Trinity Village - Milwaukee Nursing Home
General Information
UPDATEFederal Provider Number
525498
Provider Name
TRINITY VILLAGE
Provider Address
7500 W DEAN RD
MILWAUKEE, WI 53223
MILWAUKEE, WI 53223
Provider Phone Number
(414) 371-7300
Provider SSA County
390
Provider County Name
Milwaukee
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
87
Number of Residents in Certified Beds
82
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1992-10-01
Continuing Care Retirement Community
Y
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.81220
Reported LPN Staffing Hours per Resident per Day
1.27866
Reported RN Staffing Hours per Resident per Day
1.11159
Reported Licensed Staffing Hours per Resident per Day
2.39024
Reported Total Nurse Staffing Hours per Resident per Day
5.20245
Reported Physical Therapist Staffing Hours per Resident Per Day
0.30915
Expected CNA Staffing Hours per Resident per Day
2.62477
Expected LPN Staffing Hours per Resident per Day
0.73586
Expected RN Staffing Hours per Resident per Day
1.14585
Expected Total Nurse Staffing Hours per Resident per Day
4.50648
Adjusted CNA Staffing Hours per Resident per Day
2.62891
Adjusted LPN Staffing Hours per Resident per Day
1.44224
Adjusted RN Staffing Hours per Resident per Day
0.72486
Adjusted Total Nurse Staffing Hours per Resident per Day
4.65342
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-06-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
23
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
16
Cycle 2 Health Deficiency Score
112
Cycle 2 Standard Health Survey Date
2013-05-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
112
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
110
Cycle 3 Standard Health Survey Date
2012-05-17
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
55
Cycle 3 Total Health Score
165
Total Weighted Health Survey Score
94.83300
Number of Facility Reported Incidents
10
Number of Substantiated Complaints
8
Number of Fines
2
Total Amount of Fines in Dollars
14138
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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