Trinity Care Center - Farmington Nursing Home

General Information

UPDATE
Federal Provider Number
245250
Provider Name
TRINITY CARE CENTER
Provider Address
3410 213TH STREET WEST
FARMINGTON, MN 55024
Provider Phone Number
6514637818
Provider SSA County
180
Provider County Name
Dakota
Ownership Type
Non profit - Corporation
Number of Certified Beds
65
Number of Residents in Certified Beds
54
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FARMINGTON HEALTH SERVICES
Date First Approved to Provide Medicare and Medicaid services
1982-07-20
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
5
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.72685
Reported LPN Staffing Hours per Resident per Day
0.57593
Reported RN Staffing Hours per Resident per Day
1.30370
Reported Licensed Staffing Hours per Resident per Day
1.87963
Reported Total Nurse Staffing Hours per Resident per Day
4.60648
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10556
Expected CNA Staffing Hours per Resident per Day
2.45795
Expected LPN Staffing Hours per Resident per Day
0.59098
Expected RN Staffing Hours per Resident per Day
0.88122
Expected Total Nurse Staffing Hours per Resident per Day
3.93015
Adjusted CNA Staffing Hours per Resident per Day
2.72214
Adjusted LPN Staffing Hours per Resident per Day
0.80886
Adjusted RN Staffing Hours per Resident per Day
1.10543
Adjusted Total Nurse Staffing Hours per Resident per Day
4.72457
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
4
Cycle 1 Standard Survey Health Date
2014-12-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2014-01-30
Cycle 2 Number of Health Revisits
0
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
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-11-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
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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