EMERALD HILLS REHABILITATION AND HEATLHCARE CENTER

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

EMERALD HILLS REHABILITATION AND HEATLHCARE CENTER
5600 DAVIS BLVD
NORTH RICHLAND HILLS, TX 76180
(817) 503-4700

Nursing Home Ratings

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

Overall Rating

Percent of Beds Occupied

76%

Number of Residents and Certified Beds

Residents: 90
Certified Beds: 118

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:

Fort Worth | Hurst | Richland Hills

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 Emerald Hills Rehabilitation and Heatlhcare 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	8.9%
ADL Index Range: 6-10	23.5%
ADL Index Range: 0-5	12.1%
Total Percent:	44.5%

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 11-16	7.6%
ADL Index Range: 6-10	17.2%
ADL Index Range: 0-5	7.5%
Total Percent:	32.3%

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 11-16	2.2%
ADL Index Range: 6-10	3.0%
ADL Index Range: 0-5	1.6%
Total Percent:	6.8%

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum

Five days any combination of three rehabilitation disciplines

ADL Index Range: 11-16	2.3%
ADL Index Range: 6-10	3.3%
ADL Index Range: 0-5	0.8%
Total Percent:	6.3%

Extensive Services

Tracheostomy care
Ventilator or respirator
Isolation for active infectious disease while a resident
Activities of Daily Living (ADL) score of 2 or more

ADL Index Range: 2-16 - Isolation for active infectious disease	1.8%
Total Percent:	1.8%

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: 11-14 - No Signs of depression	0.06%
ADL Index Range: 2-5 - No Signs of depression	1.2%
Total Percent:	1.2%

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: 11-14 - No Signs of depression	0.06%
ADL Index Range: 6-10 - No Signs of depression	4.4%
Total Percent:	4.5%

Clinically Complex

Pneumonia, hemiplegia with ADL score >=5
Surgical wounds or open lesions with treatment
Burns
Chemotherapy while a resident
Oxygen therapy while a resident
IV medications or transfusions while a resident
Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1

ADL Index Range: 11-14 - No Signs of depression	0.1%
ADL Index Range: 6-10 - No Signs of depression	0.8%
ADL Index Range: 2-5 - No Signs of depression	0.9%
Total Percent:	1.9%

Behavioral Symptoms and Cognitive Performance

Cognitive impairment BIMS score less than or equal to 9
CPS great than or equal to 3
Hallucinations or delusions
Physical or verbal behavioral symptoms toward others
Other behavioral symptoms
Rejection of care or wandering
Activities of Daily Living (ADL) score of 5 or less

ADL Index Range: 0-1 - Less restorative nursing	0.8%
Total Percent:	0.8%

Rating Details For Emerald Hills Rehabilitation and Heatlhcare 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	22 Minutes	1 Hour and 22 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours	1 Hour and 7 Minutes	46 Minutes
Certified Nursing Assistant (CNA) Hours	2 Hours and 35 Minutes	2 Hours and 30 Minutes
Total Licensed Nurse Hours	1 Hour and 29 Minutes	2 Hours and 7 Minutes
Total Nurse Hours	4 Hours and 4 Minutes	4 Hours and 38 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 Texas are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This Facility

Texas Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	90-100%	88%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season	90-100%	91%

Long-Term Stay Deficiencies

Percent of High-Risk Long-Stay Residents Who Have Pressure Sores	18%	12%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased	21%	18%
Percent of Long-Stay Residents Who Are More Depressed or Anxious	13%	13%
Percent of Long-Stay Residents Who Were Physically Restrained	-	4%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair	12%	6%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores	2%	3%
Percent of Long-Stay Residents Who Lose Too Much Weight	8%	6%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse	23%	12%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain	3%	4%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder	29%	46%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection	9%	9%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	2%	5%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	90-100%	79%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season	90-100%	84%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain	20%	16%
Percent of Short-Stay Residents Who Have Pressure Sores	11%	11%
Percent of Short-Stay Residents Who Have Delirium	-	3%

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 10/08/2010.

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

1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides. Inspection Date: 10/16/2008 Correction Date: 11/14/2008
Get Services Outside the Nursing Home That Meet Professional Standards. Inspection Date: 10/16/2008 Correction Date: 11/14/2008
Keep Accurate and Appropriate Medical Records. Inspection Date: 10/16/2008 Correction Date: 11/14/2008
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents. Inspection Date: 09/04/2009 Correction Date: 10/19/2009
Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 09/04/2009 Correction Date: 10/19/2009
Keep Accurate and Appropriate Medical Records. Inspection Date: 09/04/2009 Correction Date: 10/19/2009
Get Proof That a Nurse Aide Has the Training and Skills That the State Requires. Inspection Date: 10/08/2010 Correction Date: 11/19/2010
Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 10/08/2010 Correction Date: 11/19/2010

Environmental

Keep All Essential Equipment Working Safely. Inspection Date: 10/16/2008 Correction Date: 11/14/2008
Have a Program to Keep Infection from Spreading. Inspection Date: 09/04/2009 Correction Date: 10/19/2009

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. Inspection Date: 09/04/2009 Correction Date: 10/19/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 09/04/2009 Correction Date: 10/19/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.

Inspection Date: 10/16/2008
Correction Date: 11/14/2008

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 10/16/2008 Correction Date: 11/14/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 09/04/2009 Correction Date: 10/19/2009
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 10/08/2010 Correction Date: 11/19/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 10/16/2008 Correction Date: 11/14/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 09/04/2009 Correction Date: 10/19/2009
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: 09/04/2009 Correction Date: 10/19/2009
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 09/04/2009 Correction Date: 10/19/2009
Use a Registered Nurse at Least 8 Hours a Day, 7 Days a Week. Inspection Date: 09/04/2009 Correction Date: 10/19/2009

Resident Rights

Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 10/16/2008 Correction Date: 11/14/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 10/16/2008 Correction Date: 11/14/2008
Protect the Resident from a Transfer or Discharge That is Not Wanted or Needed. Inspection Date: 09/04/2009 Correction Date: 10/19/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 09/04/2009 Correction Date: 10/19/2009

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)	10/16/2008	$2,500

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Emerald Hills Rehabilitation and Heatlhcare 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