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Heartland Health Care Center Miami Lakes

The Heartland Health Care Center in Miami Lakes is a nursing home located at 5725 NW 186 Street in Hialeah, Florida. It is close to Red Road Plaza, Lake Stevens Park, Country Village Park, and NW 191st Street. The nursing home has 120 certified beds and participates in Medicare and Medicaid. The Heartland Health Care Center in Miami Lakes gets an above average rating overall from the Medicare website. It is not in a Continuing Care Retirement Community (CCRC) and not in a hospital. The Heartland Health Care Center in Miami Lakes is a for-profit organization.

The nursing home can be reached at (305) 625-9857 or through its website, http://www.hcr-manorcare.com. In addition to English, staff at this nursing home speak Creole, Filipino, and Spanish. The Heartland Health Care Center in Miami Lakes is a MedBridge Certified Rehab Center, offering post-hospital care. They also offer residential care, dementia care, assisted living, independent living, and nursing home care services. The facility offers 58 two-bed rooms.

Inspections of Heartland Health Care Center in Miami Lakes

The Heartland Health Care Center in Miami Lakes gets a below average rating for health inspections. As of autumn, 2018, the last inspection at this nursing home took place on 11/28/2017. The last full inspection report available is dated 08/03/2017. In that inspection, it was found that the Heartland Health Care Center in Miami Lakes did not “provide medically-related social services” to improve quality of life for residents. Specifically, inspectors noted that one resident in need of glasses for vision impairment did not get glasses in a timely manner. In addition, inspectors concluded staff did not correctly monitor and document the side effects and outcomes for four residents taking medications.

The same inspection concluded that the Heartland Health Care Center in Miami Lakes did not provide needed services and care for a resident who was suffering from a bruise. According to inspectors, the staff did not adequately assess pain levels or the skin condition related to the bruise. In addition, the staff did not take adequate care to avoid some risks. Specifically, the nursing home did not have at least 12 oxygen tanks in the respiratory storage office, as required by the National Fire Protection Association (NFPA).

At the inspection on 08/03/2017, inspectors concluded that the Heartland Health Care Center in Miami Lakes did not always manage drug and medication for each patient to avoid patients being overmedication and to ensure each patient got the right medication for optimal well-being. Four out of five patients reviewed were found to be given medication, including antianxiety and hypnotic, without adequate monitoring for efficiency and side effects. For two out of eight storage areas examined, the nursing home did not properly store controlled narcotics in affixed containers. Inspectors also found the facility did not store clean linen correctly, instead storing it with cleaning equipment, water, and boxes, creating the possibility for cross-contamination.

The Heartland Health Care Center in Miami Lakes did get an above-average rating for fire safety inspections. In a 08/03/2017 inspection, one citation was found, which is below the state average of 2.1 citations found. The Heartland Health Care Center in Miami Lakes has automatic sprinkler systems properly installed in all required areas.

This nursing home has not received any serious federal or state fines in the period between 2015 and 2018. During this same time period, this nursing home has not received any payment denials by Medicare.

Staffing

The Heartland Health Care Center in Miami Lakes gets an above-average rating for staffing. This nursing home saw 115.1 residents per day, which is higher than the state average of 107.7. Residents received 1 hour and 53 minutes of staff hours with licensed nurses, on average, per day, which is higher than the state average of 1 hour and 36 minutes and higher than the national average of 1 hour and 33 minutes. In addition, residents of the Heartland Health Care Center in Miami Lakes received an average of 2 hours and 32 minutes of nurse aide hours daily, which is higher than the national average of 2 hours and 18 minutes, and close to the state average of 2 hours and 41 minutes. Residents of this nursing home received an average of 12 minutes with physical therapist staff, which is higher than the Florida average of 8 minutes and the national average of 7 minutes. For staff time with registered nurses (RNs), the Heartland Health Care Center in Miami Lakes scored much above average. While nationally and across Florida residents get 40 minutes with RNs daily, residents of the Heartland Health Care Center in Miami Lakes get one hour and nine minutes with RNs per resident per day.

Quality of Resident Care at the Heartland Health Care Center in Miami Lakes

The Heartland Health Care Center in Miami Lakes gets a much-above average rating for quality of resident care. 75.5% of short-stay residents improved in independent mobility, compared to 67.9% nationally and 70.2% of Florida residents. 27% of residents at this nursing home had to be re-admitted to the hospital after staying at the nursing home, compared to 22.4% of national residents and 24.4% of Florida residents. However, 70.1% of short-term stay residents at the Heartland Health Care Center in Miami Lakes were able to be re-discharged into the community, compared with a national average of 56.4% and a state average of 55.6%. Emergency room visits were also lower for this nursing home, with 9.6% of short-term stay residents needing such a visit. The Florida average for ER visits at nursing homes is 10.5% and the national average is 12.3%.

Short-term stay residents at the Heartland Health Care Center in Miami Lakes reported at least moderate pain 14.6% of the time, compared to 13.1% of national nursing home residents and 9.5% of Florida nursing home residents. Fewer short-term stay residents of the Heartland Health Care Center in Miami Lakes developed pressure ulcers (0.1%) compared with national averages (0.9%) and Florida averages (0.5%).

1 Vital Statistics
Number of Beds: 120 certified bedsinformation

Beds in the nursing home that have been approved by the federal government to participate in Medicare or Medicaid.

Accepts: Medicare and Medicaidinformation

Shows if the nursing home participates in the Medicare, Medicaid, or both.

2 Key Ratings
Star Rating Summary
Overall Rating information

Medicare assigns the overall star rating based on a nursing homes's performance on 3 separate measures: Health inspections, staffing, and quality measures. Each of these domains have their own star ratings, with more stars meaning better quality of care

Three Stars Average
Health Inspection information

Medicare assigns the star rating based on a nursing home’s weighted score from recent health inspections. More stars means fewer health risks

Two Stars Below Average
Staffing information

Medicare assigns the star rating based on the nursing home’s staffing hours for Registered Nurses (RNs), Licensed Practice Nurses (LPNs), Licensed Vocational Nurses (LVNs), and Nurse aides. More stars means a better level of staffing per nursing home resident

Four Stars Above Average
RN Staffing Five Stars Much Above Average
Quality Measures information

Medicare assigns the star rating based on data from a select set of clinical data measures. More stars means better quality of care

Four Stars Above Average
3 Key Short Stay Statistics
Description Nspire Healthcare Miami Lakes Florida
Average
Percent of short-stay residents who self-report moderate to severe pain
Lower percentages are better.
24.7% 8.9%
Percentage of SNF residents with pressure ulcers that are new or worsened
Lower percentages are better.
0.0% Not Available
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Higher percentages are better.
79.8% 88.3%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Higher percentages are better.
92.3% 91.8%
Percentage of short-stay residents who got antipsychotic medication for the first time
Lower percentages are better.
0.6% 2.1%
4 Key Long Stay Statistics
Description Nspire Healthcare Miami Lakes Florida
Average
Percent of long-stay residents experiencing one or more falls with major injury
Lower percentages are better.
1.3% 2.7%
Percent of long-stay residents with a urinary tract infection
Lower percentages are better.
6.1% 2.7%
Percent of long-stay residents who self-report moderate to severe pain
Lower percentages are better.
2.8% 4.3%
Percent of long-stay high-risk residents with pressure ulcers
Lower percentages are better.
8.3% 8.0%
Percent of long-stay low-risk residents who lose control of their bowels or bladder
Lower percentages are better.
62.3% 54.5%
Percent of long-stay residents who have or had a catheter inserted and left in their bladder
Lower percentages are better.
4.1% 1.8%
Percent of long-stay residents who were physically restrained
Lower percentages are better.
0.6% 0.2%
Percentage of long-stay residents whose ability to move independently worsened
Lower percentages are better.
14.8% 16.4%
Percent of long-stay residents whose need for help with daily activities has increased
Lower percentages are better.
9.6% 12.7%
Percent of long-stay residents who lose too much weight
Lower percentages are better.
4.9% 5.5%
Percent of long-stay residents who have depressive symptoms
Lower percentages are better.
0.0% 1.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
Lower percentages are better.
30.5% 24.3%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Higher percentages are better.
100.0% 95.6%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
Higher percentages are better.
100.0% 96.9%
Percent of long-stay residents who received an antipsychotic medication
Lower percentages are better.
18.7% 14.1%
5 Inspection Summary

Date of standard health inspection: 08/16/2018
Total number of health deficiencies: 7
Average number of health deficiencies in Florida: 6.3

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