Trinity Medical Center - West - Rock Island Nursing Home

General Information

UPDATE
Federal Provider Number
145564
Provider Name
TRINITY MEDICAL CENTER - WEST
Provider Address
2701 - 17TH STREET
ROCK ISLAND, IL 61201
Provider Phone Number
(309) 779-3131
Provider SSA County
890
Provider County Name
Rock Island
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
29
Number of Residents in Certified Beds
20
Provider Type
Medicare
Provider Resides in Hospital
Y
Legal Business Name
TRINITY MEDICAL CENTER
Date First Approved to Provide Medicare and Medicaid services
1987-01-22
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
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
2.85750
Reported LPN Staffing Hours per Resident per Day
1.57000
Reported RN Staffing Hours per Resident per Day
3.91500
Reported Licensed Staffing Hours per Resident per Day
5.48500
Reported Total Nurse Staffing Hours per Resident per Day
8.34250
Reported Physical Therapist Staffing Hours per Resident Per Day
0.80000
Expected CNA Staffing Hours per Resident per Day
2.16172
Expected LPN Staffing Hours per Resident per Day
0.81784
Expected RN Staffing Hours per Resident per Day
2.16617
Expected Total Nurse Staffing Hours per Resident per Day
5.14573
Adjusted CNA Staffing Hours per Resident per Day
3.24346
Adjusted LPN Staffing Hours per Resident per Day
1.59335
Adjusted RN Staffing Hours per Resident per Day
1.35044
Adjusted Total Nurse Staffing Hours per Resident per Day
6.53509
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
2014-08-14
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
2013-11-07
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
2012-09-26
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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