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Trinity Mission Health & Rehab Of Edgefield

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: 03/30/2011

Date of last standard health inspection: 03/30/2011
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 SC: 3
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in SC: 0 - 7

Inspection, 01/07/2005

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide or obtain laboratory services only when ordered by the attending physician. 01/07/2005 01/06/2006 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 01/07/2005 01/06/2006 2 Some
Have enough outside ventilation via a window or mechanical ventilation, or both. 01/07/2005 01/06/2006 2 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 01/07/2005 01/06/2006 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide medically-related social services to help each resident achieve the highest possible quality of life. 01/07/2005 01/06/2006 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. 01/07/2005 01/06/2006 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. 01/07/2005 01/06/2006 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. 01/07/2005 01/06/2006 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Review or revise the resident's care plan after any major change in physical or mental health. 01/07/2005 01/06/2006 2 Few
Develop a post-discharge plan with the resident and family for the resident's care after leaving the nursing home. 01/07/2005 01/06/2006 2 Few

Inspection, 03/00/2003

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure the activities program is directed by a qualified professional. 03/00/2003 02/09/2004 2 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 03/00/2003 02/09/2004 2 Few
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 03/00/2003 02/09/2004 2 Few
Keep the rate of medication errors (wrong drug 03/00/2003 02/09/2004 wrong time) to less than 5%. wrong dose
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 03/00/2003 02/09/2004 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide activities to meet the interests and needs of each resident. 03/00/2003 02/09/2004 2 Some
Provide medically-related social services to help each resident achieve the highest possible quality of life. 03/00/2003 02/09/2004 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 03/00/2003 02/09/2004 2 Some
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. 03/00/2003 02/09/2004 2 Few
Provide activities to meet the interests and needs of each resident. 03/00/2003 02/09/2004 2 Some
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Allow residents the right to participate in the planning or revision of care and treatment. 03/00/2003 02/09/2004 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 03/00/2003 02/09/2004 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Upon the death of a resident, convey the resident 03/00/2003 02/09/2004 1 Many
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 03/00/2003 02/09/2004 2 Few

Inspection, 02/08/2002

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident who enters the nursing home without a catheter is not given a catheter 02/08/2002 02/07/2003 and that incontinent patients receive proper servi unless medically necessary

Inspection, 02/07/2001

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Receive registry verification that a nurse aide has met the required training and skills that the State requires; and 2) ensure nurse aides receive the required retraining after 24 months if nursing related services were not provided for monetary compe 02/07/2001 02/07/2002 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 02/07/2001 02/07/2002 2 Few
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/07/2001 02/07/2002 2 Few
Have a program that investigates, controls and keeps infection from spreading. 02/07/2001 02/07/2002 2 Some
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
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. 02/07/2001 02/07/2002 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/07/2001 02/07/2002 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. 02/07/2001 02/07/2002 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give the resident's representative the ability to exercise the resident's rights. 02/07/2001 02/07/2002 2 Some
Give residents a notice of rights, rules, services and charges. 02/07/2001 02/07/2002 1 Many
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 02/07/2001 02/07/2002 2 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 SC Golden Living Center, Asheville
RN Staff Only1 N/A N/A 3 out of 5 stars
Total Number of Residents 86 90 112
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 12 hours 35 minutes 1 hour 19 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 11 hours 40 minutes 31 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 11 hours 55 minutes 48 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 13 hours 26 minutes 2 hours 13 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: 03/30/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 03/30/2011
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 SC: 0
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in SC: 0 - 0

Inspection, 02/06/2001

Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A written emergency evacuation plan. 02/06/2001 02/07/2002 2 Few
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 02/06/2001 02/07/2002 2 Few
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. 02/06/2001 02/07/2002 2 Few
 

226 Wa Reel Drive
Edgefield, SC 29824

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