HILLCREST NURSING AND REHABILITATION COMMUNITY

The information listed below provides an in-depth look into the type and quality of care offered at HiLLCrest Nursing and Rehabilitation Community. 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

HILLCREST NURSING AND REHABILITATION COMMUNITY
695 MITZI DR
NORTH MUSKEGON, MI 49445
(231) 744-1641

Nursing Home Ratings

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

Percent of Beds Occupied

81%

Number of Residents and Certified Beds

  • Residents: 50
  • Certified Beds: 62

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Individual
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Muskegon | Whitehall | Spring Lake

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 "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 HiLLCrest Nursing and Rehabilitation Community. 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: 6-1013.2%
ADL Index Range: 0-54.3%
Total Percent:17.5%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-161.8%
ADL Index Range: 6-109.8%
ADL Index Range: 0-55.8%
Total Percent:17.4%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-161.6%
ADL Index Range: 6-1033.8%
ADL Index Range: 0-514.2%
Total Percent:49.7%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 0-52.4%
Total Percent:2.4%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 6-10
- No Signs of depression
0.3%
ADL Index Range: 2-5
- No Signs of depression
1.3%
Total Percent:1.6%
 

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
9.2%
Total Percent:9.2%
 

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: 6-10
- Less restorative nursing
2.2%
Total Percent:2.2%
 

Rating Details For HiLLCrest Nursing and Rehabilitation Community

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) Hours46 Minutes1 Hour and 4 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours28 Minutes37 Minutes
Certified Nursing Assistant (CNA) Hours1 Hour and 56 Minutes2 Hours and 25 Minutes
Total Licensed Nurse Hours1 Hour and 13 Minutes1 Hour and 41 Minutes
Total Nurse Hours3 Hours and 9 Minutes4 Hours and 6 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 Michigan are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityMichigan Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%89%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%89%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Had a Urinary Tract Infection3%9%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder46%52%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased3%12%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse2%10%
Percent of Long-Stay Residents Who Were Physically Restrained1%5%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain1%3%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores-10%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder2%5%
Percent of Long-Stay Residents Who Lose Too Much Weight3%8%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair-4%
Percent of Long-Stay Residents Who Are More Depressed or Anxious9%13%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%84%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%84%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores2%11%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain22%21%
Percent of Short-Stay Residents Who Have Delirium3%2%

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 10/15/2010.

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 InspectorsDegree of HarmResidents Affected

Administration

Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
  • Inspection Date: 12/17/2009
  • Correction Date: 01/27/2010
Train All Employees on What to Do in an Emergency.
  • Inspection Date: 12/17/2009
  • Correction Date: 01/27/2010
Have Licensed, Certified, or Registered Staff to Give Needed Services.
  • Inspection Date: 10/15/2010
  • Correction Date: 11/29/2010
Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 10/15/2010
  • Correction Date: 11/29/2010

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 02/05/2009
  • Correction Date: 03/16/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 12/17/2009
  • Correction Date: 01/27/2010
Have Enough Backup Water Supply for Important Areas of the Nursing Home.
  • Inspection Date: 12/17/2009
  • Correction Date: 01/27/2010
Keep Safe, Clean and Homelike Surroundings.
  • Inspection Date: 10/15/2010
  • Correction Date: 11/29/2010
Keep Adequate and Comfortable Lighting in All Areas.
  • Inspection Date: 10/15/2010
  • Correction Date: 11/29/2010
Get Rid of Garbage Properly.
  • Inspection Date: 10/15/2010
  • Correction Date: 11/29/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 10/15/2010
  • Correction Date: 11/29/2010
Have Enough Outside Airflow.
  • Inspection Date: 10/15/2010
  • Correction Date: 11/29/2010

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 12/17/2009
  • Correction Date: 01/27/2010
Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others.
  • Inspection Date: 10/15/2010
  • Correction Date: 11/29/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 10/15/2010
  • Correction Date: 11/29/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 12/17/2009
  • Correction Date: 01/27/2010
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 10/15/2010
  • Correction Date: 11/29/2010

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 02/05/2009
  • Correction Date: 05/08/2009
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.
  • Inspection Date: 12/17/2009
  • Correction Date: 01/27/2010
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 12/17/2009
  • Correction Date: 01/27/2010
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.
  • Inspection Date: 10/15/2010
  • Correction Date: 10/15/2010
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 10/15/2010
  • Correction Date: 11/29/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 10/15/2010
  • Correction Date: 11/29/2010

Quality Care

Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible.
  • Inspection Date: 02/05/2009
  • Correction Date: 03/16/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 12/17/2009
  • Correction Date: 01/27/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 12/17/2009
  • Correction Date: 01/27/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 10/15/2010
  • Correction Date: 11/29/2010

Resident Assessment

Screen Residents when They Are First Admitted to Send Them to an Area with Special Care for People with Developmental Disabilities or Mental Illness, if Needed.
  • Inspection Date: 12/17/2009
  • Correction Date: 01/27/2010

Resident Rights

Give the Resident's Legal Representative the Same Rights As the Resident.
  • Inspection Date: 12/17/2009
  • Correction Date: 01/27/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 12/17/2009
  • Correction Date: 01/27/2010
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 12/17/2009
  • Correction Date: 01/27/2010
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 10/15/2010
  • Correction Date: 11/29/2010
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey.
  • Inspection Date: 10/15/2010
  • Correction Date: 11/29/2010

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)10/15/2010$1,950
Denial of Payment for New Admission (DPNA)02/05/2009-

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for HiLLCrest Nursing and Rehabilitation Community, 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: 05/02/2011
  • Correction Date: 05/25/2011

Mistreatment

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.
  • Complaint Filed: 03/22/2011
  • Correction Date: 04/04/2011
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.
  • Complaint Filed: 05/02/2011
  • Correction Date: 05/25/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 05/02/2011
  • Correction Date: 05/25/2011
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Complaint Filed: 05/02/2011
  • Correction Date: 05/25/2011

Resident Rights

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.
  • Complaint Filed: 05/24/2011
  • Correction Date: 05/27/2011

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 HiLLCrest Nursing and Rehabilitation Community 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 10/14/2010.

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

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 02/10/2009
  • Correction Date: 04/09/2009
Back-Up Procedures in Place for a Faulty Automatic Sprinkler System.
  • Inspection Date: 02/10/2009
  • Correction Date: 04/09/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 10/14/2010
  • Correction Date: 11/16/2010
Back-Up Procedures in Place for a Faulty Automatic Sprinkler System.
  • Inspection Date: 10/14/2010
  • Correction Date: 11/16/2010

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 02/10/2009
  • Correction Date: 04/09/2009

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 12/16/2009
  • Correction Date: 01/31/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 12/16/2009
  • Correction Date: 01/31/2010

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 12/16/2009
  • Correction Date: 01/31/2010
Exits That Are Accessible at All Times.
  • Inspection Date: 10/14/2010
  • Correction Date: 11/16/2010

Fire Alarm Systems

An Approved Back-Up Procedure for a Faulty Fire Alarm System.
  • Inspection Date: 02/10/2009
  • Correction Date: 04/09/2009

Furnishings and Decorations

Restrictions on the Use of Highly Flammable Materials.
  • Inspection Date: 10/14/2010
  • Correction Date: 11/16/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 02/10/2009
  • Correction Date: 04/09/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 12/16/2009
  • Correction Date: 01/31/2010

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 02/10/2009
  • Correction Date: 04/09/2009

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 12/16/2009
  • Correction Date: 01/31/2010
Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 10/14/2010
  • Correction Date: 11/16/2010

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 02/10/2009
  • Correction Date: 04/09/2009

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 02/10/2009
  • Correction Date: 04/09/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 12/16/2009
  • Correction Date: 01/31/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 10/14/2010
  • Correction Date: 11/16/2010
Source: Medicare Nursing Home Compare; Michigan Department of Community Health - Retrieved 2011