Heartland at Cedar Creek

Total Number of Beds: 89	Percent of Occupied Beds: 83%
Total Number of Residents: 74	Located Within a Hospital: No
Type of Ownership: For profit - Corporation	Multiple Nursing Homes by Same Owner: Yes
Councils the Nursing Home Participates in: Resident	Medicare/Medicaid: Participating in Medicare and Medicaid
* Details Last Reported on: 09/24/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 0.53

Number of LPN/LVN Hours per Nursing Home Resident per Day: 0.65

Number of CNA Hours per Nursing Home Resident per Day: 2.56

Number of Staff Hours per Nursing Home Resident per Day: 3.74

Nursing Home Resident Information**:

Percent of Short-Stay Residents With Pressure Sores: 19%
Percent of High-Risk Residents Who Have Pressure Sores: 18%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 11%
Percent of Residents Who Have Moderate to Severe Pain: 4%
Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse: 7%
Percent of Residents Who Spend Most of Their Time in Bed or in a Chair: 3%
Percent of Residents Whose Need for Help With Daily Activities Has Increased: 11%
Percent of Residents Who are More Depressed or Anxious: 5%
Percent of Short-Stay Residents With Delirium: 0%
Percent of Residents Who Were Physically Restrained: 9%
Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder: 64%
Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder: 7%
Percent of Residents With a Urinary Tract Infection: 20%
** Details Last Reported on: 9/24/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2001-05-10	2001-06-28	Resident Rights Deficiencies	Provide care in a way that keeps or builds each resident's dignity and self respect.	Pattern	Minimal harm or potential for actual harm
2001-05-10	2001-06-28	Resident Rights Deficiencies	Provide services to meet the needs and preferences of each resident.	Pattern	Minimal harm or potential for actual harm
2001-05-10	2001-06-28	Environmental Deficiencies	Provide needed housekeeping and maintenance.	Pattern	Minimal harm or potential for actual harm
2001-05-10	2001-06-28	Environmental Deficiencies	Provide clean bed and bath linens that are in good condition.	Widespread	Potential for minimal harm
2001-05-10	2001-06-28	Environmental Deficiencies	Keep temperature levels comfortable and safe.	Pattern	Minimal harm or potential for actual harm
2001-05-10	2001-06-28	Quality Care Deficiencies	Make sure that residents with loss of bladder control receive treatment or service to prevent infections and help get normal bladder control.	Pattern	Minimal harm or potential for actual harm
2001-05-10	2001-06-28	Environmental Deficiencies	Make sure that a working call system is available in each resident's room or bathroom and bathing area.	Pattern	Minimal harm or potential for actual harm
2002-08-08	2002-09-21	Mistreatment Deficiencies	Protect each resident from all abuse, physical punishment, and being separated from others.	Isolated	Minimal harm or potential for actual harm
2002-08-08	2002-09-21	Mistreatment Deficiencies	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	Isolated	Minimal harm or potential for actual harm
2002-08-08	2002-09-21	Environmental Deficiencies	Provide needed housekeeping and maintenance.	Pattern	Minimal harm or potential for actual harm
2002-08-08	2002-09-21	Environmental Deficiencies	Provide clean bed and bath linens that are in good condition.	Pattern	Potential for minimal harm
2002-08-08	2002-09-21	Resident Assessment Deficiencies	Do a new assessment after any major change in a resident's physical or mental health.	Isolated	Minimal harm or potential for actual harm
2002-08-08	2002-09-21	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	Isolated	Minimal harm or potential for actual harm
2002-08-08	2002-09-21	Quality Care Deficiencies	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	Isolated	Minimal harm or potential for actual harm
2002-08-08	2002-09-21	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	Widespread	Minimal harm or potential for actual harm
2002-08-08	2002-09-21	Nutrition and Dietary Deficiencies	Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.	Pattern	Minimal harm or potential for actual harm
2002-08-08	2002-09-21	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Widespread	Minimal harm or potential for actual harm
2002-08-08	2002-09-21	Environmental Deficiencies	Get rid of garbage properly.	Pattern	Potential for minimal harm
2002-08-08	2002-09-21	Environmental Deficiencies	Make sure there is a program to prevent/deal with mice, insects, or other pests.	Isolated	Minimal harm or potential for actual harm
2002-08-08	2002-09-21	Administration Deficiencies	Keep accurate and appropriate medical records.	Isolated	Minimal harm or potential for actual harm
2003-09-24	2003-11-08	Resident Rights Deficiencies	Keep each resident's personal and medical records private and confidential.	Isolated	Minimal harm or potential for actual harm
2003-09-24	2003-11-08	Resident Rights Deficiencies	Provide care in a way that keeps or builds each resident's dignity and self respect.	Pattern	Minimal harm or potential for actual harm
2003-09-24	2003-11-08	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	Isolated	Minimal harm or potential for actual harm
2003-09-24	2003-11-08	Quality Care Deficiencies	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	Pattern	Minimal harm or potential for actual harm
2003-09-24	2003-11-08	Nutrition and Dietary Deficiencies	Make sure that residents are well nourished.	Pattern	Minimal harm or potential for actual harm
2003-09-24	2003-11-08	Nutrition and Dietary Deficiencies	Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.	Pattern	Minimal harm or potential for actual harm
2003-09-24	2003-11-08	Nutrition and Dietary Deficiencies	1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day.	Pattern	Minimal harm or potential for actual harm
2003-09-24	2003-11-08	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Pattern	Minimal harm or potential for actual harm
2003-09-24	2003-11-08	Environmental Deficiencies	Get rid of garbage properly.	Pattern	Minimal harm or potential for actual harm
2003-09-24	2003-11-08	Environmental Deficiencies	Make sure that staff members wash their hands when needed.	Pattern	Minimal harm or potential for actual harm
2003-09-24	2003-11-08	Environmental Deficiencies	Provide bedrooms that don't allow residents to see each other when privacy is needed.	Pattern	Minimal harm or potential for actual harm
2003-09-24	2003-11-08	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable.	Pattern	Minimal harm or potential for actual harm
2003-09-24	2003-11-08	Environmental Deficiencies	Make sure there is a program to prevent/deal with mice, insects, or other pests.	Pattern	Minimal harm or potential for actual harm
2003-09-24	2003-11-08	Administration Deficiencies	Obtain a license from the State and local government.	Widespread	Minimal harm or potential for actual harm
2003-09-24	2003-11-08	Administration Deficiencies	Make sure that nurse aides show they have the skills to be able to care for residents.	Pattern	Minimal harm or potential for actual harm

*** All violations listed are based on federal government records.