HILLSIDE NURSING AND REHABILITATION LP
Address
101 S 34TH ST
GATESVILLE, TX 76528
(254) 865-8275
Nursing Home Ratings
| Health Inspections | |
| Quality Measures | |
| Nursing Staff | |
| R.N. Staff Only | |
| Overall Rating | |
Percent of Beds Occupied
43%Number of Residents and Certified Beds
- Residents: 51
- Certified Beds: 120
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By For Profit - Partnership
- Offers Only Resident Counseling
- This Facility is Part of a Chain or Franchise
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 Hillside Nursing and Rehabilitation Lp. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.
| Resident Services | Resident Conditions | Percent of Service Days |
Ultra-High Rehabilitation
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
| ADL Index Range: 6-10 | 4.9% |
| ADL Index Range: 0-5 | 20.9% |
| Total Percent: | 25.8% |
Very High Rehabilitation
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 4.9% |
| ADL Index Range: 6-10 | 27.4% |
| ADL Index Range: 0-5 | 14.8% |
| Total Percent: | 47.1% |
High Rehabilitation
- At least one rehabilitation discipline five days/week
| ADL Index Range: 6-10 | 8.6% |
| ADL Index Range: 0-5 | 9.2% |
| Total Percent: | 17.8% |
Medium Rehabilitation
- Five days any combination of three rehabilitation disciplines
| ADL Index Range: 11-16 | 2.8% |
| ADL Index Range: 6-10 | 5.8% |
| Total Percent: | 8.6% |
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 - Isolation for active infectious disease | 0.6% |
| Total Percent: | 0.6% |
Rating Details For Hillside Nursing and Rehabilitation Lp
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 Day | Reported | Expected |
| Registered Nurse (RN) Hours | 35 Minutes | 1 Hour and 4 Minutes |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 30 Minutes | 39 Minutes |
| Certified Nursing Assistant (CNA) Hours | 2 Hours and 7 Minutes | 2 Hours and 13 Minutes |
| Total Licensed Nurse Hours | 1 Hour and 5 Minutes | 1 Hour and 42 Minutes |
| Total Nurse Hours | 3 Hours and 12 Minutes | 3 Hours and 56 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 Texas are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.
| This Facility | Texas Average |
Long-Term Stay Preventive Actions
| Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 67% | 88% |
| Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 91% |
Long-Term Stay Deficiencies
| Percent of Long-Stay Residents Who Are More Depressed or Anxious | 33% | 13% |
| Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 33% | 18% |
| Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | 2% | 3% |
| Percent of Long-Stay Residents Who Lose Too Much Weight | 8% | 6% |
| Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 18% | 12% |
| Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 4% | 5% |
| Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | - | 6% |
| Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 22% | 12% |
| Percent of Long-Stay Residents Who Were Physically Restrained | 4% | 4% |
| Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 57% | 46% |
| Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 11% | 9% |
| Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 6% | 4% |
Short-Term Stay Preventive Actions
| Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 69% | 79% |
| Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 88% | 84% |
Short-Term Stay Deficiencies
| Percent of Short-Stay Residents Who Have Delirium | 7% | 3% |
| Percent of Short-Stay Residents Who Have Pressure Sores | 20% | 11% |
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 14% | 16% |
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 12/29/2010.
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 Inspectors | Degree of Harm | Residents Affected |
Administration
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
|  |  |
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
| |  |
Environmental
Keep Safe, Clean and Homelike Surroundings.
| | |
Provide Needed Housekeeping and Maintenance.
| | |
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
| | |
Have Enough Backup Water Supply for Important Areas of the Nursing Home.
| |  |
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests.
| | |
Provide Needed Housekeeping and Maintenance.
|  | |
Provide Needed Housekeeping and Maintenance.
| | |
Mistreatment
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
| | |
Nutrition and Dietary
Provide Food in a Way That Meets a Resident's Needs.
| | |
Store, Cook, and Give out Food in a Safe and Clean Way.
| | |
Store, Cook, and Give out Food in a Safe and Clean Way.
| | |
Store, Cook, and Give out Food in a Safe and Clean Way.
| | |
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.
| | |
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
| | |
Quality Care
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
|  | |
Develop/Implement Required Procedures for the Administration of Immunizations.
| | |
Resident Rights
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey.
| | |
Let Residents Give Themselves Their Drugs if They Are Able.
| | |
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
| | |
Provide Services to Meet the Needs and Preferences of Each Resident.
| | |
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 Taken | Date | Amount |
| Civil Money Penalty (CMP) | 12/29/2010 | $780 |
Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for Hillside Nursing and Rehabilitation Lp, 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 Complaints | Degree of Harm | Residents Affected |
Pharmacy Service
Properly Mark Drugs and Other Similar Products.
| | |
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 Hillside Nursing and Rehabilitation Lp 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 12/29/2010.
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 Inspectors | Degree of Harm | Residents Affected |
Automatic Sprinkler Systems
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
| | |
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
| | |
Building Service Equipment
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
| | |
Corridor Walls and Doors
Corridor and Hallway Doors That Block Smoke.
| | |
Corridor and Hallway Doors That Block Smoke.
| | |
Exits and Egress
Exits That Are Accessible at All Times.
| | |
Exits That Are Accessible at All Times.
| | |
Exits That Are Accessible at All Times.
| | |
Furnishings and Decorations
Restrictions on the Use of Highly Flammable Materials.
| | |
Exits That Are Free from Obstructions and Can Be Used at All Times.
| | |
Hazardous Area
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
| | |
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
| | |
Illumination and Emergency Power
Emergency Lighting That Can Last at Least 1 1/2 Hours.
| | |
Miscellaneous
Fire Safety Features Required by Current Fire Safety Codes.
| | |
Smoke Compartmentation and Control
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
| | |
Proper Construction of Ducts Through Walls Designed to Prevent Smoke Passage.
| | |
Proper Construction of Ducts Through Walls Designed to Prevent Smoke Passage.
| | |
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
| | |
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
| | |
Proper Construction of Ducts Through Walls Designed to Prevent Smoke Passage.
| | |
