Trinity Glen - Winston-salem Nursing Home
General Information
UPDATEFederal Provider Number
345088
Provider Name
TRINITY GLEN
Provider Address
849 WATER WORKS ROAD
WINSTON-SALEM, NC 27105
WINSTON-SALEM, NC 27105
Provider Phone Number
3365952166
Provider SSA County
330
Provider County Name
Forsyth
Ownership Type
Non profit - Church related
Number of Certified Beds
217
Number of Residents in Certified Beds
113
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LUTHERAN HOME-WINSTON-SALEM, INC.
Date First Approved to Provide Medicare and Medicaid services
1973-04-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
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
3.06372
Reported LPN Staffing Hours per Resident per Day
0.82434
Reported RN Staffing Hours per Resident per Day
0.81681
Reported Licensed Staffing Hours per Resident per Day
1.64115
Reported Total Nurse Staffing Hours per Resident per Day
4.70487
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07611
Expected CNA Staffing Hours per Resident per Day
2.41115
Expected LPN Staffing Hours per Resident per Day
0.64887
Expected RN Staffing Hours per Resident per Day
1.04997
Expected Total Nurse Staffing Hours per Resident per Day
4.10998
Adjusted CNA Staffing Hours per Resident per Day
3.11779
Adjusted LPN Staffing Hours per Resident per Day
1.05446
Adjusted RN Staffing Hours per Resident per Day
0.58128
Adjusted Total Nurse Staffing Hours per Resident per Day
4.61435
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-10-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-07-25
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
28
Cycle 3 Standard Health Survey Date
2012-05-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
24.00000
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
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Winston Salem Nursing & Rehabilitation Center
1900 W 1st Street |
WINSTON-SALEM NC 27104 | 4.3 miles away
Brookridge Retirement Community
1199 Hayes Forest Drive |
WINSTON-SALEM NC 27106 | 5.6 miles away
The Oaks
901 Bethesda Road |
WINSTON-SALEM NC 27103 | 5.8 miles away
Salemtowne
2000 Salemtowne Drive |
WINSTON-SALEM NC 27106 | 6 miles away
Silas Creek Rehabilitation Center
3350 Silas Creek Parkway |
WINSTON-SALEM NC 27103 | 6.2 miles away
Liberty Commons Nsg & Rehab Ctr Of Springwood
5755 Shattalon Drive |
WINSTON-SALEM NC 27105 | 6.5 miles away
Brian Ctr Health & Retirement
4911 Brian Center Lane |
WINSTON-SALEM NC 27106 | 6.5 miles away
Oak Forest Health And Rehabilitation
5680 Windy Hill Drive |
WINSTON-SALEM NC 27105 | 7 miles away
Homestead Hills
2105 Homestead Hills Drive |
WINSTON-SALEM NC 27103 | 7.1 miles away
Piney Grove Nursing And Rehabilitation Center
728 Piney Grove Road |
KERNERSVILLE NC 27284 | 7.3 miles away
Regency Care Of Clemmons
3905 Clemmons Road |
CLEMMONS NC 27012 | 12.6 miles away
Trinity Elms
7449 Fair Oaks Drive |
CLEMMONS NC 27012 | 13.3 miles away
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