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 07/14/2008
  • Correction Date: 09/04/2008
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 08/10/2009
  • Correction Date: 09/22/2009

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 08/10/2009
  • Correction Date: 09/22/2009

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 09/30/2010
  • Correction Date: 11/03/2010

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 08/10/2009
  • Correction Date: 09/22/2009
Properly Maintained Smoke Detectors.
  • Inspection Date: 08/10/2009
  • Correction Date: 09/22/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 09/30/2010
  • Correction Date: 11/03/2010
Source: Medicare Nursing Home Compare; Agency for Health Care Administration of Florida - Retrieved 2011