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Trinity Mission Health & Rehab Of Holly

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About Trinity Mission Health & Rehab Of Holly

General Information

Legal Business NameTrinity Mission Health & Rehab Of Holly, LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareSeptember 9, 1983 (33 years)
Capacity120
Residents94
Percent Occupied78%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Trinity Mission Health & Rehab Of Holly

Trinity Mission Health & Rehab Of Holly
was reviewed by Medicare to have a rating of 2 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Idaho Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

April 24, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$1,040 fine
GFewActual HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmHealth InspectionPrepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
ESomePotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for HarmHealth InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmHealth InspectionEnsure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.
DFewPotential for HarmHealth InspectionGive each resident enough fluids to keep them healthy and prevent dehydration.
DFewPotential for HarmHealth InspectionEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
DFewPotential for HarmHealth InspectionProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
DFewPotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmHealth InspectionReasonably accommodate the needs and preferences of each resident.
DFewPotential for HarmHealth InspectionKeep residents' personal and medical records private and confidential.
DFewPotential for HarmHealth InspectionLet residents refuse treatment, refuse to take part in an experiment, or formulate advance directives.
DFewPotential for HarmHealth InspectionProvide activities to meet the interests and needs of each resident.
DFewPotential for HarmHealth InspectionProvide medically-related social services to help each resident achieve the highest possible quality of life.
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .

March 2, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.

February 5, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaintEnsure residents maintain acceptable nutritional status.
DFewPotential for HarmComplaintLet each resident or the resident's legal representative access or purchase copies of all the resident's records.

January 17, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
ESomePotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmHealth InspectionKeep each resident free from physical restraints, unless needed for medical treatment.
DFewPotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmHealth InspectionProvide activities to meet the interests and needs of each resident.
DFewPotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
DFewPotential for HarmHealth InspectionKeep residents' personal and medical records private and confidential.
DFewPotential for HarmHealth InspectionAllow residents to self-administer drugs if determined safe.
DFewPotential for HarmHealth InspectionProvide food in a way that meets a resident's needs.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Trinity Mission Health & Rehab Of Holly require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

3hr 5min
2hr 30min
ReportedExpected
CNA
1hr 30min
50min
ReportedExpected
LPN
55min
1hr 25min
ReportedExpected
RN
5hr 30min
4hr 45min
ReportedExpected
Total Nursing

This facility also provides approximately 50min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

98.7%
96.5%
96.5%
96.6%
Q1 2015Q2 2015Q3 2015ID
Assessed and Appropriately Given the Seasonal Influenza Vaccine
96.2%
100.0%
100.0%
96.7%
Q1 2015Q2 2015Q3 2015ID
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
47.1%
Q1 2015Q2 2015Q3 2015ID
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
25.0%
27.5%
20.3%
16.6%
Q1 2015Q2 2015Q3 2015ID
Received an Antipsychotic Medication
27.8%
16.3%
14.3%
14.1%
Q1 2015Q2 2015Q3 2015ID
Need for Help with ADLs has Increased
-
-
35.0%
12.8%
Q1 2015Q2 2015Q3 2015ID
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
6.8%
1.4%
1.2%
5.7%
Q1 2015Q2 2015Q3 2015ID
Lose Too Much Weight
0.0%
1.6%
4.3%
3.7%
Q1 2015Q2 2015Q3 2015ID
High Risk Residents With Pressure Ulcers
14.5%
11.8%
10.3%
5.8%
Q1 2015Q2 2015Q3 2015ID
Have Depressive Symptoms
9.5%
8.2%
8.8%
5.7%
Q1 2015Q2 2015Q3 2015ID
With a Urinary Tract Infection
2.6%
2.7%
2.5%
3.0%
Q1 2015Q2 2015Q3 2015ID
Experiencing One or More Falls with Major Injury
7.2%
9.0%
10.7%
3.3%
Q1 2015Q2 2015Q3 2015ID
With a Catheter Inserted and Left in Their Bladder
3.8%
8.0%
6.2%
0.6%
Q1 2015Q2 2015Q3 2015ID
Were Physically Restrained

Quality Measures for Short Stay Residents

91.0%
97.5%
94.9%
88.4%
Q1 2015Q2 2015Q3 2015ID
Assessed and Appropriately Given the Pneumococcal Vaccine
88.9%
85.7%
85.7%
86.8%
Q1 2015Q2 2015Q3 2015ID
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
-
-
35.0%
23.8%
Q1 2015Q2 2015Q3 2015ID
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
2.6%
0.0%
0.0%
1.3%
Q1 2015Q2 2015Q3 2015ID
Newly Received an Antipsychotic Medication
0.9%
2.5%
2.6%
0.9%
Q1 2015Q2 2015Q3 2015ID
With Pressure Ulcers That Are New or Worsened