Trinity Nursing And Rehabilitation Of Diboll Lp - Diboll Nursing Home
General Information
UPDATEFederal Provider Number
675907
Provider Name
TRINITY NURSING AND REHABILITATION OF DIBOLL LP
Provider Address
900 S TEMPLE DR
DIBOLL, TX 75941
DIBOLL, TX 75941
Provider Phone Number
(936) 829-5501
Provider SSA County
20
Provider County Name
Angelina
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
82
Number of Residents in Certified Beds
73
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TRINITY NURSING AND REHABILITATION OF DIBOLL, LP
Date First Approved to Provide Medicare and Medicaid services
2002-03-12
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
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
1.94726
Reported LPN Staffing Hours per Resident per Day
0.80616
Reported RN Staffing Hours per Resident per Day
0.47603
Reported Licensed Staffing Hours per Resident per Day
1.28219
Reported Total Nurse Staffing Hours per Resident per Day
3.22945
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01164
Expected CNA Staffing Hours per Resident per Day
2.27335
Expected LPN Staffing Hours per Resident per Day
0.59614
Expected RN Staffing Hours per Resident per Day
1.08513
Expected Total Nurse Staffing Hours per Resident per Day
3.95462
Adjusted CNA Staffing Hours per Resident per Day
2.10174
Adjusted LPN Staffing Hours per Resident per Day
1.12242
Adjusted RN Staffing Hours per Resident per Day
0.32779
Adjusted Total Nurse Staffing Hours per Resident per Day
3.29175
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2014-05-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
96
Cycle 2 Standard Health Survey Date
2013-06-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
96
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-05-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
70.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
2
Number of Fines
3
Total Amount of Fines in Dollars
7155
Number of Payment Denials
0
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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