HEARTLAND LIVING & REHAB AT THE MOSES H. CONE MEMORIAL HOSPITAL

The information listed below provides an in-depth look into the type and quality of care offered at Heartland Living & Rehab at the Moses H. Cone Memorial Hospital. 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

HEARTLAND LIVING & REHAB AT THE MOSES H. CONE MEMORIAL HOSPITAL
1131 NORTH CHURCH STREET
GREENSBORO, NC 27401
(336) 358-5100

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: 94
  • Certified Beds: 106

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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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 Heartland Living & Rehab at the Moses H. Cone Memorial Hospital. 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: 2-101.3%
Total Percent:1.3%
 

High Rehabilitation Plus Extensive Services

Rehabilitation 325 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: 2-102.4%
Total Percent:2.4%
 

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: 11-160.7%
ADL Index Range: 6-103.6%
Total Percent:4.3%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-166.1%
ADL Index Range: 6-1032.1%
ADL Index Range: 0-53.0%
Total Percent:41.2%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-166.7%
ADL Index Range: 6-105.7%
ADL Index Range: 0-52.6%
Total Percent:15.0%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-165.7%
ADL Index Range: 6-103.4%
ADL Index Range: 0-51.3%
Total Percent:10.4%
 

Extensive Services

  • 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: 2-16
- Tracheostomy care or ventilator/respirator
0.08%
Total Percent:0.08%
 

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
3.8%
ADL Index Range: 6-10
- Signs of depression
1.0%
ADL Index Range: 6-10
- No Signs of depression
2.6%
Total Percent:7.4%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-14
- No Signs of depression
2.0%
ADL Index Range: 6-10
- No Signs of depression
2.8%
ADL Index Range: 2-5
- No Signs of depression
1.1%
Total Percent:5.8%
 

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: 11-14
- No Signs of depression
4.8%
ADL Index Range: 6-10
- No Signs of depression
2.3%
Total Percent:7.1%
 

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
0.9%
Total Percent:0.9%
 

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
1.7%
ADL Index Range: 6-10
- Less restorative nursing
2.4%
Total Percent:4.2%
 

Rating Details For Heartland Living & Rehab at the Moses H. Cone Memorial Hospital

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) Hours37 Minutes1 Hour and 16 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 4 Minutes45 Minutes
Certified Nursing Assistant (CNA) Hours3 Hours and 3 Minutes2 Hours and 31 Minutes
Total Licensed Nurse Hours1 Hour and 41 Minutes2 Hours and 1 Minutes
Total Nurse Hours4 Hours and 44 Minutes4 Hours and 32 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 North Carolina are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityNorth Carolina Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%92%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%92%

Long-Term Stay Deficiencies

Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores11%4%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased20%20%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse4%12%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores11%11%
Percent of Long-Stay Residents Who Are More Depressed or Anxious8%15%
Percent of Long-Stay Residents Who Lose Too Much Weight10%9%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain-3%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder4%4%
Percent of Long-Stay Residents Who Were Physically Restrained1%4%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder62%60%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair3%9%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection11%11%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%84%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%83%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain17%17%
Percent of Short-Stay Residents Who Have Pressure Sores14%11%
Percent of Short-Stay Residents Who Have Delirium1%2%

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 11/10/2010.

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

Environmental

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 11/10/2010
  • Correction Date: 12/10/2010

Resident Rights

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.
  • Inspection Date: 12/04/2009
  • Correction Date: 12/31/2009

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Heartland Living & Rehab at the Moses H. Cone Memorial Hospital, 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

Pharmacy Service

At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Complaint Filed: 04/23/2008
  • Correction Date: 05/20/2008

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 04/23/2008
  • Correction Date: 05/20/2008
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Complaint Filed: 12/04/2009
  • Correction Date: 12/31/2009

Resident Rights

Let Residents Give Themselves Their Drugs if They Are Able.
  • Complaint Filed: 04/23/2008
  • Correction Date: 05/20/2008

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 Heartland Living & Rehab at the Moses H. Cone Memorial Hospital 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 12/09/2010.

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

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 12/15/2009
  • Correction Date: 02/11/2010

Building Service Equipment

An Externally Vented Heating System.
  • Inspection Date: 12/09/2010
  • Correction Date: 01/23/2011

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 12/09/2010
  • Correction Date: 01/23/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 09/11/2008
  • Correction Date: 10/26/2008

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 09/11/2008
  • Correction Date: 10/26/2008
Exits That Are Accessible at All Times.
  • Inspection Date: 12/09/2010
  • Correction Date: 01/23/2011

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 12/15/2009
  • Correction Date: 02/11/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 12/09/2010
  • Correction Date: 01/23/2011

Illumination and Emergency Power

Proper Backup Exit Lighting.
  • Inspection Date: 12/15/2009
  • Correction Date: 02/11/2010
Properly Located and Lighted "Exit" Signs.
  • Inspection Date: 12/09/2010
  • Correction Date: 01/23/2011

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 12/09/2010
  • Correction Date: 01/23/2011

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 12/09/2010
  • Correction Date: 01/23/2011
Proper Construction of Ducts Through Walls Designed to Prevent Smoke Passage.
  • Inspection Date: 12/09/2010
  • Correction Date: 01/23/2011

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 09/11/2008
  • Correction Date: 10/26/2008

Vertical Openings

Exit Doors That Are Held Open by Devices That Will Automatically Close on the Activation of a Fire Alarm or Smoke Detectors.
  • Inspection Date: 12/09/2010
  • Correction Date: 01/23/2011
Source: Medicare Nursing Home Compare; Division of Health Service Regulation-Nursing Home Licensure and Certification - Retrieved 2011