UNIVERSITY HILLS HEALTH AND REHABILITATION

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.

Very High Rehabilitation Plus Extensive Services

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Special Care High

Clinically Complex

Behavioral Symptoms and Cognitive Performance

Reduced Physical Function

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 Florida 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

Short-Term Stay Preventive Actions

Short-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 10/02/2010.

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

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.

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.

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

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.

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