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Trinity Mission Health And Rehab Of Provo
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1053 West 1020 South
Provo, UT 84601
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Get driving directions
0 Recommendations
Details
| Type of Ownership | For profit - Corporation |
| Participates in Medicare? | Yes |
| Participates in Medicaid? | Yes |
| Certified Beds | 99 |
| Continuing Care? | No |
| Resident Council? | Yes |
| Family Council? | No |
| Multi-Home Chain? | No |
| Located in a Hospital? | No |
| Special Focus Facility? | No |
View: Health Inspections | Quality Measures | Staffing | Fire Inspections
Health Inspections
Most Recent Inspection: 02/03/2011
| Date of last standard health inspection: | 02/03/2011 |
| Quality Indicator Survey | No |
| Dates of Complaint Investigations: | 04/01/2011 - 03/31/2012 |
| Total number of Health Deficiencies for this nursing home: | 0 |
| Average number of Health Deficiencies in UT: | 3 |
| Average number of Health Deficiencies in US: | 3 |
| Range of Health Deficiencies in UT: | 0 - 7 |
Inspection, 02/00/2008
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide timely notification to the resident before transfer or discharge. | 02/00/2008 | 02/02/2009 | 2 | Few |
Inspection, 00/04/2006
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | 00/04/2006 | 02/01/2007 | 2 | Few |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | 00/04/2006 | 02/01/2007 | 2 | Few |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | 00/04/2006 | 02/01/2007 | 1 | Some |
Pharmacy Service Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | 00/04/2006 | 02/01/2007 | 2 | Few |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure services provided by the nursing facility meet professional standards of quality. | 00/04/2006 | 02/01/2007 | 2 | Few |
Resident Assessment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 00/04/2006 | 02/01/2007 | 1 | Some |
Inspection, 00/03/2002
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | 00/03/2002 | 02/03/2003 | 2 | Few |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | 00/03/2002 | 02/03/2003 | 2 | Some |
| Have a program that investigates, controls and keeps infection from spreading. | 00/03/2002 | 02/03/2003 | 2 | Some |
Nutrition and Dietary Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Store, cook, and serve food in a safe and clean way. | 00/03/2002 | 02/03/2003 | 2 | Some |
Pharmacy Service Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | 00/03/2002 | 02/03/2003 | 2 | Some |
| Ensure that residents are safe from serious medication errors. | 00/03/2002 | 02/03/2003 | 2 | Few |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | 00/03/2002 | 02/03/2003 | 2 | Some |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | 00/03/2002 | 02/03/2003 | 2 | Few |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | 00/03/2002 | 02/03/2003 | 2 | Few |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | 00/03/2002 | 02/03/2003 | 2 | Few |
| Provide routine and 24-hour emergency dental care for each resident. | 00/03/2002 | 02/03/2003 | 2 | Few |
Resident Assessment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Conduct initial and periodic assessments of each resident's functional capacity. | 00/03/2002 | 02/03/2003 | 2 | Some |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 00/03/2002 | 02/03/2003 | 2 | Few |
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give residents a notice of rights, rules, services and charges. | 00/03/2002 | 02/03/2003 | 1 | Many |
| Upon the death of a resident, convey the resident | 00/03/2002 | 02/03/2003 | 1 | Some |
| Try to resolve each resident's complaints quickly. | 00/03/2002 | 02/03/2003 | 2 | Few |
| Send unopened mail from residents and promptly deliver unopened mail to residents. | 00/03/2002 | 02/03/2003 | 1 | Some |
Nursing Home Staffing
Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.
| National Average | Average in UT | Golden Living Center, Asheville | |
| RN Staff Only1 | N/A | N/A | 3 out of 5 stars |
| Total Number of Residents | 85 | 53 | 64 |
|
Total, Licensed Nurse Staff Hours per Resident per Day |
15 hours 26 minutes | 3 hours 54 minutes | 1 hour 30 minutes |
|
RN Hours per Resident per Day |
14 hours 37 minutes | 3 hours 27 minutes | 46 minutes |
|
LPN/LVN Hours per Resident per Day |
14 hours 52 minutes | 2 hours 50 minutes | 43 minutes |
|
CNA Hours per Resident per Day |
16 hours 21 minutes | 4 hours 51 minutes | 2 hours 34 minutes |
1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.
Quality Measures
Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.
Long-Term Residents
Short-Term Residents
Fire Safety Inspections
Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.
Most Recent Inspection: 02/01/2011
| Automatic Sprinkler Systems in all required areas | Data Not Available |
| Date of last standard fire safety inspection: | 02/01/2011 |
| Dates of Complaint Investigations: | 04/01/2011 - 03/31/2012 |
| Total number of Fire Safety Deficiencies for this nursing home: | 0 |
| Average number of Fire Safety Deficiencies in UT: | 1 |
| Average number of Fire Safety Deficiencies in US: | 2 |
| Range of Fire Safety Deficiencies in UT: | 0 - 1 |
Inspection, 02/05/2006
Automatic Sprinkler Systems Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Properly working alarms on sprinkler valves. | 02/05/2006 | 01/04/2008 | 2 | Few |
| Automatic sprinkler systems that have been maintained in working order. | 02/05/2006 | 01/04/2008 | 2 | Few |
Building Construction Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Approved construction type or materials. | 02/05/2006 | 01/04/2008 | 2 | Few |
Electrical Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Properly installed electrical wiring and equipment. | 02/05/2006 | 01/04/2008 | 2 | Few |
Fire Alarm Systems Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| An approved installation, maintenance and testing program for fire alarm systems. | 02/05/2006 | 01/04/2008 | 1 | Some |
Inspection, 00/01/2002
Automatic Sprinkler Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Automatic sprinkler systems that have been maintained in working order. | 00/01/2002 | 00/09/2003 | 2 | Few |
Corridor Walls and Doors Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Corridor and hallway doors that block smoke. | 00/01/2002 | 00/02/2002 | 2 | Few |
Electrical Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Properly installed electrical wiring and equipment. | 00/01/2002 | 00/02/2002 | 2 | Some |
Exits and Egress Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Exits that are accessible at all times. | 00/01/2002 | 00/04/2002 | 2 | Few |
Hazardous Area Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | 00/01/2002 | 00/02/2002 | 2 | Few |
| Properly installed hallway dispensers for alcohol-based hand rub. | 00/01/2002 | 00/02/2002 | 2 | Few |
