Trinity Mission Health & Rehab Of Edgefield - Edgefield Nursing Home
General Information
UPDATEFederal Provider Number
425293
Provider Name
TRINITY MISSION HEALTH & REHAB OF EDGEFIELD
Provider Address
226 WA REEL DRIVE
EDGEFIELD, SC 29824
EDGEFIELD, SC 29824
Provider Phone Number
8036375312
Provider SSA County
180
Provider County Name
Edgefield
Ownership Type
For profit - Limited Liability
Number of Certified Beds
120
Number of Residents in Certified Beds
117
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NEW TRINITY MISSIONS HEALTH & REHAB OF EDGEFIELD, LLC
Date First Approved to Provide Medicare and Medicaid services
1990-09-12
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
2
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
2.09274
Reported LPN Staffing Hours per Resident per Day
0.83504
Reported RN Staffing Hours per Resident per Day
0.46154
Reported Licensed Staffing Hours per Resident per Day
1.29658
Reported Total Nurse Staffing Hours per Resident per Day
3.38932
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01325
Expected CNA Staffing Hours per Resident per Day
2.44667
Expected LPN Staffing Hours per Resident per Day
0.65162
Expected RN Staffing Hours per Resident per Day
1.03225
Expected Total Nurse Staffing Hours per Resident per Day
4.13053
Adjusted CNA Staffing Hours per Resident per Day
2.09875
Adjusted LPN Staffing Hours per Resident per Day
1.06364
Adjusted RN Staffing Hours per Resident per Day
0.33409
Adjusted Total Nurse Staffing Hours per Resident per Day
3.30757
Cycle 1 Total Number of Health Deficiencies
19
Cycle 1 Number of Standard Health Deficiencies
19
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
124
Cycle 1 Standard Survey Health Date
2013-07-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
124
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
132
Cycle 2 Standard Health Survey Date
2012-05-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2011-03-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
115.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
4
Total Amount of Fines in Dollars
6500
Number of Payment Denials
0
Total Number of Penalties
4
Location
Processing Date
2015-06-01
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