GOLDEN LIVINGCENTER - HILLCREST

The information listed below provides an in-depth look into the type and quality of care offered at Golden Livingcenter - HiLLCrest. 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

GOLDEN LIVINGCENTER - HILLCREST
3672 NORTH FIRST STREET
FRESNO, CA 93726
(559) 227-5383

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: 58
  • Certified Beds: 65

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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Nearby Cities:

Clovis | Fowler | Sanger

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 Golden Livingcenter - HiLLCrest. 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

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: 11-1637.1%
ADL Index Range: 6-1025.9%
ADL Index Range: 0-527.0%
Total Percent:90.0%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 0-50.5%
Total Percent:0.5%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-160.5%
Total Percent:0.5%
 

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: 15-16
- No Signs of depression
3.2%
ADL Index Range: 11-14
- No Signs of depression
0.2%
ADL Index Range: 6-10
- No Signs of depression
4.5%
Total Percent:7.9%
 

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: 2-5
- Less restorative nursing
1.1%
Total Percent:1.1%
 

Rating Details For Golden Livingcenter - HiLLCrest

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) Hours56 Minutes60 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours13 Minutes35 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 27 Minutes2 Hours and 27 Minutes
Total Licensed Nurse Hours1 Hour and 9 Minutes1 Hour and 35 Minutes
Total Nurse Hours3 Hours and 36 Minutes4 Hours and 2 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 California are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityCalifornia Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%86%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%87%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder1%5%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder52%58%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased8%11%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection6%8%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse5%10%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair-8%
Percent of Long-Stay Residents Who Are More Depressed or Anxious5%9%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores5%12%
Percent of Long-Stay Residents Who Lose Too Much Weight1%7%
Percent of Long-Stay Residents Who Were Physically Restrained-7%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain-4%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90%81%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season80%83%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium-2%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain2%23%
Percent of Short-Stay Residents Who Have Pressure Sores5%17%

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 03/21/2011.

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 InspectorsDegree of HarmResidents Affected

Administration

Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 03/21/2011
  • Correction Date: 04/19/2011

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 03/13/2009
  • Correction Date: 05/12/2009
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area.
  • Inspection Date: 03/13/2009
  • Correction Date: 05/12/2009
Keep Safe, Clean and Homelike Surroundings.
  • Inspection Date: 03/30/2010
  • Correction Date: 05/11/2010
Keep All Essential Equipment Working Safely.
  • Inspection Date: 03/21/2011
  • Correction Date: 04/19/2011
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 03/21/2011
  • Correction Date: 04/19/2011
Put Firmly Secured Handrails on Each Side of Hallways.
  • Inspection Date: 03/21/2011
  • Correction Date: 04/19/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 03/13/2009
  • Correction Date: 05/12/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 03/21/2011
  • Correction Date: 04/19/2011

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 03/21/2011
  • Correction Date: 04/19/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 03/21/2011
  • Correction Date: 04/19/2011

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 03/13/2009
  • Correction Date: 05/12/2009

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 Golden Livingcenter - HiLLCrest 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 03/22/2011.

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 InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 03/25/2009
  • Correction Date: 05/06/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 04/13/2010
  • Correction Date: 05/04/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 03/22/2011
  • Correction Date: 04/11/2011

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 03/25/2009
  • Correction Date: 05/06/2009
Approved Construction Type or Materials.
  • Inspection Date: 04/13/2010
  • Correction Date: 05/04/2010
Approved Construction Type or Materials.
  • Inspection Date: 03/22/2011
  • Correction Date: 04/11/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 03/25/2009
  • Correction Date: 05/06/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 04/13/2010
  • Correction Date: 05/04/2010

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 03/25/2009
  • Correction Date: 05/06/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 03/25/2009
  • Correction Date: 05/06/2009
Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 03/22/2011
  • Correction Date: 04/11/2011

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 03/25/2009
  • Correction Date: 05/06/2009

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 03/25/2009
  • Correction Date: 05/06/2009
Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 03/22/2011
  • Correction Date: 04/11/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 04/13/2010
  • Correction Date: 05/04/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 03/22/2011
  • Correction Date: 04/11/2011
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 03/22/2011
  • Correction Date: 04/11/2011
Source: Medicare Nursing Home Compare; Department of Health Services of California - Licensing and Certification Program - Retrieved 2011