Heartland Healthcare Center Charleston

Current State: None change

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General
Medicaid Data
Medicare Cost Report
Staff
Quality Measures
Health Survey
Fire Safety Survey
Definitions

Overall Facility Star Rating:
Address:: 1800 Eagle Landing Blvd
Hanahan, SC 29406, Charleston County
Phone:: (843)553-0656
Medicare Cost Reports Available from:: 1995-10-01 To 2010-09-30
Health Survey Star Rating:
Health Survey:: 17 Deficiencies Listed | 2009-10-28
Fire Survey:: 5 Deficiencies Listed | 2009-10-29 | Sprinkler Status: fully sprinklered

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Description	Classification	Effective Date	Historical Cost	Acc. Depreciation	Deprec. Expense
ABC	ABC	ABC	###	###	###
ABC	ABC	ABC	###	###	###
ABC	ABC	ABC	###	###	###
ABC	ABC	ABC	###	###	###

Item Name:	Item Value:
General	###
Payroll	###
Savings	###
Petty	###
Patient Persnl Needs	###
Total	###

Item Name:	Item Value:
Cert. of Deposit	###
Other	###
Private	###

Item Name:	Item Value:
Medicaid	###
Medicare	###
Private	###
Related Party Note	###
3rd Party	###
Other	###
Bad Debt Allowance	###
Other Fund	###
Total	###

Item Name:	Item Value:
Pharmacy	###
Central Supply	###
Dietary	###
Plant Oper. & Maint.	###
Linens	###
Other	###
Total	###

Item Name:	Item Value:
Insurance	###
Interest	###
Rent	###
Pension Plan	###
Taxes	###
Other	###
Total	###

Item Name:	Item Value:
Land	###
Land Improve.	###
Building	###
Bldg Improve.	###
Fixed Equip.	###
Movable Equipment	###
Leasehold Improve	###
Autos	###
Constr. In Progress	###
Total	###

Item Name:	Item Value:
Land Improve.	###
Buildings	###
Bldg. Improve.	###
Fixed Equip.	###
Movable Equip.	###
Leasehold Improve.	###
Autos	###
Total	###

Item Name:	Item Value:
Govt Securities	###
Held in Escrow	###
Funded Deprec.	###
Total	###

Item Name:	Item Value:
Deposits	###
Patient Trust Funds	###
Other	###
Intangible	###
Deferred Startup Cost	###
Intercompany Acct.	###
Life Insurance	###
Total	###

Type	Rate	Beginning Balance	Additional Debt	Payments	Paid Interest	Lendor	Reason
ABC	ABC	###	###	###	###	ABC	ABC

Item Name:	Item Value:
Common Stock	###
Preferred Stock	###
Treasury Stock	###
Addl. Contr. Capital	###
Paid Dividends	###
Fund Balances	###
Partners Capital	###
Retained Earnings	###
Net Income/Loss	###
Total	###

Item Name:	Item Value:
Notes Payable	###
Deferred Tax Payable	###
Mortgage Payable	###
Const. Loan Payable	###
Due to Shareholder	###
Cap Lease Oblig.	###
Inter. Co. Acct.	###
Total	###

Item Name:	Item Value:
Real & Pers. Prop. Tax	###
Sales Tax	###
Fed. Income Tax	###
State Income Tax	###
Total	###

Item Name:	Item Value:
Interest	###
Rent	###
3rd Party Payor	###
Other Funds	###
Other	###
Patient Trust Fund	###
Total	###

Item Name:	Item Value:
FICA	###
Fed. Income Tax	###
State Income Tax	###
State/Fed Unemp.	###
Hospitalization Ins.	###
Accrued Empl. Benefit	###
Total	###

Item Name:	Item Value:
Acc. Payable-Trade	###
Acc. Payable-Other	###
Acc. Payable-Salary	###
Acc. Payable-Total	###
Notes Payable-Vendor/Bank	###
Notes Payable-Current Portion LTD	###
Notes Payable-Total	###

Item Name:	Item Value:
Equity	###
Long Term Debt	###
Other Taxes Payable	###
Other Payable	###
Payroll Taxes Withheld/Accrued	###
Accounts Payable	###
Notes Payable	###
Total	###

Item Name:	Item Value:
Medicaid	###
Medicaid Days	###
Medicare	###
Medicare Days	###
Private	###
Private Days	###
Other Routine	###
Other Days	###
Expanded Svcs	###
Ancillary	###
Other	###
Contract Adj./Other Fund Trans.	###
Total Routine Revenue	###

Item Name:	Item Value:
Pharmacy & Lab.	###
Specialty Beds	###
Phys. Therapy	###
Speech Therapy	###
Occu. Therapy	###
Oxy. & Resp. Therapy	###
Med. Supplies	###
Other	###
Ancillary	###

Item Name:	Item Value:
Restricted Interest	###
Unrestricted Interest	###
Investment	###
Beauty/Barber	###
Vending Machine	###
Emp/Guest Meals	###
Patient Laundry	###
Rental	###
Cable TV	###
Phone Commissions	###
Personal Items	###
Contributions	###
Donated Commodities	###
Edens Alternative	###
Other & Misc.	###
Total	###

Item Name:	Item Value:
Medicaid Contract	###
Medicare Contract	###
Private Contract	###
Other Contract	###
VA Contract	###

Name	Percent	Title	Phone	Zip	State	City	Street
ABC	###	ABC	ABC	ABC	ABC	ABC	ABC

Name	Percent	Title	Phone	Street	City	State	Zip
ABC	###	ABC	ABC	ABC	ABC	ABC	ABC

Organization	Type	Description	Per Books Cost	Cost to Related Party
ABC	ABC	ABC	###	###
ABC	ABC	ABC	###	###
ABC	ABC	ABC	###	###
ABC	ABC	ABC	###	###
ABC	ABC	ABC	###	###
ABC	ABC	ABC	###	###
ABC	ABC	ABC	###	###
ABC	ABC	ABC	###	###

Firm	Amount	Description
ABC	###	ABC
ABC	###	ABC
ABC	###	ABC
ABC	###	ABC
ABC	###	ABC
ABC	###	ABC
ABC	###	ABC
ABC	###	ABC
ABC	###	ABC
ABC	###	ABC
ABC	###	ABC

Item Name:	Item Value:
DON Salary	###
RN Salary	###
LPN Salary	###
CNA Salary	###
MDS Coordinator Salary	###
Other Salary	###
Consultant	###
Contract Svcs	###
Home Office Alloc.	###
Trans. Escort Service	###
Equipment Rent	###
Minor Equip.	###
Dues	###
Subscriptions	###
Mileage Reimb	###
Seminar/Training	###
Inservice	###
Uniforms	###
Start up Costs	###
Drug/Background Ck	###
Other	###
Income Offset	###
Payroll Tax	###
Benefits	###
Workmens Comp	###
Health Insurance	###
Group Life Ins.	###
Uniform Allowance	###
Total	###

Item Name:	Item Value:
Social Services Salary	###
Activities Salary	###
Other Salary	###
Activity Consultant	###
Social Service Consultant	###
Pharmacist Consultant	###
Dental Consultant	###
Home Office Allocation	###
Equipment Rent	###
Minor Equip.	###
Dues	###
Subscriptions	###
Spec Purpose Auto	###
Mileage Reimb	###
Supplies	###
Uniforms	###
Start Up Costs	###
Drug/Background Ck	###
Edens Alternative	###
Other	###
Income Offset	###
Payroll Tax	###
Benefits	###
Workmens Comp	###
Health Insurance	###
Group Life Ins.	###
Uniform Allowance	###
Total	###

Item Name:	Item Value:
General Salary	###
Consultant	###
Contract Svcs	###
Home Office Alloc.	###
Equipment Rent	###
Minor Equip.	###
Dues	###
Subscriptions	###
Spec Purpose Auto	###
Mileage Reimb	###
Supplies	###
Uniforms	###
Start Up Costs	###
Drug/Background Ck	###
Non Capital Repair	###
Lawn Services	###
Painting	###
Other	###
Income Offset	###
Payroll Tax	###
Benefits	###
Workmens Comp	###
Health Insurance	###
Group Life Ins.	###
Uniform Allowance	###
Total	###

Item Name:	Item Value:
Administrator Salary	###
Asst Admin Salry	###
Bookkeeper Salary	###
Receptionist Salary	###
Secretary Salary	###
Clerk Salary	###
Admissions Clerk Salary	###
Admissions Coordinator Salary	###
Contract Svcs	###
Professional Accounting	###
Professional Other	###
Manage. Fee 3rd Party	###
Home Office Alloc.	###
HO Bldg Rent 3rd Party	###
Data Proc., Software & Maint. Contract	###
Cost Report Prep. Fee	###
Legal Costs	###
Equipment Rent	###
Minor Equipment	###
Dues	###
Subscriptions	###
Mileage Reimb	###
Auto Mileage	###
Board of dir. Travel	###
Seminar/Training Non_nursing	###
Supplies	###
Start Up Costs	###
Drug/Background Ck	###
Advertising	###
Relocate/Recruitment	###
Printing	###
Postage	###
Copier	###
Bank/Freight Fees	###
Telephone	###
Working Capital Interest	###
Other	###
Income Offset	###
Payroll Tax	###
Benefits	###
Workmens Comp	###
Health Insurance	###
Group Life Ins.	###
Total	###

Item Name:	Item Value:
General Salary	###
PT Record Clerk Salary	###
Resident Care Software Salary	###
Consultant	###
Home Office Alloc.	###
Equipment Rent	###
Minor Equip.	###
Dues	###
Subscriptions	###
Mileage Reimb.	###
Supplies	###
Drug/Background Ck	###
Med Directors Fees	###
Utilization Review	###
Other	###
Incoe Offset	###
Payroll Tax	###
Benefits	###
Workmans Comp	###
Health Insurance	###
Group Life Ins.	###
Uniform Allowance	###
Total	###

Item Name:	Item Value:
Home Office Alloc.	###
Electricity	###
Garbage Collection	###
Heating	###
Sewer	###
Water	###
Other	###
Income Offset	###
Total	###

Item Name:	Item Value:
Home Office Alloc	###
Lic Tax Business	###
Lic Tax Personal Prop.	###
Lic. Tax Real Prop.	###
Lic. Insurance Prop.	###
Lic. Insurance General	###
Lic. Insurance Liability	###
Lic. Licenses	###
Lic. Other	###
Income Offset	###
Total	###

Item Name:	Item Value:
General Salary	###
Drug/Background Ck	###
Enteral Pen Billable	###
Med Sup. Billable	###
Med Sup. Equip. Rent	###
Med Sup. Minor Equip	###
Med Sup Other	###
Oxygen/rt Purch.	###
Oxygen/rt Equip Rent	###
Oxygen/rt Minor Eqiup	###
Oxygen/rt Other	###
Air Fluid/Spec Bed	###
IV Therapy Nonbillable	###
Hepatitis B Vaccine	###
Underpads	###
Disposable Diapers	###
Nursing Supplies Nonbillable	###
OTC/Non Legend Drugs	###
Income Offset	###
Payroll Tax	###
Benefits	###
Workmens Comp	###
Health Insurance	###
Group Life Ins.	###
Uniform Allowance	###
Total	###

Item Name:	Item Value:
General Salary	###
Consultant	###
Contract Svc	###
Equipment Rent	###
Minor Equip.	###
Supplies	###
Drug/Background Ck	###
Other	###
Payroll Tax	###
Benefits	###
Workmens Comp	###
Health Insurance	###
Group Life Ins.	###
Uniform Allowance	###

Item Name:	Item Value:
General Salary	###
Consultant	###
Contract Svc	###
Equipment Rent	###
Minor Equip.	###
Supplies	###
Drug/Background Ck	###
Other	###
Payroll Tax	###
Benefits	###
Workmens Comp	###
Health Insurance	###
Group Life Insurance	###
Uniform Allowance	###

Item Name:	Item Value:
General Salary	###
Consultant	###
Contract Svc	###
Equipment Rent	###
Minor Equip.	###
Supplies	###
Drug/Background Ck	###
Other	###
Payroll Tax	###
Benefits	###
Workmens Comp	###
Health Insurance	###
Group Life Ins.	###
Uniform Allowance	###

Item Name:	Item Value:
Deprec Land Improvements	###
Deprec Building	###
Deprec Bldg. Improve.	###
Deprec. Fixed Equip.	###
Deprec. Movable Equip.	###
Deprec. Leasehold Improve.	###
Deprec Cap. Lease	###
Deprec. HO Bldg.	###
Deprec Income/Gain On Sale	###
Deprec Loss on sale of asset	###
Rent-Building	###
Rent-Equipment	###
Rent-Other	###
Rent-Income	###
Interest-Building	###
Interest-Equipment	###
Interest-Historical	###
Interest-HO Alloc.	###
Interest-Other	###
Interest-Income	###
Amort. Deferred Interest	###
Amort. Organization Cost	###
Amort. Loan Cost	###
Amort HO Alloc.	###
Amort. Other	###
Amort. Income	###
Total	###

Item Name:	Item Value:
Pharm. Salary	###
Lab. Salary	###
Xray Salary	###
Other Salary	###
Contract Svc.	###
Equip. Rent	###
Minor Equip.	###
Supplies	###
Uniforms	###
Drug/Background Ck	###
Prescription Drugs	###
Other	###
IV Therapy Billable	###
Income	###
Payroll Tax	###
Benefits	###
Workmens Comp	###
Health Insurance	###
Group Life Ins.	###
Uniform Allowance	###
Total	###

Item Name:	Item Value:
Legal	###
Interest	###
Interest DHHS Payback	###
Amortization Goodwill	###
Salaries	###
Payroll Tax & Fringes	###
Fed Income Tax	###
State Income Tax	###
Equip. Rent	###
Dues	###
Admin Auto Cost	###
Drug/Background Ck	###
Ads/public relations	###
Vending Machines	###
Television	###
Beauty & Barber	###
Non NH Personal Laundry	###
Private Pay Wing	###
Gift Shop	###
Hospital	###
Apartments	###
Hospice	###
Physician Fees	###
Director Fees	###
Personal Items	###
Ambulance Service	###
Bad Debts	###
Cash over/short	###
Contributions	###
Fund Raising Costs	###
Anti Union	###
Other	###
Total	###

Item Name:	Item Value:
DON Salary	###
RN Salary	###
LPN Salary	###
Testing Contract Svc	###
Training Contract Svc	###
Home Office Alloc	###
Equip. Rent	###
Minor Equip.	###
Mileage Reimb.	###
Other	###
Income Offset	###
feed. Ass. Train. Salary	###
feed. Ass. Train. Expense	###
Payroll Tax	###
Benefits	###
Workmans Comp	###
Health Insurance	###
Group Life Ins.	###
Uniform Allowance	###
Total	###

Department	Square Feet
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Description	Year	Square Feet	Beds	Cost
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Make & Model	Cost	Purpose	Useful Life - Years	Deprec. Expense	Percent Charged	Claimed Deprec.
ABC	###	ABC	###	###	###	###

Item Name:	Item Value:
EIN	ABC
Control Type	ABC
Control Subtype	ABC
Administrator	ABC
Admin License #	ABC
Home Office	ABC
NPI #	ABC
Contact Email	ABC
Type	ABC
Period Begin	ABC
Period End	ABC

Item Name:	Item Value:
Name	ABC
Street	ABC
City	ABC
State	ABC
Zip	ABC
Phone	ABC
Email	ABC

Item Name:	Item Value:
Name	ABC
Street	ABC
City	ABC
State	ABC
Zip	ABC
Phone	ABC
Email	ABC

Item Name:	Item Value:
Medicaid Days	###
Medicare Days	###
Private Days	###
Other Days	###
Total Days	###

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Other Cost Report Years:

Fiscal Year Begin: 2009-10-01 | Fiscal Year End: 2010-09-30

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Worksheet	Description
Worksheet S, Part 1 & 2	Certification and Settlement Summary
Worksheet S-2	Complex Identification Data
Worksheet S-3	Statistical Data
Worksheet S-3, Part 2 & 3	SNF Wage Index Information
Worksheet S-7, Part 4	Prospective Payment for SNF Statistical Data (RUGs)
Worksheet A	Reclassification and Adjustment of Trial Balance of Expenses
Worksheet A-7	Analysis of Changes During Cost Reporting Period in Capital Asset Balances
Worksheet A-8	Adjustments to Expenses
Worksheet A-8-1	Statement of Costs of Services from Related Organizations
Worksheet B, Part 1	Cost Allocation - General Service Costs
Worksheet B, Part 2	Allocation of Capital - Related Costs
Worksheet B-1, Part 1	Cost Allocation - General Service Costs
Worksheet C	Ratio of Cost to Charges for Ancillary and Outpatient Cost Centers
Worksheet D, Part 1 (Title XVIII) SNF Facility Type	Apportionment of Ancillary and Outpatient Cost and Reduction of Therapy Costs
Worksheet D, Part 2 & 3 (Title XVIII) SNF Facility Type	Apportionment of Ancillary and Outpatient Cost and Reduction of Therapy Costs for Title XVIII (SNF)
Worksheet D-1, Part 1 & 2 (Title XVIII) SNF Facility Type	Computation of Inpatient Routine Costs
Worksheet E, Part 3 (Title XVIII) SNF Facility Type	Calculation of Reimbursement Settlement (SNF, Title XVIII)
Worksheet E-1 (Title XVIII) SNF Facility Type	Analysis of Payments to Providers for Services Rendered (SNF, Title XVIII)
Worksheet G	Balance Sheet
Worksheet G-2, Part 1 & 2	Statement of Patient Revenues and Operating Expenses
Worksheet G-3	Statement of Revenues and Expenses

	National Average	South Carolina Average	Heartland Healthcare Center Charleston
Nurse Staffing Star Rating
Total Number of Residents	88.90	95.80	87.0
Total Number of Licensed Nurse Staff Hours per Resident per Day	1 hour and 34 minutes	1 hour and 45 minutes	1 hour and 33 minutes
RN Hours per Resident per Day	44 minutes	48 minutes	40 minutes
RN Staff Only Star Rating
LPN/LVN Hours per Resident per Day	50 minutes	59 minutes	53 minutes
CNA Hours per Resident per Day	2 hours and 28 minutes	2 hours and 32 minutes	2 hours and 12 minutes

Quality Measures	National Average	South Carolina Average	Heartland Healthcare Center Charleston
Quality Measures Star Rating
Long-Stay Residents
NOTE: For the following Measures, Higher Percentages are better.
Percent of long-stay residents given influenza vaccination during the flu season	86.96%	86.96%	80%
Percent of long-stay residents who were assessed and given pneumococcal vaccination	85.82%	85.82%	90%
NOTE: for the following measures, lower percentages are better.
Percent of long-stay residents whose need for help with daily activities has increased	13.41%	13.41%	17%
Percent of long-stay residents who have moderate to severe pain	3.08%	3.08%	3%
Percent of high-risk long-stay residents who have pressure sores	9.79%	9.79%	17%
Percent of low-risk long-stay residents who have pressure sores	1.52%	1.52%	0%
Percent of long-stay residents who were physically restrained	2.62%	2.62%	0%
Percent of long-stay residents who are more depressed or anxious	13.72%	13.72%	15%
Percent of low-risk long-stay residents who lose control of their bowels or bladder	47.77%	47.77%	64%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder	4.79%	4.79%	4%
Percent of long-stay residents who spend most of their time in bed or in a chair	3.84%	3.84%	1%
Percent of long-stay residents whose ability to move about in and around their room got worse	10.29%	10.29%	7%
Percent of long-stay residents who had a urinary tract infection	8.48%	8.48%	9%
Percent of long-stay residents who lose too much weight	7.25%	7.25%	10%
Short-Stay Residents
NOTE: For the following Measures, Higher Percentages are better.
Percent of short-stay residents given influenza vaccination during the flu season	78.26%	78.26%	73%
Percent of short-stay residents who were assessed and given pneumococcal vaccination	77.32%	77.32%	83%
NOTE: For the following Measures, Lower Percentages are better.
Percent of short-stay residents who have delirium	1.31%	1.31%	0%
Percent of short-stay residents who had moderate to severe pain	17.26%	17.26%	17%
Percent of short-stay residents who have pressure sores	10.85%	10.85%	12%

Resident Rights Deficiencies

Inspectors determined that the nursing home failed to:	Inspection Date	Correction Date	Level of Harm	Scope
1. Allow residents to easily see the results of the nursing home's most recent survey.	2009-10-28	2009-11-28	Potential for minimal harm	Widespread
2. 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.	2008-09-04	2008-09-29	Potential for minimal harm	Widespread
3. Allow residents to easily see the results of the nursing home's most recent survey.	2007-08-29	2007-09-29	Potential for minimal harm	Widespread

Environmental Deficiencies

Inspectors determined that the nursing home failed to:	Inspection Date	Correction Date	Level of Harm	Scope
1. Provide needed housekeeping and maintenance.	2009-10-28	2009-11-28	Minimal harm or potential for actual harm	Pattern
2. Provide needed housekeeping and maintenance.	2007-08-29	2007-09-29	Minimal harm or potential for actual harm	Isolated
3. Have a program to keep infection from spreading.	2007-08-29	2007-09-29	Minimal harm or potential for actual harm	Isolated

Resident Assessment Deficiencies

Inspectors determined that the nursing home failed to:	Inspection Date	Correction Date	Level of Harm	Scope
1. Make sure all assessments are accurate, coordinated by an rn, done by the right professional, and are signed by the person completing them.	2007-08-29	2007-09-19	Minimal harm or potential for actual harm	Isolated

Quality Care Deficiencies

Inspectors determined that the nursing home failed to:	Inspection Date	Correction Date	Level of Harm	Scope
1. Give each resident care and services to get or keep the highest quality of life possible.	2009-10-28	2009-11-28	Minimal harm or potential for actual harm	Isolated
2. Develop/implement required procedures for the administration of immunizations.	2008-09-04	2008-09-29	Potential for minimal harm	Widespread
3. Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.	2008-09-04	2008-09-29	Minimal harm or potential for actual harm	Isolated
4. Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.	2007-08-29	2007-09-21	Minimal harm or potential for actual harm	Isolated
5. Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.	2007-08-29	2007-09-29	Minimal harm or potential for actual harm	Isolated

Nutrition and Dietary Deficiencies

Inspectors determined that the nursing home failed to:	Inspection Date	Correction Date	Level of Harm	Scope
1. Store, cook, and give out food in a safe and clean way.	2007-08-29	2007-09-19	Minimal harm or potential for actual harm	Pattern

Administration Deficiencies

Inspectors determined that the nursing home failed to:	Inspection Date	Correction Date	Level of Harm	Scope
1. Post nurse staffing information.	2008-09-04	2008-09-29	Potential for minimal harm	Widespread
2. Give or get lab tests to meet the needs of residents.	2008-09-04	2008-09-29	Minimal harm or potential for actual harm	Isolated
3. Get proof that a nurse aide has the training and skills that the state requires.	2008-09-04	2008-09-29	Minimal harm or potential for actual harm	Isolated

Mistreatment Deficiencies

Inspectors determined that the nursing home failed to:	Inspection Date	Correction Date	Level of Harm	Scope
1. 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.	2009-10-28	2009-11-28	Minimal harm or potential for actual harm	Isolated

Hazardous Area Deficiencies

Inspectors determined that the building did not have:	Inspection Date	Correction Date	Level of Harm	Scope
1. Construction that can resist fire for one hour or an approved fire extinguishing system.	2007-08-30	2007-09-11	Minimal harm or potential for actual harm	Isolated

Furnishings and Decorations Deficiencies

Inspectors determined that the building did not have:	Inspection Date	Correction Date	Level of Harm	Scope
1. Exits that are free from obstructions and can be used at all times.	2007-08-30	2007-09-18	Minimal harm or potential for actual harm	Isolated

Automatic Sprinkler Systems Deficiencies

Inspectors determined that the building did not have:	Inspection Date	Correction Date	Level of Harm	Scope
1. Portable fire extinguishers.	2007-08-30	2007-09-17	Minimal harm or potential for actual harm	Widespread

Electrical Deficiencies

Inspectors determined that the building did not have:	Inspection Date	Correction Date	Level of Harm	Scope
1. Properly installed electrical wiring and equipment.	2007-08-30	2007-09-11	Minimal harm or potential for actual harm	Isolated

Interior Finish Deficiencies

Inspectors determined that the building did not have:	Inspection Date	Correction Date	Level of Harm	Scope
1. Fire-resistant room wall surfaces.	2009-10-29	2009-11-28	Minimal harm or potential for actual harm	Isolated

Resident Councils

The law requires nursing homes to allow councils to be set up by residents and families. Resident and family councils can facilitate communications with staff. If a nursing home does not have a resident and family council, ask the administrator why. If there is a council, ask to talk with council presidents to get a sense of how the nursing home has acted on their concerns.

Ownership Type

Nursing homes can be run by private for-profit corporations, non-profit corporations, religious affiliated organizations, or government entities. Quality of nursing homes can vary within each of these different types of ownership. Each nursing home needs to be judged on its own merits.

Multiple Nursing Home Ownership

Multi-nursing home chains have two or more homes under one ownership or operation.

Registered Nurse

Registered nurses (RNs) have between 2 and 6 years of education

Licensed Practical and Vocational Nurse

Licensed practical and vocational nurses (LPNs/LVNs) generally have 1 year of training. By law, RNs must assess residents' needs. RNs and LPNs/LVNs work together to plan care, implement care and treatment, and evaluate residents' outcomes. Nurses must be licensed in the state and are on site to provide care to residents twenty-four hours per day, seven days a week.

Certified Nursing Assistant

Certified nursing assistants (CNAs) provide care on a twenty-four hour basis. They work under the direction of a licensed nurse to assist residents with activities of daily living, i.e., eating, grooming, hygiene, dressing, transferring, and toileting. To become a full time certified nursing assistants (CNAs) one must have completed a competency evaluation program or nurse assistant training within 4 months of their permanent employment. They must also pursue continuing education each year.

On Site Services

On site services provide insight into the actual services that the Nursing Home offers. These services include dental service, dietary service, mental health service and others. This information will allow you to see if the Nursing Home provides these services or if they contract with an outside agency for these services.

Percentage of Residents Whose Ability to Move about in and around Their Room Got Worse

This measure indicates the percentage of residents whose ability to move about, either by walking or using a wheelchair, in their room and the hallway near their room, got worse since their last assessment. (Lower percentages are better.)

A decline in physical activity may come with age due to muscle loss, joint stiffness, worsening illness, fear of injury, or depression. Residents who lose mobility may also lose the ability to perform other activities of daily living, like eating, dressing, or getting to the bathroom. In some cases, however, the decline measured may be temporary and due to a short-term illness the resident is experiencing at the time of the assessment.

A lack of movement affects the resident in many ways. It becomes difficult to participate in physical and social activities. Sleep quality can suffer. The risk of heart disease, stroke, diabetes, or blood clots can increase. Depression and anxiety can worsen. Staying in one position and constant pressure on the skin can increase the chance of pressure sores. It is important for residents to be as active as possible.

Nursing home staff can help residents move around more. For instance, they can encourage residents to take part in physical and social activities or take them for regular walks if they need help. Most residents value being able to move about on their own and take care of themselves. It is important that nursing home staff encourage residents to do as much as they can for themselves and stay as active as physically possible. Some residents will decline in their ability to move about, even though the nursing home staff makes a good effort to keep them more active

Percentage of High Risk Residents Who Have Pressure Sores

This measure indicates the percent of residents, among all residents at high risk for getting pressure sores, who get a pressure sore in the nursing home. (Lower percentages are better.) A resident is at high risk for getting pressure sores if he or she is in a coma, doesn't get the nutrients they need (like water, vitamins, and minerals), or can't move or change position on their own.

A pressure sore is a skin wound. Pressure sores are sometimes called bedsores. These sores can be caused by pressure on the skin from chairs, wheelchairs, or beds. Pressure sores usually develop on bony parts of the body such as the tailbone, hip, ankle, or heel. They are usually caused by constant pressure on one part of the skin.

Pressure sores may:

be painful
take a long time to heal
cause other complications such as skin and bone infections

Percentage of Residents Who Spend Most of Their Time in Bed or in a Chair

This measure indicates the percentage of residents who spent most of their time in bed or in a chair in their room during the 7-day assessment period. (Lower percentages are better.)

A decline in physical activity may come with age due to muscle loss, joint stiffness, fear of injury, worsening illness, or depression. Residents who spend too much time in bed or a chair may lose the ability to perform activities of daily living, like eating, dressing, or getting to the bathroom.

Staying in a bed or chair affects the resident in many ways. Unused muscles get weaker. It becomes difficult to participate in physical and social activities. Sleep quality can suffer. The risk of heart disease, stroke, diabetes, or blood clots can increase. Depression and anxiety can worsen. Staying in one position, and constant pressure on the skin can increase the chance of pressure sores. It is important for residents to be as active as possible.

Nursing home staff can help residents be more active. For instance, they can encourage residents to take part in physical activities or take them for regular walks if they need help. Most residents value being able to take care of themselves. It is important that nursing home staff encourage residents to do as much as they can for themselves and stay as active as physically possible. Some residents will choose to remain in bed or in a chair even though the nursing home staff makes a good effort to keep them more active. It is also important to note that some residents may be counted in this measure if their assessment period occurs when they are temporarily ill and are remaining in bed due to a short-term problem.

Percentage of Residents Who Were Physically Restrained

This measure indicates the percent of residents in the nursing home who were physically restrained daily during the 7-day assessment period. (Lower percentages are better.)

A physical restraint is any device, material, or equipment attached or adjacent to a resident's body, which the individual cannot remove easily, that keeps a resident from moving freely or prevents them normal access to their body. Examples of physical restraints include special types of vests, chairs with lap trays, lap belts, and enclosed walkers. Bed rails (side rails) are also considered restraints in certain situations, but they are not used in the calculation of this measure.

Restraints should only be used when they are necessary as part of the treatment of a resident's medical condition. Only a doctor can order a restraint. Restraints should never be used to punish a resident or to make things easier for the staff. Facilities are not allowed to use restraints based solely on a family's request, unless there is a documented medical need and a doctor's order. A resident who is restrained daily can become weak, lose the ability to go to the bathroom by themselves, and develop pressure sores or other medical complications.

Percentage of Residents Whose Need for Help with Daily Activities Has Increased

The daily activities that this measure counts include:

feeding oneself
moving from one chair to another
changing positions while in bed
going to the bathroom alone

Residents are checked routinely to see how they function doing these basic daily activities. Some loss of function may be expected in the elderly. If they are in poor health or if they are ill (for example, if they have pneumonia, an infection, a recent injury, or a chronic problem like asthma that has flared up), they may have a temporary loss of function. Sudden or rapid loss of one or more of these basic daily tasks could mean the resident needs medical attention.

Most residents value being able to take care of themselves. It is important that nursing home staff encourage residents to do as much as they can for themselves. In some cases, it may take more staff time to allow residents to do these tasks than to do the tasks for them. Residents who still do these basic daily activities with little help may feel better about themselves and stay more active. This can affect their health in a good way. When people stop taking care of themselves, it may mean that their health has gotten worse. The resident's ability to perform daily functions is important in maintaining their current health status and quality of life. Some residents will lose function in their basic daily activities even though the nursing home provides good care.

Percentage of Low Risk Residents Who Lose Control of Their Bowels and Bladder

This measure indicates the percent of residents who often lose control of their bowels or bladder. (Lower percentages are better.) This information is only based on residents who have a low risk for losing control of their bowel or bladder. Residents have a low risk for losing bowel and bladder control if they do not have either severe dementia (memory loss) or a very limited ability to move on their own.

Loss of bowel or bladder control is not a normal sign of aging and can often be successfully treated. Loss of bowel and bladder control can be caused by:

physical problems (like constipation, muscle weakness, or a bladder infection)
location problems (like the bathroom being too far away)
reaction to medication
limited ability to walk or move around
diet and fluid intake
toilet routine (timing trips to the bathroom)
whether someone can provide assistance when needed
certain medical conditions, such as diabetes, dementia, spinal cord injury, or neurological disease

Finding the cause and treating a problem with bowel or bladder control is important for many reasons. Physically, it can help prevent infections and pressure sores. Mentally, treatment can help the well being of the resident by restoring dignity and social interaction. Having fewer residents with bowel and bladder control problems can give the nursing home staff more time to provide other care.

Five Star Quality Rating

Much Above Avg. 5 out of 5 stars
Above Avg. 4 out of 5 stars
Average 3 out of 5 stars
Below Avg. 2 out of 5 stars
Much Below Avg. 1 out of 5 stars

Percentage of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder

This measure indicates the percent of residents who had a catheter inserted and left in their bladder for a period of time during the 14-day assessment period. (Lower percentages are better.)

A catheter is a thin, soft tube that is inserted into the bladder and attached to a bag that collects the urine. It may be inserted into the bladder of a patient who has lost control of their bladder or cannot use a toilet (for instance, someone in a coma). Catheters may be used because there is a physical reason the urine cannot drain naturally, to keep a patient with pressure sores that are not healing clean and dry, or to measure the amount of urine being produced.

A catheter should only be used when it is medically necessary. Residents may need a lot of help to get to the toilet, or they may have to go frequently. A catheter should not be used for the convenience of the nursing home staff. Using a catheter may result in complications like urinary tract or blood infections, physical injury, skin problems, bladder stones, or blood in the urine. Some studies have shown that long-term use of indwelling catheters (over many years) may increase the rates of bladder cancer in patients with spinal cord injuries.

Percentage of Residents with a Urinary Tract Infection

This measure indicates the percentage of residents who had an infection in their urinary tract at any time during the 30 days before their most recent assessment. (Lower percentages are better.)

A urinary tract infection (UTI) is an infection in the urethra that, if left untreated, can spread to the bladder (bladder infection) and kidney (kidney infection).

If the area where waste (urine and bowel movements) leaves the body is not kept clean, bacteria from the colon may multiply and enter the urethra (the tube that passes urine from the bladder to outside the body), causing a UTI. A UTI may also be caused by bacteria on a catheter (a soft tube) being used to drain urine from the bladder.

Most urinary tract infections can be prevented by keeping the area clean, emptying the bladder regularly, and drinking enough fluid. Nursing home staff should make sure the resident has good hygiene. Finding the cause and getting early treatment of a UTI can prevent the infection from spreading and becoming more serious or causing complications like delirium. It is important to find out whether the UTI is caused by a physical problem, like an enlarged prostate, so proper medical treatment can be given.

Percentage of Residents Who Are More Depressed or Anxious

This measure indicates the percentage of residents who have become more depressed or anxious in the nursing home since the last time they were checked. (Lower percentages are better.)

Depression is a medical problem of the brain that can affect how a person thinks, feels, and behaves. Signs of depression may include fatigue, a loss of interest in normal activities, poor appetite, and problems with concentration and sleeping.

Anxiety is excessive worry. Signs of anxiety can include trembling, muscle aches, problems sleeping, stomach pain, dizziness, and irritability.

Feeling depressed or anxious can lessen one's quality of life and lead to other health problems. Nursing home residents are at a high risk for developing depression and anxiety for many reasons, such as loss of a spouse, family members, or friends; chronic pain and illness; difficulty adjusting to the nursing home; and frustration with memory loss. Identifying depression and anxiety can be difficult in elderly patients because the signs may be confused with the normal aging process, a side effect of a medication, or the result of a medical condition. Proper treatment may include medication, therapy, or an increase in social support.

Percentage of Residents Who Lose Too Much Weight

This measure indicates the percentage of residents who have lost too much weight. (Lower percentages are better.)

A loss of 5% or more of body weight in one month is usually considered unhealthy (for example, a 150 pound person should not lose more than 7.5 pounds in one month). Too much weight loss can make a person weak, change how medicine works in the body, or cause the skin to break down, which can lead to pressure sores. Too much weight loss may mean that the resident is ill, refuses to eat, is depressed, or has a medical problem that makes eating difficult (like weakness caused by a stroke). It could also mean that the resident is not being fed properly, their medical care is not being properly managed, or that the nursing home's nutrition program is poor. To help prevent unhealthy weight loss, it is important that the resident's diet is balanced and nutritious, and that staff spend enough time feeding people who can't feed themselves. Sometimes it may be necessary for a person to lose weight for medical reasons. In these cases, the medical staff may plan in advance for the resident to lose weight on a special weight loss program, but the person should not lose more than 5% of body weight in one month.

Percentage of Residents Who Have Moderate to Severe Pain

This indicates the percentage of residents who are reported to have moderate to severe pain during the 7-day assessment period. This measure is shown to encourage you to talk to the nursing home staff about how they check and manage pain, and to make you aware of how important it is. Pain can be caused by a variety of medical conditions. Checking for pain and pain management are very complex.

Comparing these percentages is different from the other measures because the percentages may mean different things. Generally, a lower percentage on this measure is better. However, this isn't always true. For example, two nursing homes could provide the same quality of care and have the same number of residents with pain. However, if one of the nursing homes does a better job checking the residents for pain, they could have a higher percentage on this measure. Or, if for personal or cultural reasons, more residents in one of the nursing homes refuse to take pain medication, that nursing home's percentage would be higher. In these examples, although the percentage for one nursing home is higher, it does not mean they are not providing good care.

Residents should always be checked regularly by nursing home staff to see if they are having pain. Residents (or someone on their behalf) should let staff know if they are in pain so efforts can be made to find the cause and make the resident more comfortable. If pain is not treated, a resident may not be able to perform daily routines, may become depressed, or may have an overall poor quality of life. This percentage may include some residents who are getting or have been prescribed treatment for their pain but who refuse pain medicines or choose to take less. Some residents may choose to accept a certain level of pain so they can stay more alert.

Percentage of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination

A pneumococcal vaccination otherwise known as pneumococcal shot may help you prevent, or lower the risk of becoming seriously ill from pneumonia caused by bacteria. It may also help you prevent future infections.

Residents of nursing homes should be asked if they have been vaccinated for pneumonia, and if not, you should be given the pneumococcal shot unless there is a medical reason why you should not receive it.

Percentage of Long-Stay Residents Given Influenza Vaccination During the Flu Season

Influenza is also known as the "flu" and is a contagious form of a respiratory infection. The flu is easily transmitted from person to person. The most common form of spreading this condition is when a person coughs or sneezes.

Receiving an immunization (influenza vaccination or flu shot) can prevent you from getting the flu or at the least help to reduce your risk of becoming seriously ill from the flu. People 65 years of age and older tend to be at a higher risk of becoming seriously ill from the flu. These illnesses can develop into serious and sometime life threatening medical complications. It is recommended that if you are 65 or older you should get a flu shot once a year if no medical condition would preclude you from receiving one.

The flu season is between October and March of each year. Residents of nursing homes should have a flu shot once every year during the flu season. You doctor will explain to you if you have a medical condition or situation that would not allow you to receive a flu shot.

Overall Rating

The overall rating is a combination of the health inspection rating, the staffing rating, and the quality measures rating. Analysis was conducted on these three data sources and each of these ratings were combined into one overall rating.

When looking at the five-star ratings, more stars are better. Five (5) stars are the most a nursing home can get. One (1) star is the fewest.

Health Inspection Result Rating

Strengths:

Comprehensive: The nursing home health inspection process looks at all major aspects of care in a nursing home (about 180 different items).
Onsite Visits by Trained Inspectors: It is the only source of information that comes from a trained team of objective surveyors who visit each nursing home to check on the quality of care, inspect medical records, and talk with residents about their care.
Federal Quality Checks: Federal surveyors check on the state surveyors' work to make sure they are following the national process and that any differences between states stay within reasonable bounds.

Limits:

Variation between States: There are some differences in how different states carry out the inspection process, even though the standards are the same across the country.
Medicaid Program Differences: There are also differences in state licensing requirements that affect quality, and in state Medicaid programs that pay for much of the care in nursing homes

Staffing Rating

Strengths:

Overall Staffing: The quality ratings look at the overall number of staff compared to the number of residents and how many of the staff are trained nurses.
Adjusted for the Population: The ratings consider differences in how sick the nursing home residents are in each nursing home, since that will make a difference in how many staff are needed.

Limits:

Self-Reported: The staffing data are self-reported by the nursing home, rather than collected and reported by an independent agency.
Snap-Shot in Time: Staffing data are reported just once a year and reflect staffing over a 2 week period of time.

Quality Measures Rating

Strengths:

In-Depth Look: The quality measures provide an important in-depth look at how well each nursing home performs on ten important aspects of care. For example, these measures show how well the nursing home helps people keep their ability to dress and eat, or how well the nursing home prevents and treats skin ulcers.
National Measures: The ten quality measures we use in the Five-Star rating are used in all nursing homes.

Limits:

Self-Reported Data: The quality measures are self-reported by the nursing home, rather than collected and reported by an independent agency.
Just a Few Aspects of Care: The quality measures represent only a few of the many aspects of care that may be important to you.

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Other Cost Report Years:

Fiscal Year Begin: 2009-10-01 | Fiscal Year End: 2010-09-30

Resident Rights Deficiencies

Environmental Deficiencies

Resident Assessment Deficiencies

Quality Care Deficiencies

Nutrition and Dietary Deficiencies

Administration Deficiencies

Mistreatment Deficiencies

Hazardous Area Deficiencies

Furnishings and Decorations Deficiencies

Automatic Sprinkler Systems Deficiencies

Electrical Deficiencies

Interior Finish Deficiencies

Resident Councils

Ownership Type

Multiple Nursing Home Ownership

Registered Nurse

Licensed Practical and Vocational Nurse

Certified Nursing Assistant

On Site Services

Percentage of Residents Whose Ability to Move about in and around Their Room Got Worse

Percentage of High Risk Residents Who Have Pressure Sores

Percentage of Residents Who Spend Most of Their Time in Bed or in a Chair

Percentage of Residents Who Were Physically Restrained

Percentage of Residents Whose Need for Help with Daily Activities Has Increased

Percentage of Low Risk Residents Who Lose Control of Their Bowels and Bladder

Five Star Quality Rating

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