Trinity Community - Beavercreek Nursing Home

General Information

UPDATE
Federal Provider Number
365777
Provider Name
TRINITY COMMUNITY
Provider Address
3218 INDIAN RIPPLE ROAD
BEAVERCREEK, OH 45440
Provider Phone Number
(937) 426-8481
Provider SSA County
290
Provider County Name
Greene
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
106
Number of Residents in Certified Beds
96
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
UNITED CHURCH HOMES, INC.
Date First Approved to Provide Medicare and Medicaid services
1990-01-23
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
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.00938
Reported LPN Staffing Hours per Resident per Day
0.77760
Reported RN Staffing Hours per Resident per Day
0.65417
Reported Licensed Staffing Hours per Resident per Day
1.43177
Reported Total Nurse Staffing Hours per Resident per Day
4.44115
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05938
Expected CNA Staffing Hours per Resident per Day
2.43616
Expected LPN Staffing Hours per Resident per Day
0.64312
Expected RN Staffing Hours per Resident per Day
1.14527
Expected Total Nurse Staffing Hours per Resident per Day
4.22454
Adjusted CNA Staffing Hours per Resident per Day
3.03105
Adjusted LPN Staffing Hours per Resident per Day
1.00355
Adjusted RN Staffing Hours per Resident per Day
0.42680
Adjusted Total Nurse Staffing Hours per Resident per Day
4.23758
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-02-27
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
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
2012-11-29
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
4
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2011-08-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
2.66700
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
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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