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TRINITY MISSION HEALTH & REHAB OF WINNSBORO

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TRINITY MISSION HEALTH & REHAB OF WINNSBORO VS
Nursing Homes USA
General
City WINNSBORO   0% Nursing Homes USA have WINNSBORO
State attribute explanation TX   7.6% Nursing Homes USA have TX
Street 502 EAST COKE RD  
Zip Code 75494  
Phone 9033426951  
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
60 
108.94
Total Number of Residents
54 
91.25
Percent of Occupied Beds
90 %
83.65 %
Health Survey Date 6/15/2011  
Fire Survey Date 6/15/2011  
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 - 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
58.16
Total Enforcement Actions Count
56.31
# of deficiencies
7.48
Staff Information
Number of Residents
54 
91.38
Number of RN Hours Per Resident Per Day
0.4 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.98 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.38 
1.59
Number of CNA Hours Per Resident Per Day
0.01 
5.49
Number Therapy Hours Per Resident Per Day
0.01 
0.10
Quality Care Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 04/29/2012
date Of Correction: 05/23/2012 
Deficiency #2 Scope: Some
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 04/29/2012
date Of Correction: 05/23/2012 
Administration Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Quickly Tell The Resident's Doctor The Results Of Lab Tests.
survey Date: 04/29/2012
date Of Correction: 05/23/2012 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.
survey Date: 04/29/2012
date Of Correction: 05/23/2012 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
44.7 %
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
9.6 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers 12.1:1 % 
Percent of long-stay residents who lose too much weight
75.2 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
15.5 %
15.63 %
Percent of long-stay residents with a urinary tract infection
17 %
13.46 %
Percent of long-stay residents who have depressive symptoms
4.2 %
28.38 %
Percent of long-stay residents who were physically restrained
75.2 %
43.68 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
55 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
50 %
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
2 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
43.2 %
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 13.1:1 % 
Percent of long-stay high-risk residents with pressure ulcers
13 %
9.22 %
Percent of long-stay residents who lose too much weight
1.4 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
20.4 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
13.8 %
10.65 %
Percent of long-stay residents with a urinary tract infection 18.1:1 % 
Percent of long-stay residents who have depressive symptoms
1.4 %
19.86 %
Percent of long-stay residents who were physically restrained
75.2 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
2.1 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
18.9 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
52.4 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
64.5 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
3.1 %
17.34 %

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