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Hill Haven Nursing Home

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About Hill Haven Nursing Home

General Information

Legal Business NameRochester General Long Term Care, Inc
Ownership TypeNon Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJanuary 1, 1968 ()
Capacity288
Residents269
Percent Occupied93%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Hill Haven Nursing Home

Hill Haven Nursing Home
was reviewed by Medicare to have a rating of 2 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of New York Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

November 23, 2015 - 13 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth Inspection1) 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.
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
BSomePotential for Minimal HarmHealth InspectionPost nurse staffing information/data on a daily basis.

March 23, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintProvide care by qualified persons according to each resident's written plan of care.

October 30, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionKeep all essential equipment working safely.
ESomePotential for HarmFire Safety InspectionApproved construction type or materials.
ESomePotential for HarmFire Safety InspectionAn approved automatic sprinkler system connected to the fire alarm system.
ESomePotential for HarmFire Safety InspectionAn approved installation, maintenance and testing program for fire alarm systems.
ESomePotential for HarmFire Safety InspectionCorridors that are separated from use areas by walls constructed to limit the passage of smoke.
ESomePotential for HarmFire Safety InspectionProper stairway enclosures and vertical shafts.
ESomePotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
DFewPotential for HarmHealth InspectionEnsure that residents are safe from serious medication errors.
DFewPotential for HarmHealth InspectionGive or get specialized rehabilitative services per the patient's assessment or plan of care.
DFewPotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
BSomePotential for Minimal HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

July 3, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

March 6, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

February 11, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

December 6, 2013 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$77,935 fine
GFewActual HarmComplaint+InspectionEnsure that residents are safe from serious medication errors.
ESomePotential for HarmFire Safety InspectionAn approved automatic sprinkler system connected to the fire alarm system.
ESomePotential for HarmFire Safety InspectionSmoke barrier doors that can resist smoke for at least 20 minutes.
ESomePotential for HarmFire Safety InspectionProper medical gas storage and administration areas.
ESomePotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
ESomePotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
ESomePotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
ESomePotential for HarmFire Safety InspectionCorridors that are separated from use areas by walls constructed to limit the passage of smoke.
ESomePotential for HarmFire Safety InspectionFire resistant room wall surfaces.
ESomePotential for HarmComplaint+InspectionEnsure services provided by the nursing facility meet professional standards of quality.
ESomePotential for HarmFire Safety InspectionApproved construction type or materials.
DFewPotential for HarmHealth InspectionProvide or obtain dental services for each resident.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmComplaint+Inspection1) 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.
DFewPotential for HarmHealth InspectionProvide activities to meet the interests and needs of each resident.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Hill Haven Nursing Home require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 20min
2hr 20min
ReportedExpected
CNA
1hr 5min
40min
ReportedExpected
LPN
45min
1hr 5min
ReportedExpected
RN
4hr 10min
4hr 10min
ReportedExpected
Total Nursing

This facility also provides approximately 45min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
98.0%
98.0%
97.4%
Q1 2015Q2 2015Q3 2015NY
Assessed and Appropriately Given the Seasonal Influenza Vaccine
97.5%
99.6%
99.1%
96.0%
Q1 2015Q2 2015Q3 2015NY
Assessed and Appropriately Given the Pneumococcal Vaccine
50.0%
51.2%
50.0%
47.4%
Q1 2015Q2 2015Q3 2015NY
Low Risk Residents Who Lose Control of Their Bowel or Bladder
19.1%
18.7%
18.6%
16.3%
Q1 2015Q2 2015Q3 2015NY
Received an Antipsychotic Medication
14.8%
13.9%
17.6%
14.2%
Q1 2015Q2 2015Q3 2015NY
Need for Help with ADLs has Increased
15.1%
18.3%
15.9%
5.3%
Q1 2015Q2 2015Q3 2015NY
Self Report Moderate to Severe Pain
4.6%
5.5%
8.4%
6.5%
Q1 2015Q2 2015Q3 2015NY
Lose Too Much Weight
7.8%
13.6%
12.7%
7.5%
Q1 2015Q2 2015Q3 2015NY
High Risk Residents With Pressure Ulcers
6.8%
5.5%
11.8%
10.6%
Q1 2015Q2 2015Q3 2015NY
Have Depressive Symptoms
2.9%
4.3%
2.2%
4.9%
Q1 2015Q2 2015Q3 2015NY
With a Urinary Tract Infection
4.6%
3.8%
4.4%
2.8%
Q1 2015Q2 2015Q3 2015NY
Experiencing One or More Falls with Major Injury
2.1%
2.8%
1.7%
2.7%
Q1 2015Q2 2015Q3 2015NY
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
1.4%
Q1 2015Q2 2015Q3 2015NY
Were Physically Restrained

Quality Measures for Short Stay Residents

85.4%
93.4%
96.5%
82.1%
Q1 2015Q2 2015Q3 2015NY
Assessed and Appropriately Given the Pneumococcal Vaccine
92.6%
91.6%
91.6%
84.6%
Q1 2015Q2 2015Q3 2015NY
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
21.2%
21.0%
18.2%
12.9%
Q1 2015Q2 2015Q3 2015NY
Self Report Moderate to Severe Pain
1.5%
1.6%
0.5%
2.2%
Q1 2015Q2 2015Q3 2015NY
Newly Received an Antipsychotic Medication
0.9%
3.1%
3.2%
1.2%
Q1 2015Q2 2015Q3 2015NY
With Pressure Ulcers That Are New or Worsened