Trinity Mission Health & Rehab Of Clinton - Clinton Nursing Home
General Information
UPDATEFederal Provider Number
255148
Provider Name
TRINITY MISSION HEALTH & REHAB OF CLINTON
Provider Address
102 WOODCHASE PARK DRIVE
CLINTON, MS 39056
CLINTON, MS 39056
Provider Phone Number
(601) 924-7043
Provider SSA County
240
Provider County Name
Hinds
Provider Website
Provider Description
Ownership Type
For profit - Limited Liability
Number of Certified Beds
145
Number of Residents in Certified Beds
133
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TRINITY MISSION HEALTH & REHAB OF CLINTON LLC
Date First Approved to Provide Medicare and Medicaid services
1992-05-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
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
1.80451
Reported LPN Staffing Hours per Resident per Day
1.07782
Reported RN Staffing Hours per Resident per Day
0.89248
Reported Licensed Staffing Hours per Resident per Day
1.97030
Reported Total Nurse Staffing Hours per Resident per Day
3.77481
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11541
Expected CNA Staffing Hours per Resident per Day
2.33466
Expected LPN Staffing Hours per Resident per Day
0.67394
Expected RN Staffing Hours per Resident per Day
1.15174
Expected Total Nurse Staffing Hours per Resident per Day
4.16034
Adjusted CNA Staffing Hours per Resident per Day
1.89652
Adjusted LPN Staffing Hours per Resident per Day
1.32740
Adjusted RN Staffing Hours per Resident per Day
0.57900
Adjusted Total Nurse Staffing Hours per Resident per Day
3.65736
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
7
Cycle 1 Health Deficiency Score
100
Cycle 1 Standard Survey Health Date
2015-02-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
100
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2014-03-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
60
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2013-02-21
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
76.00000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
5
Number of Fines
1
Total Amount of Fines in Dollars
8125
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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