Trinity Health Care Of Mingo - Williamson Nursing Home
General Information
UPDATEFederal Provider Number
515069
Provider Name
TRINITY HEALTH CARE OF MINGO
Provider Address
100 HILLCREST DRIVE
WILLIAMSON, WV 25661
WILLIAMSON, WV 25661
Provider Phone Number
(304) 235-7005
Provider SSA County
290
Provider County Name
Mingo
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
78
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TRINITY HEALTH CARE SERVICES OF MINGO INC
Date First Approved to Provide Medicare and Medicaid services
1981-11-02
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
3
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
2.11026
Reported LPN Staffing Hours per Resident per Day
1.01795
Reported RN Staffing Hours per Resident per Day
0.87885
Reported Licensed Staffing Hours per Resident per Day
1.89679
Reported Total Nurse Staffing Hours per Resident per Day
4.00706
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01859
Expected CNA Staffing Hours per Resident per Day
2.44396
Expected LPN Staffing Hours per Resident per Day
0.68589
Expected RN Staffing Hours per Resident per Day
1.03171
Expected Total Nurse Staffing Hours per Resident per Day
4.16156
Adjusted CNA Staffing Hours per Resident per Day
2.11867
Adjusted LPN Staffing Hours per Resident per Day
1.23182
Adjusted RN Staffing Hours per Resident per Day
0.63649
Adjusted Total Nurse Staffing Hours per Resident per Day
3.88125
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
16
Cycle 1 Standard Survey Health Date
2014-10-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-07-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
21
Cycle 3 Number of Standard Health Deficiencies
19
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
124
Cycle 3 Standard Health Survey Date
2012-01-11
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
62
Cycle 3 Total Health Score
186
Total Weighted Health Survey Score
55.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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