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Trimont Health Care Center - Trimont Nursing Home

General Information

UPDATE
Federal Provider Number
245315
Provider Name
TRIMONT HEALTH CARE CENTER
Provider Address
303 BROADWAY AVENUE SOUTH
TRIMONT, MN 56176
Provider Phone Number
5076392381
Provider SSA County
450
Provider County Name
Martin
Ownership Type
Government - City
Number of Certified Beds
36
Number of Residents in Certified Beds
30
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CITY OF TRIMONT
Date First Approved to Provide Medicare and Medicaid services
1986-06-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
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
2.10167
Reported LPN Staffing Hours per Resident per Day
1.14167
Reported RN Staffing Hours per Resident per Day
0.61333
Reported Licensed Staffing Hours per Resident per Day
1.75500
Reported Total Nurse Staffing Hours per Resident per Day
3.85667
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02667
Expected CNA Staffing Hours per Resident per Day
2.41091
Expected LPN Staffing Hours per Resident per Day
0.57052
Expected RN Staffing Hours per Resident per Day
0.84392
Expected Total Nurse Staffing Hours per Resident per Day
3.82536
Adjusted CNA Staffing Hours per Resident per Day
2.13897
Adjusted LPN Staffing Hours per Resident per Day
1.66091
Adjusted RN Staffing Hours per Resident per Day
0.54304
Adjusted Total Nurse Staffing Hours per Resident per Day
4.06390
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-03-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-07-03
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
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-04-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
4.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01

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