The Hills Nursing & Rehabilitation
201 E Thompson St, Decatur TX 76234 · (940) 627-2165 · 57.72% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Reese
The Hills Nursing & Rehabilitation is an average-sized nursing home located in Decatur, Texas. This nursing home received an overall grade of C, which is a solid grade. This actually turned out to be the highest rated facility in Decatur. One of the major highlights of this facility's report card is its stellar inspection score, which we will address in the next paragraph.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 110 Beds
CCRC :
For profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
In addition to being a respectable nursing home overall, this facility also excelled in the category of inspections, where it received a grade of A. Few facilities performed better in this category. Our inspection grades are based on items located in the a nursing home's recent inspection reports. Places that score well in this category typically have very few deficiencies on their reports. Most importantly, these nursing homes generally do not have any severe deficiencies which are associated with risks to patient safety. This place received 4 deficiencies on its inspection report, but we were relieved to see that none were considered severe. This indicates that the inspectors did not consider any of these deficiencies to pose an imminent threat to patient safety or health. Finally, this facility had no substantiated complaints this year from residents, which is always a good sign.
Long-term Care Quality
In addition, we also wanted to draw your attention to the fact that this nursing home was given strong long-term care marks in this assessment. We awarded them one of our better scores in this area, with a B+. This turned out to be the facility's second highest score. Long-term care scores in this range generally require both around the clock care from nurses and aids, as well as quality routine healthcare services. In addition to considering the volume of care provided by nurses and other staff, we also looked at the percentage of residents vaccinated for pneumonia. This nursing home gave the vaccine to 100 percent of its residents, which is what we like to see. Pneumonia sadly can be a dangerous ailment for nursing home residents so we like it when a facility doesn't leave this to chance. Lastly, this place was able to limit hospitalizations. With only 1.29 hospitalizations per 1,000 long-term resident days, this nursing home has fewer hospitalizations than the average nursing home.
Short-term Care Quality
This facility's next best area turned out to be its short-term care score, where it was awarded a grade of B-. In computing our short-term care scores, we scrutinize a facility's levels of skilled nursing services, which includes registered nurses, physical therapists occupational therapists and other highly skilled individuals. This grade is often a useful assessment of the nursing home's rehabilitation services. In this nursing home's case, we were surprised to learn that it actually provides less physical therapist and registered nurse hours per resident than the typical facility. The final measure we considered in this area is the percentage of patients who were able to leave the nursing home and return to the community. This was more of a strength than its staffing metrics. It performed well in this area with 60.7 percent of its patients returning home. This was a boost to its score in this category.
Nurse Quality
This facility's weakest area was nursing, which is the last area we analyzed. Unfortunately, we gave it an F in this area. In spite of multiple respectable grades in other areas, this grade is still of a concern so we would like to to make sure you are aware. Nursing ratings are heavily correlated with nurse staffing levels. With just 2.9 hours of nursing care per patient on a daily basis, this place's nurse staffing levels were significantly below the national average. To pair with its low totals in the area of nursing hours per resident, this facility also didn't fare as well in the quality-based measures we looked at in determining our nursing ratings. We looked at the percentage of residents sustaining pressure ulcers and major falls. This place had more pressure ulcers and falls than the average nursing home.
Overall Rating Over Time
Compared to national and state averages across all facilities.
The Hills Nursing & Rehabilitation Quality Metrics
Minimizes Pressure Ulcers
This metric is a measure of the percent of long-term stay residents that suffer from pressure ulcers or bed sores. We consider this statistic when determining our nursing grades.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This datapoint gauges the percent of long-term residents who sustained falls resulting in severe injury. Falls can arise for a variety of reasons, but high rates of major falls could be an indication of lower quality nursing care.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This is the percentage of residents that suffered from a urinary tract infection. Urinary tract infections are considered by many in the nursing home industry to be an indicator of nursing care . UTI's are often the result of a nursing home with worse hygiene protocols. However, this metric could be misleading for certain nursing homes due to different reporting standards for urinary tract infections.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This is the percentage of residents who were given antipsychotic medications. While antipsychotic medications may be helpful for many residents, it is important to make sure these medications are being used appropriately. In limited cases, increased usage of these drugs may indicate that a nursing home is using these drugs to subdue residents.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This is the percent of patients who were given antianxiety drugs. These medications are prescribed to patients suffering from depression and anxiety.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This indicates the percent of patients who are showing depressive symptoms. High rates of depression may imply a less hospitable environment.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This datapoint is a measure of the percentage of long-term care residents that were given the pneumonia and flu vaccines. Respiratory viruses can be deadly for nursing home patients, making these types of vaccines important for resident well-being.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This tells you the percentage of patients who needed additional assistance with activities of daily living over time.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This datapoint measures the percent of long-term care patients that were able to retain mobility. Some experts would argue that the ability to move around is vital to residents' mental and physical health.
Percentage of Residents
Higher is Better
Hospitalizations
This datapoint is a measure of the number of hospitalizations per 1,000 days of patient care. Keeping residents out of the hospital is key to maintaining the physical health of patients.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This indicates the number of rehospitalizations per 1,000 days of short-term care.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This datapoint is a measure of the number of emergency room visits per thousand days of short-term patient care.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This datapoint is a measure of the percentage of short-term patients who experienced functional improvements.
Percentage of Resident
Higher is Better