HEARTLAND HEALTH CARE CENTER ORANGE PARK

The information listed below provides an in-depth look into the type and quality of care offered at Heartland Health Care Center Orange Park. 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

HEARTLAND HEALTH CARE CENTER ORANGE PARK
570 WELLS RD
ORANGE PARK, FL 32073
(904) 264-3912

Nursing Home Ratings

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

Percent of Beds Occupied

88%

Number of Residents and Certified Beds

  • Residents: 106
  • Certified Beds: 120

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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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 Heartland Health Care Center Orange Park. 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 Plus Extensive Services

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
  • 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: 11-162.8%
ADL Index Range: 2-101.7%
Total Percent:4.5%
 

High Rehabilitation Plus Extensive Services

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • 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: 11-160.2%
Total Percent:0.2%
 

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: 11-1619.6%
ADL Index Range: 6-1012.9%
ADL Index Range: 0-526.2%
Total Percent:58.8%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-167.7%
ADL Index Range: 6-102.6%
ADL Index Range: 0-510.2%
Total Percent:20.5%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-162.0%
ADL Index Range: 6-100.4%
ADL Index Range: 0-53.0%
Total Percent:5.3%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-163.1%
ADL Index Range: 0-50.6%
Total Percent:3.7%
 

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
- Signs of depression
0.9%
ADL Index Range: 6-10
- No Signs of depression
0.2%
ADL Index Range: 2-5
- Signs of depression
2.4%
Total Percent:3.5%
 

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: 15-16
- Signs of depression
1.3%
ADL Index Range: 11-14
- No Signs of depression
1.5%
ADL Index Range: 2-5
- No Signs of depression
0.3%
Total Percent:3.1%
 

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: 2-5
- No Signs of depression
0.05%
ADL Index Range: 0-1
- No Signs of depression
0.1%
Total Percent:0.2%
 

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
0.09%
Total Percent:0.09%
 

Rating Details For Heartland Health Care Center Orange Park

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) Hours50 Minutes1 Hour and 25 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours54 Minutes47 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 53 Minutes2 Hours and 25 Minutes
Total Licensed Nurse Hours1 Hour and 44 Minutes2 Hours and 12 Minutes
Total Nurse Hours4 Hours and 37 Minutes4 Hours and 37 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 Florida are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityFlorida Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season64%87%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination61%86%

Long-Term Stay Deficiencies

Percent of High-Risk Long-Stay Residents Who Have Pressure Sores15%12%
Percent of Long-Stay Residents Who Are More Depressed or Anxious19%10%
Percent of Long-Stay Residents Who Were Physically Restrained2%5%
Percent of Long-Stay Residents Who Lose Too Much Weight7%8%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair10%5%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder11%5%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores1%3%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain6%3%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased27%12%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder50%54%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection13%11%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse13%9%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination70%81%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season70%80%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores12%14%
Percent of Short-Stay Residents Who Have Delirium2%2%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain28%17%

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 04/21/2011.

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

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 04/17/2009
  • Correction Date: 05/19/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 03/04/2010
  • Correction Date: 04/04/2010
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 04/21/2011
  • Correction Date: 05/21/2011

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 04/17/2009
  • Correction Date: 05/19/2009
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 04/17/2009
  • Correction Date: 05/19/2009
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 03/04/2010
  • Correction Date: 04/04/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 04/17/2009
  • Correction Date: 05/19/2009
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 04/17/2009
  • Correction Date: 05/19/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 04/17/2009
  • Correction Date: 05/19/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 04/17/2009
  • Correction Date: 05/19/2009
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Inspection Date: 03/04/2010
  • Correction Date: 04/04/2010
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 03/04/2010
  • Correction Date: 04/04/2010
Give or Get Dental Care for Each Resident.
  • Inspection Date: 03/04/2010
  • Correction Date: 04/04/2010
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 04/21/2011
  • Correction Date: 05/21/2011

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 04/17/2009
  • Correction Date: 05/19/2009
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 04/17/2009
  • Correction Date: 05/19/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 04/17/2009
  • Correction Date: 05/19/2009
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: 04/17/2009
  • Correction Date: 05/19/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 03/04/2010
  • Correction Date: 04/04/2010

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 04/17/2009
  • Correction Date: 05/19/2009
Try to Resolve Each Resident's Complaints Quickly.
  • Inspection Date: 04/17/2009
  • Correction Date: 05/19/2009
Let Residents Give Themselves Their Drugs if They Are Able.
  • Inspection Date: 04/17/2009
  • Correction Date: 05/19/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 04/17/2009
  • Correction Date: 05/19/2009
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.
  • Inspection Date: 04/21/2011
  • Correction Date: 05/21/2011
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 04/21/2011
  • Correction Date: 05/21/2011

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Heartland Health Care Center Orange Park, 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

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 08/04/2008
  • Correction Date: 09/03/2008

Resident Rights

Let Residents Give Themselves Their Drugs if They Are Able.
  • Complaint Filed: 09/30/2010
  • Correction Date: 10/22/2010
Source: Medicare Nursing Home Compare; Agency for Health Care Administration of Florida - Retrieved 2011