Avalon Place Trinity - Trinity Nursing Home
General Information
UPDATEFederal Provider Number
675900
Provider Name
AVALON PLACE TRINITY
Provider Address
808 S ROBB
TRINITY, TX 75862
TRINITY, TX 75862
Provider Phone Number
(936) 594-7521
Provider SSA County
941
Provider County Name
Trinity
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
118
Number of Residents in Certified Beds
86
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SOUTHWEST LTC--TRINITY, LTD.
Date First Approved to Provide Medicare and Medicaid services
2001-12-20
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.20756
Reported LPN Staffing Hours per Resident per Day
0.86860
Reported RN Staffing Hours per Resident per Day
0.39012
Reported Licensed Staffing Hours per Resident per Day
1.25872
Reported Total Nurse Staffing Hours per Resident per Day
3.46628
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06628
Expected CNA Staffing Hours per Resident per Day
2.32491
Expected LPN Staffing Hours per Resident per Day
0.63882
Expected RN Staffing Hours per Resident per Day
1.20266
Expected Total Nurse Staffing Hours per Resident per Day
4.16639
Adjusted CNA Staffing Hours per Resident per Day
2.32985
Adjusted LPN Staffing Hours per Resident per Day
1.12855
Adjusted RN Staffing Hours per Resident per Day
0.24238
Adjusted Total Nurse Staffing Hours per Resident per Day
3.35356
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
96
Cycle 1 Standard Survey Health Date
2015-01-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
96
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
96
Cycle 2 Standard Health Survey Date
2014-02-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
96
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2013-03-30
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
80.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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