CARMEL HILLS HEALTHCARE AND REHABILITATION CENTER

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 Carmel Hills Healthcare and Rehabilitation Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation Plus Extensive Services

Very High Rehabilitation Plus Extensive Services

High Rehabilitation Plus Extensive Services

Medium Rehabilitation Plus Extensive Services

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Special Care Low

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 Missouri 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 08/13/2010.

Administration

Follow All Laws and Professional Standards. Inspection Date: 07/21/2008 Correction Date: 09/04/2008
Have a Detailed, Written Plan for Disasters and Emergencies. Inspection Date: 07/21/2008 Correction Date: 09/04/2008
Train All Employees on What to Do in an Emergency. Inspection Date: 07/21/2008 Correction Date: 09/04/2008

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 07/21/2008 Correction Date: 09/04/2008
Have a Program to Keep Infection from Spreading. Inspection Date: 07/21/2008 Correction Date: 09/04/2008
Have Enough Outside Airflow. Inspection Date: 10/23/2009 Correction Date: 11/20/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 08/13/2010 Correction Date: 09/16/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 07/21/2008 Correction Date: 09/04/2008
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. Inspection Date: 07/21/2008 Correction Date: 09/04/2008
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 10/23/2009 Correction Date: 11/20/2009
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 08/13/2010 Correction Date: 09/16/2010

Nutrition and Dietary

Make Sure That Residents Are Well Nourished. Inspection Date: 07/21/2008 Correction Date: 09/04/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 07/21/2008 Correction Date: 09/04/2008
Hire Enough Skilled Workers to Carry out Dietary Service. Inspection Date: 10/23/2009 Correction Date: 11/20/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 10/23/2009 Correction Date: 11/20/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 08/13/2010 Correction Date: 09/16/2010

Quality Care

Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 07/21/2008 Correction Date: 09/04/2008
Give or Get Dental Care for Each Resident. Inspection Date: 07/21/2008 Correction Date: 09/04/2008
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 10/23/2009 Correction Date: 11/20/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 10/23/2009 Correction Date: 11/20/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 08/13/2010 Correction Date: 09/16/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 08/13/2010 Correction Date: 09/16/2010

Resident Assessment

Assess the Resident when the Resident Enters the Nursing Home, in a Timely Manner. Inspection Date: 07/21/2008 Correction Date: 09/04/2008
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: 07/21/2008 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: 07/21/2008 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: 07/21/2008 Correction Date: 09/04/2008
Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record. Inspection Date: 07/21/2008 Correction Date: 09/04/2008
Electronically Record and Report Resident Status Assessments in a Timely Manner As Required in Order to Monitor Resident Health and Progress. Inspection Date: 07/21/2008 Correction Date: 09/04/2008
Make Sure That Doctors See a Resident's Plan of Care at Every Visit and Make Notes About Progress and Orders in Writing. Inspection Date: 07/21/2008 Correction Date: 09/04/2008
Make Sure That Doctors Visit Residents Regularly, As Required. Inspection Date: 07/21/2008 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: 10/23/2009 Correction Date: 11/20/2009
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health. Inspection Date: 08/13/2010 Correction Date: 09/16/2010
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: 08/13/2010 Correction Date: 09/16/2010

Resident Rights

Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 07/21/2008 Correction Date: 09/04/2008
Quickly Give a Resident's Personal Money to the Heads of His or Her Estate After the Resident's Death. Inspection Date: 07/21/2008 Correction Date: 09/04/2008
Bill Properly: Charged Resident for Items That Medicare or Medicaid Pays For. Inspection Date: 07/21/2008 Correction Date: 09/04/2008
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 07/21/2008 Correction Date: 09/04/2008
Give the Resident's Legal Representative the Same Rights As the Resident. Inspection Date: 10/23/2009 Correction Date: 11/20/2009
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 08/13/2010 Correction Date: 09/16/2010

The table below lists incident reports by the nursing staff or administration for Carmel Hills Healthcare and Rehabilitation Center, as well as complaints by residents or their family in the previous three years.

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 07/21/2008 Correction Date: 09/04/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 08/07/2009 Correction Date: 09/07/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Complaint Filed: 07/21/2008 Correction Date: 09/04/2008

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 Carmel Hills Healthcare and Rehabilitation Center 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 08/13/2010.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 07/21/2008 Correction Date: 09/04/2008

Building Construction

Approved Construction Type or Materials. Inspection Date: 08/13/2010 Correction Date: 09/16/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 07/21/2008 Correction Date: 09/04/2008

Fire Alarm Systems

Properly Maintained Smoke Detectors. Inspection Date: 07/21/2008 Correction Date: 09/04/2008

Furnishings and Decorations

Restrictions on the Use of Flammable Curtains. Inspection Date: 07/21/2008 Correction Date: 09/04/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 07/21/2008 Correction Date: 09/04/2008

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 07/21/2008 Correction Date: 09/04/2008
Proper Backup Exit Lighting. Inspection Date: 10/23/2009 Correction Date: 11/20/2009

Laboratories

Emergency Showers. Inspection Date: 07/21/2008 Correction Date: 09/04/2008

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 08/13/2010 Correction Date: 09/16/2010
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 08/13/2010 Correction Date: 09/16/2010