HILLCREST NURSING AND REHABILITATION COMMUNITY

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.

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Special Care High

Special Care Low

Reduced Physical Function

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 Michigan 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 10/15/2010.

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

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.

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.

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

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.

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