LUTHERAN HOME - HICKORY WEST

The information listed below provides an in-depth look into the type and quality of care offered at Lutheran Home - Hickory West. 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

LUTHERAN HOME - HICKORY WEST
1125 10 ST BLVD NW
HICKORY, NC 28601
(828) 322-6995

Nursing Home Ratings

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

Percent of Beds Occupied

96%

Number of Residents and Certified Beds

  • Residents: 115
  • Certified Beds: 120

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Non Profit - Church Related
  • 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 "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 Lutheran Home - Hickory West. 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: 11-1660.7%
ADL Index Range: 6-1024.9%
ADL Index Range: 0-53.3%
Total Percent:88.8%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-160.7%
ADL Index Range: 6-104.5%
ADL Index Range: 0-52.5%
Total Percent:7.7%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-101.3%
Total Percent:1.3%
 

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: 6-10
- No Signs of depression
0.2%
Total Percent:0.2%
 

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: 15-16
- Less restorative nursing
1.4%
Total Percent:1.4%
 

Rating Details For Lutheran Home - Hickory West

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) Hours30 Minutes1 Hour and 13 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours42 Minutes45 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 54 Minutes2 Hours and 48 Minutes
Total Licensed Nurse Hours1 Hour and 12 Minutes1 Hour and 58 Minutes
Total Nurse Hours4 Hours and 6 Minutes4 Hours and 46 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 Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair2%9%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection11%11%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores6%11%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder8%4%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased6%20%
Percent of Long-Stay Residents Who Lose Too Much Weight11%9%
Percent of Long-Stay Residents Who Were Physically Restrained-4%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain2%3%
Percent of Long-Stay Residents Who Are More Depressed or Anxious32%15%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder70%60%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse8%12%

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%83%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium-2%
Percent of Short-Stay Residents Who Have Pressure Sores22%11%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain19%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 10/13/2010.

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

Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 07/10/2008
  • Correction Date: 08/06/2008

Environmental

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 07/10/2008
  • Correction Date: 08/06/2008

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 07/10/2008
  • Correction Date: 08/06/2008

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 08/06/2009
  • Correction Date: 09/03/2009

Pharmacy Service

Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 08/06/2009
  • Correction Date: 09/03/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 08/06/2009
  • Correction Date: 09/03/2009

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 07/10/2008
  • Correction Date: 08/06/2008

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 TakenDateAmount
Civil Money Penalty (CMP)08/06/2009$2,000

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Lutheran Home - Hickory West, 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

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 07/10/2008
  • Correction Date: 08/06/2008

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 Lutheran Home - Hickory West 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 10/13/2010.

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

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 08/13/2008
  • Correction Date: 09/03/2008

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 08/13/2008
  • Correction Date: 09/03/2008

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 09/02/2009
  • Correction Date: 10/01/2009

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 08/13/2008
  • Correction Date: 09/03/2008
Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 09/02/2009
  • Correction Date: 10/01/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 08/13/2008
  • Correction Date: 09/03/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 09/02/2009
  • Correction Date: 10/01/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 08/13/2008
  • Correction Date: 09/03/2008

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 08/13/2008
  • Correction Date: 09/03/2008
Source: Medicare Nursing Home Compare; Division of Health Service Regulation-Nursing Home Licensure and Certification - Retrieved 2011