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Trinity Mission Health & Rehab Of H S

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 120
Continuing Care? No
Resident Council? Yes
Family Council? Yes
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: 03/15/2012

Date of last standard health inspection: 03/15/2012
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 MS: 2
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in MS: 0 - 5

Inspection, 01/05/2010

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. 01/05/2010 03/00/2010 2 Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 01/05/2010 00/06/2011 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 01/05/2010 03/00/2010 2 Few
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/05/2010 00/03/2011 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 01/05/2010 03/00/2010 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/05/2010 03/00/2010 2 Few
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. 01/05/2010 03/00/2010 2 Few
Give each resident enough fluids to keep them healthy and prevent dehydration. 01/05/2010 03/00/2010 2 Few
Resident Assessment Deficiencies
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. 01/05/2010 03/00/2010 2 Few
Make sure that doctors visit residents regularly, as required. 01/05/2010 00/03/2011 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. 01/05/2010 00/03/2011 1 Many
Allow residents to easily view the results of the nursing home's most recent inspection. 01/05/2010 00/03/2011 1 Many

Inspection, 02/00/2004

Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Protect each resident from mistreatment 02/00/2004 01/02/2005 Few neglect and misappropriation of personal property.

Inspection, 01/05/2003

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates, controls and keeps infection from spreading. 01/05/2003 02/00/2004 2 Some
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 01/05/2003 02/00/2004 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 01/05/2003 02/00/2004 2 Few
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. 01/05/2003 02/00/2004 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Honor a residents' rights as a residents of the nursing home, free of coercion and reprisal, and as citizens or residents of the United States. 01/05/2003 02/00/2004 1 Many

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 MS Golden Living Center, Asheville
RN Staff Only1 N/A N/A 2 out of 5 stars
Total Number of Residents 86 79 112
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 22 hours 36 minutes 1 hour 26 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 21 hours 37 minutes 25 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 22 hours 3 minutes 1 hour 1 minute
CNA Hours
per Resident per Day
17 hours 46 minutes 23 hours 30 minutes 2 hours 33 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: 03/15/2012

Automatic Sprinkler Systems in all required areas Partial
Date of last standard fire safety inspection: 03/15/2012
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 MS: 0
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in MS: 0 - 0

Inspection, 02/07/2001

Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Walls that prevent smoke from passing through and would resist fire for at least one hour. 02/07/2001 02/07/2001 2 Few
 

1315 Highway 4 East
Holly Springs, MS 38635

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