HEARTLAND HEALTH CARE AND REHABILITATION CENTER

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 Heartland Health Care and Rehabilitation Center. 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

Clinically Complex

Behavioral Symptoms and Cognitive Performance

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

Long-Term Stay Preventive Actions

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 07/16/2010.

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 05/15/2008 Correction Date: 06/26/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 05/15/2008 Correction Date: 06/26/2008
Have a Program to Keep Infection from Spreading. Inspection Date: 05/15/2008 Correction Date: 06/26/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 07/16/2010 Correction Date: 08/16/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 07/16/2010 Correction Date: 08/16/2010

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 05/15/2008 Correction Date: 06/26/2008

Nutrition and Dietary

Make Sure That the Attending Doctor Orders Special Diets. Inspection Date: 05/15/2008 Correction Date: 06/26/2008
1) Provide 3 Meals Daily at Regular Times; or 2) Serve Breakfast Within 14 Hours After Dinner; or 3) Offer a Snack at Bedtime Each Day. Inspection Date: 05/15/2008 Correction Date: 06/26/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 07/16/2010 Correction Date: 08/16/2010

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: 05/15/2008 Correction Date: 06/26/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 05/15/2008 Correction Date: 06/26/2008
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 05/15/2008 Correction Date: 06/26/2008
Properly Mark Drugs and Other Similar Products. Inspection Date: 05/15/2008 Correction Date: 06/26/2008
Make Sure That Residents Are Safe from Serious Medication Errors. Inspection Date: 06/05/2009 Correction Date: 07/20/2009
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: 07/16/2010 Correction Date: 08/16/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 07/16/2010 Correction Date: 08/16/2010
Properly Mark Drugs and Other Similar Products. Inspection Date: 07/16/2010 Correction Date: 08/16/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 05/15/2008 Correction Date: 06/26/2008
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 05/15/2008 Correction Date: 06/26/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 06/05/2009 Correction Date: 07/20/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 06/05/2009 Correction Date: 07/20/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 07/16/2010 Correction Date: 08/16/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 07/16/2010 Correction Date: 08/16/2010

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: 05/15/2008 Correction Date: 06/26/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 06/05/2009 Correction Date: 07/20/2009

Resident Rights

Let Residents Give Themselves Their Drugs if They Are Able. Inspection Date: 05/15/2008 Correction Date: 06/26/2008
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 05/15/2008 Correction Date: 06/26/2008
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: 06/05/2009 Correction Date: 07/20/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 06/05/2009 Correction Date: 07/20/2009
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: 07/16/2010 Correction Date: 08/16/2010
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 07/16/2010 Correction Date: 08/16/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 07/16/2010 Correction Date: 08/16/2010
Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care. Inspection Date: 07/16/2010 Correction Date: 08/16/2010

The table below lists incident reports by the nursing staff or administration for Heartland Health Care and Rehabilitation Center, as well as complaints by residents or their family in the previous three years.

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Complaint Filed: 05/11/2009 Correction Date: 05/31/2009
Give Professional Services That Meet a Professional Standard of Quality. Complaint Filed: 04/06/2010 Correction Date: 05/05/2010

Resident Assessment

Provide a Final Summary of the Resident's Health Status and a Summary of the Resident's Stay, when the Resident is Ready to Leave the Nursing Home. Complaint Filed: 05/11/2009 Correction Date: 05/31/2009
Get Doctor Orders for the Resident's Immediate Care when Admitted. Complaint Filed: 06/05/2009 Correction Date: 07/20/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Complaint Filed: 04/06/2010 Correction Date: 05/05/2010

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 Heartland Health Care and Rehabilitation Center 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 07/16/2010.

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 06/05/2009 Correction Date: 07/17/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 06/05/2009 Correction Date: 07/17/2009