MIRACLE HILL NURSING & REHABILITATION CENTER, INC

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 Florida 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 10/01/2010.

Environmental

Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area. Inspection Date: 08/13/2009 Correction Date: 09/16/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 10/01/2010 Correction Date: 11/04/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 08/13/2009 Correction Date: 09/16/2009

Pharmacy Service

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: 06/20/2008 Correction Date: 07/24/2008
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 06/20/2008 Correction Date: 07/24/2008
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: 08/13/2009 Correction Date: 09/16/2009
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: 10/01/2010 Correction Date: 11/04/2010
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 10/01/2010 Correction Date: 11/04/2010
Properly Mark Drugs and Other Similar Products. Inspection Date: 10/01/2010 Correction Date: 11/04/2010

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 08/13/2009 Correction Date: 09/16/2009
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 08/13/2009 Correction Date: 09/16/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 10/01/2010 Correction Date: 11/04/2010

Resident Assessment

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: 08/13/2009 Correction Date: 09/16/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 10/01/2010 Correction Date: 11/04/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 10/01/2010 Correction Date: 11/04/2010

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.

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 Miracle Hill Nursing & Rehabilitation Center, Inc 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 10/01/2010.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 08/13/2009 Correction Date: 09/23/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 08/13/2009 Correction Date: 09/23/2009
An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 10/01/2010 Correction Date: 11/19/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 10/01/2010 Correction Date: 11/19/2010
Portable Fire Extinguishers. Inspection Date: 10/01/2010 Correction Date: 11/19/2010

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 06/18/2008 Correction Date: 08/05/2008
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 08/13/2009 Correction Date: 09/23/2009
Properly Protected Cooking Facilities. Inspection Date: 08/13/2009 Correction Date: 09/23/2009
Properly Constructed Linen or Trash Chutes. Inspection Date: 08/13/2009 Correction Date: 09/23/2009

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 08/13/2009 Correction Date: 09/23/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 08/13/2009 Correction Date: 09/23/2009

Emergency Plans and Fire Drills

Did Not Have a Written Emergency Evacuation Plan. Inspection Date: 08/13/2009 Correction Date: 09/23/2009
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 08/13/2009 Correction Date: 09/23/2009

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 08/13/2009 Correction Date: 09/23/2009
Properly Maintained Smoke Detectors. Inspection Date: 08/13/2009 Correction Date: 09/23/2009

Hazardous Area

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

Illumination and Emergency Power

Properly Located and Lighted "Exit" Signs. Inspection Date: 10/01/2010 Correction Date: 11/19/2010

Medical Gases and Anesthetizing Areas

No-Smoking Signs Where Oxygen is Used. Inspection Date: 08/13/2009 Correction Date: 09/23/2009

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 08/13/2009 Correction Date: 09/23/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 08/13/2009 Correction Date: 09/23/2009
Proper Construction of Ducts Through Walls Designed to Prevent Smoke Passage. Inspection Date: 08/13/2009 Correction Date: 09/23/2009

Vertical Openings

Protected Exits That Allow the Resident to Escape the Building. Inspection Date: 08/13/2009 Correction Date: 09/23/2009