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TRINITY REGIONAL REHAB CENTER

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TRINITY REGIONAL REHAB CENTER VS
All other Nursing Homes USA
General
City TRINITY   vs 0% Nursing Homes USA have TRINITY
State attribute explanation FL   vs 4.4% Nursing Homes USA have FL
Street 2144 WELBILT BLVD  
Zip Code 34655  
Phone 7278594100  
Overall Star Rating
(1.11 lower than average)
vs
3.11

Health Inspections Star Rating
(0.83 lower than average)
vs
2.83

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

Quality Measures Star Rating
(0.31 lower 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
114  (22.75 higher than average)
vs
91.25

Percent of Occupied Beds
95 % (11.35 % higher than average)
vs
83.65 %

Health Survey Date 4/6/2012  
Fire Survey Date 4/6/2012  
Sprinkler Status Fully Sprinklered  vs 90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicare And Medicaid  vs 91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership For Profit - Corporation  vs 56.7% Nursing Homes USA have For profit - Corporation
Located Within a Hospital? No  vs 93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? Yes  vs 54.9% Nursing Homes USA have Multi Nursing Home Ownership?
Resident and Family Councils Both  vs 29.8% Nursing Homes USA have Both
Continuing Care Retirement Community? No  vs 90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey? Yes  vs 31.3% Nursing Homes USA 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 13  
Staff Information
Number of Residents
114  (22.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.54  (0.23 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
1.18  (0.34 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.72  (0.13 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.07  (5.42 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.07  (0.03 lower than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 04/06/2012
date Of Correction: 05/06/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 01/03/2012
date Of Correction: 01/20/2012 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 05/21/2009
date Of Correction: 06/15/2009 

Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: 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.
survey Date: 02/15/2011
date Of Correction: 03/15/2011 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.
survey Date: 07/12/2011
date Of Correction: 07/20/2011 

Deficiency #2 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: 06/20/2011
date Of Correction: 07/20/2011 

Deficiency #3 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: 12/03/2010
date Of Correction: 01/03/2011 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 04/06/2012
date Of Correction: 05/06/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 04/06/2012
date Of Correction: 05/06/2012 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 06/20/2011
date Of Correction: 07/20/2011 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 12/03/2010
date Of Correction: 01/03/2011 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 05/10/2010
date Of Correction: 06/10/2010 

Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.
survey Date: 05/21/2009
date Of Correction: 06/15/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
16.7 % (8.39 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
0.4 % (32.55 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
11.5 % (5.16 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
4.3 % (8.28 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight 11.8:1 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
60 % (15.46 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder 12.8:1 % 
Percent of long-stay residents with a urinary tract infection
13.2 % (0.26 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
1.3 % (27.08 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
75.2 % (31.52 % higher than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
46.1 % (21.08 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
94.5 % (9.86 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
96 % (12.06 % higher than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
75.2  (29.3 higher than average)
vs
45.90

Percent of long-stay residents experiencing one or more falls with major injury
1.3 % (14.22 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
13.8 % (11.59 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
0.3 % (23.4 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
11.3 % (2.8 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
4.5 % (4.72 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
11 % (2.5 % higher than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
54.1 % (10.72 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder 12.6:1 % 
Percent of long-stay residents with a urinary tract infection
10.5 % (0.92 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
3.8 % (16.06 % 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
3.8 % (6.93 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
42.5 % (17.74 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
92.3 % (10.86 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
96 % (21.25 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
15.6 % (1.74 % lower than average)
vs
17.34 %



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