3210 POWDER MILL ROAD
ADELPHI, MD 20783
(301) 937-3939
Hillhaven Nursing Center is a private family-owned-and-operated facility in Adelphi, Maryland that maintains 66 certified beds. Services at this facility include assisted living, respite and rehabilitation services, and hospice care. With a total of 55 residents at the last official count, Hillhaven is relatively cozy compared with the Maryland and U.S. averages (about 107 residents at the average Maryland nursing home; about 86 residents at all nursing homes across the country).
We are nursing home lawyers. We have a bias against elder care facilities - particularly for-profit nursing homes this one -- that probably comes across in the reviews we do. We see nursing malpractice in Maryland's best nursing home and Maryland's worst nursing homes.
That said, Hillhaven appears to be an excellent nursing home. Hillhaven has been family-owned and run since 1978, when it was an 18-bed facility. It has remained the concern of the same family ever since, while growing to 66 beds. The company president and administrator, of the same family, is a registered nurse. All four children of the main owners serve in some important capacity at this facility, and one of them, too, is a registered nurse. "Throughout the years," the Hillhaven website says, "they have all held various positions giving them a unique perspective and knowledge of senior living." It's not every day that we find a nursing home that has been "in the family" for decades, in which those holding top positions of responsibility literally grew up learning how to do their jobs.
Implicit is the idea that the members of this close-knit organization know their business. And everything that management does for the good of the facility is also for the good of the family. Says the facility website: "A smaller family-owned and operated community means more personalized care and dedication to your needs."
Every nursing home says something like that. This one seems to be backing it up. Hillhaven has a history of deficiency-free surveys and 5-star ratings from Medicare.
Hillhaven CompetitorsHillhaven has a lot of competition in the area:
Consistent with this facility's claims of ongoing quality, Hillhaven has had no Medicare complaint inspections since at least November 1, 2015, and it has had no federal fines or payment denials in the last three years.
Hillhaven also got the top 5-star Medicare rating for staffing. The total time per day that Hillhaven residents got with nurse staffers exceeded the Maryland and U.S. averages by over half an hour.
Most notably, residents here got much more daily attention from registered nurses: about 40 to 50 minutes more per day than the state and national averages. Because registered nurses are the lead caregivers, Medicare gives the RN category its own rating; Hillhaven got 5 stars. (As noted above, RN care runs in the family, starting with the chief administrator.) This facility was slightly below average in the time residents got with physical therapists and LPNs and LVNs (licensed practical nurses, licensed vocational nurses), but it was extremely generous in the time it gave residents with CNAs (certified nursing assistants): nearly four hours per day, well over an hour more than the Maryland and U.S. averages.
Good StatsGiven its statistical record, we find it a bit hard to understand how Hillhaven got only a 4-star rating for Medicare's quality measures, which are numerical gauges of the types and amounts of care residents receive.
Hillhaven scored better than the Maryland and U.S. averages in eight out of nine categories applicable to short-stay residents. The short-stayers at this facility were significantly less likely to report having serious pain. Notably, none of them had issues with pressure ulcers (bed sores). The rate of successful discharges at Hillhaven was better than the state and national norms, and, once discharged, former residents were less likely to need rehospitalization or an ER visit.
The stats related to Hillhaven's long-term residents do raise some issues, but this facility did outscore the Maryland and U.S. averages in 11 of 15 categories. What does a facility have to do to get 5 stars? Long-term residents at this facility were slightly more prone than average to have urinary tract infections, incontinence, or serious pain; they definitely were more likely to need help in conducting their daily activities. The most negative stat for long-stay residents at this facility was in its use of physical restraints: at 2 percent, this figure was about three times the state and national averages. But since this facility had only 55 residents at the last official tally, the figures suggest that they used physical restraints in only a single case.
To turn to the positives (of which there were quite a few), long-stay residents here were more likely than average to maintain their mobility and healthy weight levels; they were less than half as likely to suffer depressive symptoms, and they were less apt to need antianxiety or antipsychotic meds. All (or nearly all) got flu and pneumonia vaccinations. Most prominent in the statistical record: long-stayers here were less than a third as likely as the state and national averages to have a pressure ulcer (only 1.8 percent here) and about one-sixth as likely to hurt themselves in a fall. Interestingly, of the few Internet complaints we saw, there was a complaint about failure to protect against fall risk. The statistics do tell another story. Either the report is false or, as we always say, nursing home negligence happens even in great nursing homes.
This array of stats sounds like Hillhaven has been taking pretty good care of its long-stay residents - the way it feeds them, gives them preventive shots, keeps them free of bed sores, and, apparently, enables them to stay in good spirits. So, again: what more does it take to get the 5-star rating for quality measures?
We don't know. But we suspect that if Hillhaven remains a family enterprise that keeps adding to its decades of experience, there will be ample opportunities for this facility to get more 5-star ratings in future.
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More InformationBeds in the nursing home that have been approved by the federal government to participate in Medicare or Medicaid.
Shows if the nursing home participates in the Medicare, Medicaid, or both.
| Star Rating Summary | ||
| Overall Rating | Much Above Average | |
| Health Inspection Medicare assigns the star rating based on a nursing home's weighted score from recent health inspections. More stars means fewer health risks | Much Above Average | |
| Staffing 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 | Average | |
| RN Staffing | Above Average | |
| Quality Measures Medicare assigns the star rating based on data from a select set of clinical data measures. More stars means better quality of care | Much Above Average |
| Description | Hillhaven Nursing And Rehabilitation Center | Maryland Average |
| Percent of short-stay residents who self-report moderate to severe pain Lower percentages are better. | 8.5% | 10.4% |
| 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. | 99.1% | 85.3% |
| Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine Higher percentages are better. | 96.7% | 84.0% |
| Percentage of short-stay residents who got antipsychotic medication for the first time Lower percentages are better. | 1.9% | 1.7% |
| Description | Hillhaven Nursing And Rehabilitation Center | Maryland Average |
| Percent of long-stay residents experiencing one or more falls with major injury Lower percentages are better. | 0.0% | 2.7% |
| Percent of long-stay residents with a urinary tract infection Lower percentages are better. | 2.8% | 2.5% |
| Percent of long-stay residents who self-report moderate to severe pain Lower percentages are better. | 1.0% | 5.4% |
| Percent of long-stay high-risk residents with pressure ulcers Lower percentages are better. | 9.0% | 8.8% |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder Lower percentages are better. | 80.0% | 62.3% |
| Percent of long-stay residents who have or had a catheter inserted and left in their bladder Lower percentages are better. | 1.5% | 1.7% |
| Percent of long-stay residents who were physically restrained Lower percentages are better. | 0.0% | 0.2% |
| Percentage of long-stay residents whose ability to move independently worsened Lower percentages are better. | 11.8% | 22.5% |
| Percent of long-stay residents whose need for help with daily activities has increased Lower percentages are better. | 14.5% | 18.0% |
| Percent of long-stay residents who lose too much weight Lower percentages are better. | 3.9% | 5.8% |
| Percent of long-stay residents who have depressive symptoms Lower percentages are better. | 0.0% | 3.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication Lower percentages are better. | 11.1% | 16.2% |
| Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine Higher percentages are better. | 98.2% | 96.7% |
| Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine Higher percentages are better. | 100.0% | 94.1% |
| Percent of long-stay residents who received an antipsychotic medication Lower percentages are better. | 3.4% | 12.4% |
Date of standard health inspection:11/13/2018
Total number of health deficiencies:2
Average number of health deficiencies in Maryland:14.9