Trinity Mission Health/rehab Of Charlottesville - Charlottesville Nursing Home
General Information
UPDATEFederal Provider Number
495326
Provider Name
TRINITY MISSION HEALTH/REHAB OF CHARLOTTESVILLE
Provider Address
1150 NORTHWEST DRIVE
CHARLOTTESVILLE, VA 22901
CHARLOTTESVILLE, VA 22901
Provider Phone Number
(434) 973-7933
Provider SSA County
10
Provider County Name
Albemarle
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
180
Number of Residents in Certified Beds
166
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TRINITY MISSION OF CHARLOTTESVILLE, LLC
Date First Approved to Provide Medicare and Medicaid services
1998-02-27
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.06386
Reported LPN Staffing Hours per Resident per Day
0.76566
Reported RN Staffing Hours per Resident per Day
0.48916
Reported Licensed Staffing Hours per Resident per Day
1.25482
Reported Total Nurse Staffing Hours per Resident per Day
3.31868
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04789
Expected CNA Staffing Hours per Resident per Day
2.45405
Expected LPN Staffing Hours per Resident per Day
0.66849
Expected RN Staffing Hours per Resident per Day
1.16885
Expected Total Nurse Staffing Hours per Resident per Day
4.29139
Adjusted CNA Staffing Hours per Resident per Day
2.06356
Adjusted LPN Staffing Hours per Resident per Day
0.95064
Adjusted RN Staffing Hours per Resident per Day
0.31270
Adjusted Total Nurse Staffing Hours per Resident per Day
3.11723
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-08-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
18
Cycle 2 Number of Standard Health Deficiencies
18
Cycle 2 Number of Complaint Health Deficiencies
10
Cycle 2 Health Deficiency Score
108
Cycle 2 Standard Health Survey Date
2013-08-29
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
54
Cycle 2 Total Health Score
162
Cycle 3 Total Number of Health Deficiencies
21
Cycle 3 Number of Standard Health Deficiencies
21
Cycle 3 Number of Complaint Health Deficiencies
9
Cycle 3 Health Deficiency Score
108
Cycle 3 Standard Health Survey Date
2012-08-02
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
54
Cycle 3 Total Health Score
162
Total Weighted Health Survey Score
103.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
14
Number of Fines
1
Total Amount of Fines in Dollars
1950
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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