Trinity Village Medical Center - Pine Bluff Nursing Home
General Information
UPDATEFederal Provider Number
45438
Provider Name
TRINITY VILLAGE MEDICAL CENTER
Provider Address
6400 TRINITY DRIVE
PINE BLUFF, AR 71603
PINE BLUFF, AR 71603
Provider Phone Number
(870) 879-3117
Provider SSA County
340
Provider County Name
Jefferson
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
80
Number of Residents in Certified Beds
69
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TRINITY VILLAGE, INC.
Date First Approved to Provide Medicare and Medicaid services
2010-12-17
Continuing Care Retirement Community
Y
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.02174
Reported LPN Staffing Hours per Resident per Day
0.89420
Reported RN Staffing Hours per Resident per Day
0.52971
Reported Licensed Staffing Hours per Resident per Day
1.42391
Reported Total Nurse Staffing Hours per Resident per Day
4.44565
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00652
Expected CNA Staffing Hours per Resident per Day
2.34540
Expected LPN Staffing Hours per Resident per Day
0.54029
Expected RN Staffing Hours per Resident per Day
0.83212
Expected Total Nurse Staffing Hours per Resident per Day
3.71781
Adjusted CNA Staffing Hours per Resident per Day
3.16127
Adjusted LPN Staffing Hours per Resident per Day
1.37369
Adjusted RN Staffing Hours per Resident per Day
0.47565
Adjusted Total Nurse Staffing Hours per Resident per Day
4.82003
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2015-04-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2014-05-09
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
34
Cycle 2 Total Health Score
102
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
84
Cycle 3 Standard Health Survey Date
2013-06-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
84
Total Weighted Health Survey Score
60.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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
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