Trinity Mission Health And Rehab Of Hillsville - Hillsville Nursing Home
General Information
UPDATEFederal Provider Number
495187
Provider Name
TRINITY MISSION HEALTH AND REHAB OF HILLSVILLE
Provider Address
222 FULCHER STREET
HILLSVILLE, VA 24343
HILLSVILLE, VA 24343
Provider Phone Number
(276) 728-2486
Provider SSA County
170
Provider County Name
Carroll
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
56
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TRINITY MISSION OF HILLSVILLE LLC
Date First Approved to Provide Medicare and Medicaid services
1989-03-09
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
1
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
2.67857
Reported LPN Staffing Hours per Resident per Day
0.99464
Reported RN Staffing Hours per Resident per Day
0.84107
Reported Licensed Staffing Hours per Resident per Day
1.83571
Reported Total Nurse Staffing Hours per Resident per Day
4.51428
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15268
Expected CNA Staffing Hours per Resident per Day
2.51899
Expected LPN Staffing Hours per Resident per Day
0.59901
Expected RN Staffing Hours per Resident per Day
0.97376
Expected Total Nurse Staffing Hours per Resident per Day
4.09177
Adjusted CNA Staffing Hours per Resident per Day
2.60914
Adjusted LPN Staffing Hours per Resident per Day
1.37819
Adjusted RN Staffing Hours per Resident per Day
0.64538
Adjusted Total Nurse Staffing Hours per Resident per Day
4.44713
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
2014-11-05
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
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
2014-01-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
20
Cycle 3 Number of Standard Health Deficiencies
20
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
140
Cycle 3 Standard Health Survey Date
2012-12-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
140
Total Weighted Health Survey Score
36.66700
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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