Trinity Mission Health & Rehab Of H S - Holly Springs Nursing Home
General Information
UPDATEFederal Provider Number
255229
Provider Name
TRINITY MISSION HEALTH & REHAB OF H S
Provider Address
1315 HIGHWAY 4 EAST
HOLLY SPRINGS, MS 38635
HOLLY SPRINGS, MS 38635
Provider Phone Number
6622521141
Provider SSA County
460
Provider County Name
Marshall
Ownership Type
For profit - Limited Liability
Number of Certified Beds
120
Number of Residents in Certified Beds
119
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TRINITY MISSION HEALTH & REHAB OF HOLLY SPRINGS, LLC
Date First Approved to Provide Medicare and Medicaid services
1996-03-01
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
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.32605
Reported LPN Staffing Hours per Resident per Day
0.88361
Reported RN Staffing Hours per Resident per Day
0.38655
Reported Licensed Staffing Hours per Resident per Day
1.27017
Reported Total Nurse Staffing Hours per Resident per Day
3.59621
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04076
Expected CNA Staffing Hours per Resident per Day
2.63891
Expected LPN Staffing Hours per Resident per Day
0.67491
Expected RN Staffing Hours per Resident per Day
1.08791
Expected Total Nurse Staffing Hours per Resident per Day
4.40174
Adjusted CNA Staffing Hours per Resident per Day
2.16279
Adjusted LPN Staffing Hours per Resident per Day
1.08666
Adjusted RN Staffing Hours per Resident per Day
0.26549
Adjusted Total Nurse Staffing Hours per Resident per Day
3.29324
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-08-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-05-17
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-03-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
45.33300
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
Nursiong Homes Nearby
Trinity Mission H & R Great Oaks, Llc
111 Chase St |
BYHALIA MS 38611 | 17.2 miles away
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