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TRINITY MISSION HEALTH & REHAB OF EDGEFIELD

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TRINITY MISSION HEALTH & REHAB OF EDGEFIELD VS
Nursing Homes USA
General
City EDGEFIELD   0% Nursing Homes USA have EDGEFIELD
State attribute explanation SC   1.2% Nursing Homes USA have SC
Street 226 WA REEL DRIVE  
Zip Code 29824  
Phone 8036375312  
Overall Star Rating
3.11
Health Inspections Star Rating
2.83
Nurse Staffing Star Rating
3.17
Quality Measures Star Rating
3.31
RN Only Star Rating
3.17
Number of Certified Beds
120 
108.94
Total Number of Residents
112 
91.25
Percent of Occupied Beds
93 %
83.65 %
Health Survey Date 5/17/2012  
Fire Survey Date 5/17/2012  
Sprinkler Status Fully Sprinklered  90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicare And Medicaid  91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership For Profit - Corporation  56.7% Nursing Homes USA have For profit - Corporation
Located Within a Hospital? No  93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? Yes  54.9% Nursing Homes USA have Multi Nursing Home Ownership?
Resident and Family Councils Both  29.8% Nursing Homes USA have Both
Continuing Care Retirement Community? No  90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey? No  68.7% Nursing Homes USA don't have Quality Indicator Survey?
Special Focus Facility? No  99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
75.2 
58.16
Total Enforcement Actions Count
75.2 
56.31
# of deficiencies
7.48
Staff Information
Number of Residents
112 
91.38
Number of RN Hours Per Resident Per Day
0.52 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.81 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.32 
1.59
Number of CNA Hours Per Resident Per Day
0.06 
5.49
Number Therapy Hours Per Resident Per Day
0.06 
0.10
Quality Care Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Provide Activities To Meet The Interests And Needs Of Each Resident.
survey Date: 03/30/2011
date Of Correction: 04/29/2011 
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: 03/30/2011
date Of Correction: 04/29/2011 
Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.
survey Date: 03/30/2011
date Of Correction: 04/29/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%.
survey Date: 03/30/2011
date Of Correction: 04/29/2011 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication 22.2:1 % 
Percent of long-stay residents whose need for help with daily activities has increased
4.1 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
16.4 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
6.7 %
12.58 %
Percent of long-stay residents who lose too much weight
10.9 %
11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
51 %
44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.1 %
15.63 %
Percent of long-stay residents with a urinary tract infection
5 %
13.46 %
Percent of long-stay residents who have depressive symptoms
1 %
28.38 %
Percent of long-stay residents who were physically restrained
3.9 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
28.1 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
69.6 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
85.4 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
75.2 %
45.90 %
Percent of long-stay residents experiencing one or more falls with major injury
4.9 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
21.9 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
4.9 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
14.3 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
7.7 %
9.22 %
Percent of long-stay residents who lose too much weight
10 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
40.5 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.7 %
10.65 %
Percent of long-stay residents with a urinary tract infection
3.6 %
9.58 %
Percent of long-stay residents who have depressive symptoms
0.6 %
19.86 %
Percent of long-stay residents who were physically restrained
3.2 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
4.2 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
17 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
70.8 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
66.4 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
75.2 %
17.34 %

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