Hillcrest Health Care Center
PO Box 605 Danville, 25053
- An actual harm deficiency was cited by Medicare on February 1, 2012 for failing to provide necessary care and services to maintain the highest well-being of each resident. The facility failed to ensure seven of forty-nine Stage II sampled residents received necessary care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being. Two residents were not assessed and/or monitored for pneumonia; a resident was not assessed and provided ordered medications for pain; a resident was not assessed or provided services for social isolation; two residents were not provided timely administration of medications after hospitalization; one resident did not receive an ordered x-ray; a resident’s oxygen saturation was not monitored as ordered; and a resident’s urine output and change of condition was not assessed or monitored.
- An actual harm deficiency was cited by Medicare on October 5, 2012, for failing to give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. The facility failed to accurately and timely assess the pressure areas, administer treatments as ordered by the physician to promote wound healing, evaluate the effectiveness of the treatments in place, and follow their policy for treatment for two residents. As a result, the pressure sores for two residents increased in size.
- An actual harm deficiency was cited by Medicare on October 5, 2012, for failing to be administered in an acceptable way that maintains the well-being of each resident. The governing body failed to ensure all deficient practices cited during a combined quality indicator survey and a complaint survey on 2/1/12 and 6/1/12 were corrected, as alleged in the plan of correction. Non-compliance remained in the following groupings: Resident Behavior and Facility Practices, Quality of Care, Resident Assessment, and Nursing Services.
- An actual harm deficiency was cited by Medicare on October 5, 2012, for failing to set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Based on observations, record review, review of citations and the associated plans of correction issued in 2012, and staff interview, the facility’s quality assessment and assurance committee failed to implement and monitor actions to ensure previously cited deficient practices were corrected and did not recur. This visit found five repeat deficiencies, including one repeat deficiency with non-compliance at a severity level of harm.
Minimal Harm or Potential for Actual Harm
- Deficiencies were cited by Medicare on November 17, 2014, July 11, 2013, November 15, 2012, October 5, 2012, and February 1, 2012, for failing to (1) hire only people with 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.
- A deficiency was cited by Medicare on November 17, 2014, for failing to let the resident refuse treatment or refuse to take part in an experiment and formulate advance directives.
- Deficiencies were cited by Medicare on June 1, 2012, October 5, 2012, July 11, 2013, January 22, 2014, November 17, 2014 and January 29, 2015 for failing to make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents.
- Deficiencies were cited by Medicare on June 1, 2012 and November 15, 2012, for failing to write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents’ property.
- A deficiency was cited by Medicare on February 6, 2013, for failing to keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
Fines / Penalties
Received a fine of $4,000 on 9/6/2012 and a Medicare Payment Denial related to its deficient health care practices.
- The percent of long-stay residents experiencing one or more falls with major injury (10%) is over 2 times the West Virginia average (4.7%) and the national average (3.2%).
- A high percent of long-stay high-risk residents with pressure ulcers (9.5%) compared to the West Virginia average (6.5%) and the national average (5.9%).
- The total number of licensed nurse staff hours per resident per day (1 hour and 31 minutes) is significantly less than the West Virginia average (1 hour and 47 minutes) and the national average (1 hour and 40 minutes).
This summary of the facility’s Nursing Home Profile from the Official U.S. Government Site for Medicare and/or the facility’s summary from the Quality Reporting System of the Texas Department of Aging and Disability Services contains information as of February 11, 2015. The health inspection reports contained on the Medicare and Texas Department of Aging and Disability Services websites are designed to aid a facility in identifying and correcting its deficient practices. To determine whether the facility has corrected its deficiencies or improved its overall rating subsequent to the date listed above, please go to: http://www.medicare.gov/nursinghomecompare and http://facilityquality.dads.state.tx.us/qrs/public/qrs.do