General Information: HILLSIDE MANOR NURSING HOME
Nursing home name HILLSIDE MANOR NURSING HOME
Address1109 E NATIONAL HWY
WASHINGTON, IN 47501
Phone number (812) 254-7159
Located within a hospital No
Type of ownership For profit - Corporation
Owner operates multiple homesNo
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils Resident
Certified number of beds 48
Total number of residents 40
Perc of occupied beds 83
Sprinkler status Yes
Number of Facility Reported Incidents0
Number of Substantiated Complaints13
Number of Fines2
Total Amount of Fines$7573
Total Number of Penalties0
Total Number of Penalties2
Ratings Summary: HILLSIDE MANOR NURSING HOME
Overall rating 2
2
Nursing Home Staffing 2
2
Registered Nurses only 3
3
Health Inspections 1
1
Quality Measures 5
5
Nursing Home Staffing Info: HILLSIDE MANOR NURSING HOME
National AverageIndiana AverageHILLSIDE MANOR NURSING HOME
Overall staff rating NA NA 2
2
Registered Nurses only rating NANA 3
3
Total Number of Residents NA NA 40
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.09 hours 3.36 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.84 hours 1.21 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.84 hours 0.57 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 1.0 hours 0.64 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.25 hours 2.14 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.1 hours 0.13 hours
Health Survey: HILLSIDE MANOR NURSING HOME
Heath Survey Summary on 2013-04-19
Total Number of Health Deficiencies 17
Scope and Severity of most Severe Health Deficiency Isolated/Actual harm
Heath Survey Summary on 2012-02-13
Total Number of Health Deficiencies 10
Scope and Severity of most Severe Health Deficiency Isolated/Actual harm
Heath Survey Summary on 2011-01-10
Total Number of Health Deficiencies 13
Scope and Severity of most Severe Health Deficiency Pattern /Immediate jeopardy to resident health or safety
Health Survey Details: HILLSIDE MANOR NURSING HOME
Inspection Results: 04/19/2013
Corrected Deficiency Scope and Severity
05/15/2013 Allow residents to easily view the results of the nursing home's most recent inspection. Pattern/Potential for minimal harm
05/15/2013 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. Isolated/Minimal harm or potential for actual harm
05/15/2013 Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Widespread/Potential for minimal harm
05/15/2013 Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern/Minimal harm or potential for actual harm
05/17/2013 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Pattern/Minimal harm or potential for actual harm
05/17/2013 Provide care by qualified persons according to each resident's written plan of care. Isolated/Minimal harm or potential for actual harm
05/17/2013 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Actual harm
05/15/2013 Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated/Minimal harm or potential for actual harm
05/15/2013 Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. Isolated/Actual harm
05/15/2013 Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Isolated/Minimal harm or potential for actual harm
05/15/2013 Ensure 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. Pattern/Minimal harm or potential for actual harm
05/15/2013 Store, cook, and serve food in a safe and clean way. Widespread /Minimal harm or potential for actual harm
05/15/2013 Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern/Minimal harm or potential for actual harm
05/17/2013 Have a program that investigates, controls and keeps infection from spreading. Pattern/Minimal harm or potential for actual harm
05/15/2013 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
05/15/2013 Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. Pattern/Minimal harm or potential for actual harm
05/15/2013 Train all employees on what to do in an emergency, and carry out unannounced staff drills. Pattern/Minimal harm or potential for actual harm
Inspection Results: 02/13/2012
Corrected Deficiency Scope and Severity
02/29/2012 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
02/29/2012 Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated/Minimal harm or potential for actual harm
02/29/2012 Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated/Actual harm
02/29/2012 Provide care by qualified persons according to each resident's written plan of care. Isolated/Minimal harm or potential for actual harm
02/29/2012 Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern/Minimal harm or potential for actual harm
02/29/2012 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated/Minimal harm or potential for actual harm
02/29/2012 Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Isolated/Minimal harm or potential for actual harm
02/29/2012 Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. Isolated/Minimal harm or potential for actual harm
02/29/2012 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm
02/29/2012 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated/Minimal harm or potential for actual harm
Inspection Results: 01/10/2011
Corrected Deficiency Scope and Severity
01/28/2011 Provide medically-related social services to help each resident achieve the highest possible quality of life. Isolated/Minimal harm or potential for actual harm
01/28/2011 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated/Minimal harm or potential for actual harm
01/28/2011 Provide housekeeping and maintenance services. Widespread/Potential for minimal harm
01/28/2011 Provide clean bed and bath linens that are in good condition. Widespread/Potential for minimal harm
01/28/2011 Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Pattern /Immediate jeopardy to resident health or safety
01/28/2011 Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Isolated/Minimal harm or potential for actual harm
01/28/2011 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated/Minimal harm or potential for actual harm
01/28/2011 Ensure residents maintain acceptable nutritional status. Isolated/Minimal harm or potential for actual harm
01/28/2011 Post nurse staffing information/data on a daily basis. Widespread/Potential for minimal harm
01/28/2011 Provide food in a way that meets a resident's needs. Isolated/Minimal harm or potential for actual harm
01/28/2011 Store, cook, and serve food in a safe and clean way. Widespread /Minimal harm or potential for actual harm
01/28/2011 Have a program that investigates, controls and keeps infection from spreading. Widespread /Minimal harm or potential for actual harm
01/28/2011 Train all employees on what to do in an emergency, and carry out unannounced staff drills. Pattern/Minimal harm or potential for actual harm

Fire Safety Survey: HILLSIDE MANOR NURSING HOME
Fire Safety Survey Summary on 2013-05-28
Total Number of Fire SafetyDeficiencies 8
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-02-27
Total Number of Fire SafetyDeficiencies 4
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2011-02-02
Total Number of Fire SafetyDeficiencies 3
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey: HILLSIDE MANOR NURSING HOME
Fire Safety Survey Results: 05/28/2013
Corrected Deficiency Severity
06/27/2013 Walls that prevent smoke from passing through and would resist fire for at least one hour. Pattern/Minimal harm or potential for actual harm
06/27/2013 Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. Pattern/Minimal harm or potential for actual harm
06/27/2013 A written emergency evacuation plan. Widespread /Minimal harm or potential for actual harm
06/27/2013 Record of quarterly fire drills for each shift under varying conditions. Widespread /Minimal harm or potential for actual harm
06/27/2013 An approved installation, maintenance and testing program for fire alarm systems. Widespread /Minimal harm or potential for actual harm
06/27/2013 Automatic sprinkler systems that have been maintained in working order. Widespread /Minimal harm or potential for actual harm
06/27/2013 Properly protected cooking facilities. Pattern/Minimal harm or potential for actual harm
06/27/2013 Weekly inspections and monthly testing of generators. Widespread/Potential for minimal harm
Fire Safety Survey Results: 02/27/2012
Corrected Deficiency Severity
03/07/2012 Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Widespread /Minimal harm or potential for actual harm
03/07/2012 Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. Pattern/Minimal harm or potential for actual harm
03/07/2012 Exits that are accessible at all times. Widespread /Minimal harm or potential for actual harm
03/07/2012 Portable fire extinguishers. Widespread/Potential for minimal harm
Fire Safety Survey Results: 02/02/2011
Corrected Deficiency Severity
02/09/2011 Exits that are accessible at all times. Widespread /Minimal harm or potential for actual harm
02/09/2011 Emergency lighting that can last at least 1 1/2 hours. Widespread/Potential for minimal harm
02/09/2011 Weekly inspections and monthly testing of generators. Widespread/Potential for minimal harm

Resident Complaints: HILLSIDE MANOR NURSING HOME
Date Complaint Substantiated: 07/11/2013
CorrectedCategoryDeficiencySeverity
07/12/2013Ensure that residents are safe from serious medication errors. G
Date Complaint Substantiated: 01/15/2013
CorrectedCategoryDeficiencySeverity
01/23/2013Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D
01/23/2013Keep accurate, complete and organized clinical records on each resident that meet professional standards. D
Date Complaint Substantiated: 08/20/2012
CorrectedCategoryDeficiencySeverity
08/23/2012Keep all essential equipment working safely. D
08/23/2012Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. D
08/23/2012Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. D
Date Complaint Substantiated: 06/20/2011
CorrectedCategoryDeficiencySeverity
06/30/2011Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. D
06/30/2011Keep accurate, complete and organized clinical records on each resident that meet professional standards. D

Quality Measures: HILLSIDE MANOR NURSING HOME
Quality Measures National Average Indiana Average HILLSIDE MANOR NURSING HOME
Overall quality rating NA NA 5
5
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 17.5% 6.8%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 8.8% 8.4%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 6.6% 5.1%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 8.1% 0.9%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 47.8% 24.1%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 3.4% 0.5%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 6.3% 2.6%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 5.4% 3.8%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 1.1% 0.0%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 3.4% 0.0%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 92.3% 94.7%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 93.3% 88.9%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 20.9% 35.6%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 21.1% %
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.6% 0.0%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 83.4% 95.9%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 80.8% 94.0%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 2.7% 26.7%

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