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TRINITY CENTER AT LUTHER PARK

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TRINITY CENTER AT LUTHER PARK VS
All other Nursing Homes USA
General
City DES MOINES   vs 0.1% Nursing Homes USA have DES MOINES
State attribute explanation IA   vs 2.7% Nursing Homes USA have IA
Street 1555 HULL AVENUE  
Zip Code 50316  
Phone 5152625639  
Overall Star Rating
(0.11 lower than average)
vs
3.11

Health Inspections Star Rating
(0.17 higher than average)
vs
2.83

Nurse Staffing Star Rating
(1.17 lower than average)
vs
3.17

Quality Measures Star Rating
(0.69 higher than average)
vs
3.31

RN Only Star Rating
(1.17 lower than average)
vs
3.17

Number of Certified Beds
120  (11.06 higher than average)
vs
108.94

Total Number of Residents
120  (28.75 higher than average)
vs
91.25

Percent of Occupied Beds
100 % (16.35 % higher than average)
vs
83.65 %

Health Survey Date 5/31/2012  
Fire Survey Date 5/30/2012  
Sprinkler Status Fully Sprinklered  vs 90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicaid  vs 3.5% Nursing Homes USA have Medicaid
Type of Ownership Non Profit - Corporation  vs 18.7% Nursing Homes USA have Non profit - Corporation
Located Within a Hospital? No  vs 93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? No  vs 45.1% Nursing Homes USA don't have Multi Nursing Home Ownership?
Resident and Family Councils RESIDENT   vs 66% Nursing Homes USA have RESIDENT
Continuing Care Retirement Community? No  vs 90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey? No  vs 68.7% Nursing Homes USA don't have Quality Indicator Survey?
Special Focus Facility? No  vs 99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
75.2  (17.04 higher than average)
vs
58.16

Total Enforcement Actions Count
75.2  (18.89 higher than average)
vs
56.31

# of deficiencies
(1.52 higher than average)
vs
7.48

Percent of long-stay residents experiencing one or more falls with major injury 75.2 % 
Staff Information
Number of Residents
120  (28.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.34  (0.43 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.81  (0.03 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.16  (0.43 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.01  (5.48 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.01  (0.09 lower than average)
vs
0.10

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.
survey Date: 05/31/2012
date Of Correction: 06/30/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Enough Notice Before Discharging Or Transferring A Resident.
survey Date: 05/30/2012
date Of Correction: 07/02/2012 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 05/31/2012
date Of Correction: 06/30/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 05/31/2012
date Of Correction: 06/30/2012 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 09/16/2010
date Of Correction: 09/17/2010 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 06/10/2009
date Of Correction: 07/04/2009 

Deficiency #5 Scope: Some
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 06/10/2009
date Of Correction: 07/04/2009 

Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 06/10/2009
date Of Correction: 07/04/2009 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Operate And Provide Services According To Federal, State, And Local Laws And Professional Standards.
survey Date: 06/10/2009
date Of Correction: 07/04/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
22.6 % (2.49 % lower than average)
vs
25.09 %

Percent of long-stay residents who self-report moderate to severe pain
5.9 % (10.76 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
7.3 % (5.28 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight 8.6:1 % 
Percent of long-stay residents who have had a catheter inserted and left in their bladder
3 % (12.63 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection 12.1:1 % 
Percent of long-stay residents who have depressive symptoms 2.6 / 3 % 
Percent of long-stay residents who were physically restrained
75.2 % (31.52 % higher than average)
vs
43.68 %

Percent of long-stay residents experiencing one or more falls with major injury
3.4 % (12.12 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
21.7 % (3.69 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
75.2 % (51.5 % higher than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain 5.6:1 % 
Percent of long-stay high-risk residents with pressure ulcers
6.4 % (2.82 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
6.6 % (1.9 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
25 % (18.38 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.8 % (6.85 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection 12.3:1 % 
Percent of long-stay residents who have depressive symptoms
4 % (15.86 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
75.2 % (36.67 % higher than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
23.1 % (12.37 % higher than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
75.2 % (50.44 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
89.7 % (8.26 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
97.6 % (22.85 % higher than average)
vs
74.75 %



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