CARMEL HILLS HEALTHCARE AND REHABILITATION CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Carmel Hills Healthcare and Rehabilitation Center. 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

CARMEL HILLS HEALTHCARE AND REHABILITATION CENTER
810 EAST WALNUT
INDEPENDENCE, MO 64050
(816) 461-9600

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

71%

Number of Residents and Certified Beds

  • Residents: 138
  • Certified Beds: 194

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Individual
  • Offers Both Resident and Family Counseling Services
  • This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Raytown | Kansas City | Lees Summit

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 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.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation Plus Extensive Services

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three 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: 2-106.3%
Total Percent:6.3%
 

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: 2-100.5%
Total Percent:0.5%
 

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: 11-160.7%
Total Percent:0.7%
 

Medium Rehabilitation Plus Extensive Services

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
  • 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: 11-160.5%
ADL Index Range: 2-100.08%
Total Percent:0.5%
 

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: 11-1611.6%
ADL Index Range: 6-1029.6%
ADL Index Range: 0-522.8%
Total Percent:64.0%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1611.5%
ADL Index Range: 6-105.5%
ADL Index Range: 0-54.7%
Total Percent:21.6%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-103.5%
ADL Index Range: 0-51.2%
Total Percent:4.8%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-160.2%
ADL Index Range: 6-101.2%
Total Percent:1.4%
 

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: 2-5
- No Signs of depression
0.08%
Total Percent:0.08%
 

Rating Details For Carmel Hills Healthcare and Rehabilitation Center

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) Hours22 Minutes1 Hour and 12 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours52 Minutes40 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 19 Minutes2 Hours and 20 Minutes
Total Licensed Nurse Hours1 Hour and 14 Minutes1 Hour and 51 Minutes
Total Nurse Hours3 Hours and 32 Minutes4 Hours and 11 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 Missouri are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityMissouri Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination80%88%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season88%93%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Lose Too Much Weight7%7%
Percent of Long-Stay Residents Who Were Physically Restrained5%4%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection10%9%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair1%3%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse13%9%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder58%38%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain1%4%
Percent of Long-Stay Residents Who Are More Depressed or Anxious6%11%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores7%10%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder7%5%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased22%11%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination83%83%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season70%87%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium-4%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain11%20%
Percent of Short-Stay Residents Who Have Pressure Sores10%11%

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 08/13/2010.

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

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

Deficiencies from Complaints and Incidents

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.

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

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

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 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.

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: 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
Source: Medicare Nursing Home Compare; Missouri Department of Health & Senior Services - Retrieved 2011