Trinity Grove - Wilmington Nursing Home

General Information

UPDATE
Federal Provider Number
345554
Provider Name
TRINITY GROVE
Provider Address
631 JUNCTION CREEK DRIVE
WILMINGTON, NC 28412
Provider Phone Number
(910) 442-3000
Provider SSA County
640
Provider County Name
New Hanover
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
100
Number of Residents in Certified Beds
97
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LUTHERAN HOME - WILMINGTON, INC.
Date First Approved to Provide Medicare and Medicaid services
2011-06-29
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
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
3.34794
Reported LPN Staffing Hours per Resident per Day
0.82680
Reported RN Staffing Hours per Resident per Day
0.79072
Reported Licensed Staffing Hours per Resident per Day
1.61753
Reported Total Nurse Staffing Hours per Resident per Day
4.96546
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11649
Expected CNA Staffing Hours per Resident per Day
2.40766
Expected LPN Staffing Hours per Resident per Day
0.58771
Expected RN Staffing Hours per Resident per Day
0.94817
Expected Total Nurse Staffing Hours per Resident per Day
3.94354
Adjusted CNA Staffing Hours per Resident per Day
3.41197
Adjusted LPN Staffing Hours per Resident per Day
1.16765
Adjusted RN Staffing Hours per Resident per Day
0.62312
Adjusted Total Nurse Staffing Hours per Resident per Day
5.07546
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
2015-02-26
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
2014-01-22
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
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
2012-12-05
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
0.00000
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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