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TRINITY MISSION HEALTH & REHAB OF HOLLY

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TRINITY MISSION HEALTH & REHAB OF HOLLY VS
Nursing Homes USA
General
City NAMPA   0% Nursing Homes USA have NAMPA
State attribute explanation ID   0.6% Nursing Homes USA have ID
Street 2105 12TH AVENUE ROAD  
Zip Code 83686  
Phone 2084675721  
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
96 
91.25
Percent of Occupied Beds
80 %
83.65 %
Health Survey Date 7/29/2011  
Fire Survey Date 7/29/2011  
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 - Limited Liability Company  1.1% Nursing Homes USA have For profit - Limited liability company
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 5  
Staff Information
Number of Residents
96 
91.38
Number of RN Hours Per Resident Per Day
0.79 
0.77
Number of LPN/LVN Hours Per Resident Per Day
1.43 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
2.22 
1.59
Number of CNA Hours Per Resident Per Day
75.2 
5.49
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: 10/27/2009
date Of Correction: 11/23/2009 
Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Follow Policies And Procedures To Convey The Resident's Personal Funds To The Appropriate Party Responsible After The Resident's Death.
survey Date: 10/27/2009
date Of Correction: 11/23/2009 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.
survey Date: 12/23/2009
date Of Correction: 01/11/2010 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.
survey Date: 10/27/2009
date Of Correction: 11/23/2009 
Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 12/23/2009
date Of Correction: 01/11/2010 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
24.4 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
75.2 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain 11.6:1 % 
Percent of long-stay high-risk residents with pressure ulcers
3.3 %
12.58 %
Percent of long-stay residents who lose too much weight
7.3 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
75.2 %
15.63 %
Percent of long-stay residents with a urinary tract infection
5.9 %
13.46 %
Percent of long-stay residents who have depressive symptoms
21.9 %
28.38 %
Percent of long-stay residents who were physically restrained
3.4 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
37.5 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
95.1 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
93.9 %
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
1.1 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
24.5 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
75.2 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain 15.9:1 % 
Percent of long-stay high-risk residents with pressure ulcers
3.9 %
9.22 %
Percent of long-stay residents who lose too much weight
4.6 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
52.4 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.1 %
10.65 %
Percent of long-stay residents with a urinary tract infection
6.1 %
9.58 %
Percent of long-stay residents who have depressive symptoms
14.3 %
19.86 %
Percent of long-stay residents who were physically restrained
3.6 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
0.8 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
39.3 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
88.2 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
89.6 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
20.8 %
17.34 %

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