Trinity Nursing & Rehabilitation Center Inc - Merriam Nursing Home
General Information
UPDATEFederal Provider Number
175123
Provider Name
TRINITY NURSING & REHABILITATION CENTER INC
Provider Address
9700 W 62ND STREET
MERRIAM, KS 66203
MERRIAM, KS 66203
Provider Phone Number
9133840800
Provider SSA County
450
Provider County Name
Johnson
Ownership Type
Non profit - Church related
Number of Certified Beds
120
Number of Residents in Certified Beds
93
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TRINITY NURSING & REHAB CENTER INC.
Date First Approved to Provide Medicare and Medicaid services
1981-02-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.86452
Reported LPN Staffing Hours per Resident per Day
0.74140
Reported RN Staffing Hours per Resident per Day
0.82688
Reported Licensed Staffing Hours per Resident per Day
1.56828
Reported Total Nurse Staffing Hours per Resident per Day
4.43280
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11667
Expected CNA Staffing Hours per Resident per Day
2.45063
Expected LPN Staffing Hours per Resident per Day
0.65533
Expected RN Staffing Hours per Resident per Day
1.01985
Expected Total Nurse Staffing Hours per Resident per Day
4.12581
Adjusted CNA Staffing Hours per Resident per Day
2.86811
Adjusted LPN Staffing Hours per Resident per Day
0.93901
Adjusted RN Staffing Hours per Resident per Day
0.60582
Adjusted Total Nurse Staffing Hours per Resident per Day
4.33083
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
8
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-09-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-05-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-02-22
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
48.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
4
Number of Fines
1
Total Amount of Fines in Dollars
4906
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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