Trinity Mission Health & Rehab Of Portland - Portland Nursing Home

General Information

UPDATE
Federal Provider Number
385264
Provider Name
TRINITY MISSION HEALTH & REHAB OF PORTLAND
Provider Address
10435 SE CORA STREET
PORTLAND, OR 97266
Provider Phone Number
(503) 760-1737
Provider SSA County
250
Provider County Name
Multnomah
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
53
Number of Residents in Certified Beds
49
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TRINITY MISSION HEALTH & REHAB OF PORTLAND, LLC
Date First Approved to Provide Medicare and Medicaid services
2001-08-01
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
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
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
2.77143
Reported LPN Staffing Hours per Resident per Day
1.07755
Reported RN Staffing Hours per Resident per Day
0.42959
Reported Licensed Staffing Hours per Resident per Day
1.50714
Reported Total Nurse Staffing Hours per Resident per Day
4.27857
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12143
Expected CNA Staffing Hours per Resident per Day
2.47657
Expected LPN Staffing Hours per Resident per Day
0.62234
Expected RN Staffing Hours per Resident per Day
1.08766
Expected Total Nurse Staffing Hours per Resident per Day
4.18657
Adjusted CNA Staffing Hours per Resident per Day
2.74583
Adjusted LPN Staffing Hours per Resident per Day
1.43711
Adjusted RN Staffing Hours per Resident per Day
0.29512
Adjusted Total Nurse Staffing Hours per Resident per Day
4.11948
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-07-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
88
Cycle 2 Standard Health Survey Date
2013-02-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
88
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
36
Cycle 3 Standard Health Survey Date
2011-11-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
53.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
0
Number of Fines
2
Total Amount of Fines in Dollars
3250
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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