HIDDEN HILLS HEALTH AND REHABILITATION CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Hidden Hills Health 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

HIDDEN HILLS HEALTH AND REHABILITATION CENTER
3110 SCOTT CIRCLE
OMAHA, NE 68112
(402) 455-6636

Nursing Home Ratings

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

Overall Rating

Percent of Beds Occupied

56%

Number of Residents and Certified Beds

Residents: 61
Certified Beds: 108

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:

Bellevue | Papillion | Elkhorn

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 Hidden Hills Health and Rehabilitation Center. 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

Rehabilitation 720 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week
A second rehabilitation discipline three days/week

ADL Index Range: 11-16	6.5%
ADL Index Range: 0-5	58.9%
Total Percent:	65.4%

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 11-16	12.2%
ADL Index Range: 6-10	5.7%
ADL Index Range: 0-5	3.7%
Total Percent:	21.5%

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 11-16	5.3%
ADL Index Range: 6-10	3.7%
ADL Index Range: 0-5	0.4%
Total Percent:	9.3%

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum

Five days any combination of three rehabilitation disciplines

ADL Index Range: 0-5	3.7%
Total Percent:	3.7%

Rating Details For Hidden Hills Health 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 Day	Reported	Expected
Registered Nurse (RN) Hours	18 Minutes	58 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours	46 Minutes	37 Minutes
Certified Nursing Assistant (CNA) Hours	2 Hours and 19 Minutes	2 Hours and 25 Minutes
Total Licensed Nurse Hours	1 Hour and 5 Minutes	1 Hour and 35 Minutes
Total Nurse Hours	3 Hours and 24 Minutes	4 Hours

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 Nebraska are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This Facility

Nebraska Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	85%	93%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season	90-100%	94%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair	-	3%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased	9%	14%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores	11%	7%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores	3%	3%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection	14%	8%
Percent of Long-Stay Residents Who Are More Depressed or Anxious	5%	19%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain	5%	4%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse	4%	12%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	7%	8%
Percent of Long-Stay Residents Who Lose Too Much Weight	7%	7%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder	40%	47%
Percent of Long-Stay Residents Who Were Physically Restrained	-	4%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season	79%	90%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	65%	89%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium	7%	4%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain	20%	23%
Percent of Short-Stay Residents Who Have Pressure Sores	5%	9%

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 12/15/2010.

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

Keep Accurate and Appropriate Medical Records. Inspection Date: 12/15/2010 Correction Date: 01/29/2011
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 12/15/2010 Correction Date: 04/20/2011

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 06/22/2010 Correction Date: 07/23/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 06/22/2010 Correction Date: 07/23/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 06/22/2010 Correction Date: 07/23/2010
Provide Needed Housekeeping and Maintenance. Inspection Date: 12/15/2010 Correction Date: 01/29/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 12/15/2010 Correction Date: 01/29/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 12/15/2010 Correction Date: 04/20/2011
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 12/15/2010 Correction Date: 01/29/2011

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 10/21/2009 Correction Date: 11/21/2009
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: 06/22/2010 Correction Date: 07/23/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 12/15/2010 Correction Date: 01/29/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 10/21/2009 Correction Date: 01/26/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 06/22/2010 Correction Date: 07/23/2010
Provide Food in a Way That Meets a Resident's Needs. Inspection Date: 12/15/2010 Correction Date: 01/29/2011
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 12/15/2010 Correction Date: 01/29/2011

Pharmacy Service

At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 06/22/2010 Correction Date: 07/23/2010
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 12/15/2010 Correction Date: 01/29/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 10/21/2009 Correction Date: 01/26/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 06/22/2010 Correction Date: 07/23/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 12/15/2010 Correction Date: 04/20/2011
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 12/15/2010 Correction Date: 01/29/2011

Resident Rights

Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help. Inspection Date: 10/21/2009 Correction Date: 11/21/2009
Let Residents Give Themselves Their Drugs if They Are Able. Inspection Date: 10/21/2009 Correction Date: 11/21/2009
Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help. Inspection Date: 12/15/2010 Correction Date: 01/29/2011
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged. Inspection Date: 12/15/2010 Correction Date: 01/29/2011

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)	10/21/2009	$3,510
Civil Money Penalty (CMP)	02/10/2009	$4,875
Civil Money Penalty (CMP)	06/22/2010	$10,401
Denial of Payment for New Admission (DPNA)	02/10/2009	-
Denial of Payment for New Admission (DPNA)	10/21/2009	-
Denial of Payment for New Admission (DPNA)	03/15/2010	-
Denial of Payment for New Admission (DPNA)	10/19/2010	-
Denial of Payment for New Admission (DPNA)	12/15/2010	-

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Hidden Hills Health 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 Complaints

Degree of Harm

Residents Affected