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Trinity Mission Health & Rehab Of Portland

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About Trinity Mission Health & Rehab Of Portland

General Information

Legal Business NameTrinity Mission Health & Rehab Of Portland, LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareAugust 1, 2001 (15 years)
Capacity53
Residents49
Percent Occupied92%
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 Portland

Trinity Mission Health & Rehab Of Portland
was reviewed by Medicare to have a rating of 3 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Oregon 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

September 21, 2015 - 15 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionA written emergency evacuation plan.
FManyPotential for HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
ESomePotential for HarmFire Safety InspectionPortable fire extinguishers.
DFewPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
DFewPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.

September 9, 2015 - 15 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmComplaint+InspectionUse a registered nurse at least 8 hours a day, 7 days a week.
DFewPotential for HarmComplaint+InspectionEnsure that residents receive proper treatment and assistive devices to maintain their vision and hearing.
DFewPotential for HarmComplaint+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 HarmComplaint+InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmComplaint+InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmComplaint+InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaint+InspectionConduct initial and periodic assessments of each resident's functional capacity.
DFewPotential for HarmComplaint+InspectionReview or revise the resident's care plan after any major change in physical or mental health.
DFewPotential for HarmComplaint+InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmComplaint+InspectionUpon the death of a resident, convey the residentís personal funds and an accounting of those funds to the appropriate party.

May 12, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure that residents are safe from serious medication errors.

July 9, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionPut firmly secured handrails on each side of hallways.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmHealth InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DFewPotential for HarmHealth InspectionConduct initial and periodic assessments of each resident's functional capacity.
DFewPotential for HarmHealth InspectionGive residents a notice of rights, rules, services and charges.

July 8, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionAn adequate water supply for the sprinkler system.
FManyPotential for HarmFire Safety InspectionPortable fire extinguishers.
FManyPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
FManyPotential for HarmFire Safety InspectionAn approved installation, maintenance and testing program for fire alarm systems.
FManyPotential for HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
FManyPotential for HarmFire Safety InspectionA written emergency evacuation plan.
ESomePotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
ESomePotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.
ESomePotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
CManyPotential for Minimal HarmFire Safety InspectionA fire alarm system that can be heard throughout the facility.
DFewPotential for HarmFire Safety InspectionProperly installed hallway dispensers for alcohol-based hand rub.

May 8, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure services provided by the nursing facility meet professional standards of quality.

February 28, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmComplaintEnsure that residents are safe from serious medication errors.

February 13, 2013 - 4 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$2,275 fine
---Fine$975 fine

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 Portland 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.

2hr 45min
2hr 20min
ReportedExpected
CNA
1hr 5min
35min
ReportedExpected
LPN
30min
55min
ReportedExpected
RN
4hr 20min
3hr 55min
ReportedExpected
Total Nursing

This facility also provides approximately 35min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

97.7%
95.7%
95.7%
92.8%
Q1 2015Q2 2015Q3 2015OR
Assessed and Appropriately Given the Seasonal Influenza Vaccine
95.3%
97.6%
100.0%
92.7%
Q1 2015Q2 2015Q3 2015OR
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
48.6%
Q1 2015Q2 2015Q3 2015OR
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
41.2%
41.9%
31.2%
17.4%
Q1 2015Q2 2015Q3 2015OR
Received an Antipsychotic Medication
15.8%
14.3%
22.2%
11.6%
Q1 2015Q2 2015Q3 2015OR
Need for Help with ADLs has Increased
-
16.6%
-
14.2%
Q1 2015Q2 2015Q3 2015OR
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
9.3%
0.0%
0.0%
7.2%
Q1 2015Q2 2015Q3 2015OR
Lose Too Much Weight
0.0%
3.0%
3.3%
6.9%
Q1 2015Q2 2015Q3 2015OR
High Risk Residents With Pressure Ulcers
10.3%
5.3%
0.0%
4.4%
Q1 2015Q2 2015Q3 2015OR
Have Depressive Symptoms
9.3%
7.3%
0.0%
5.9%
Q1 2015Q2 2015Q3 2015OR
With a Urinary Tract Infection
4.7%
2.4%
2.4%
2.7%
Q1 2015Q2 2015Q3 2015OR
Experiencing One or More Falls with Major Injury
6.9%
5.8%
5.3%
4.9%
Q1 2015Q2 2015Q3 2015OR
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
0.6%
Q1 2015Q2 2015Q3 2015OR
Were Physically Restrained

Quality Measures for Short Stay Residents

80.6%
82.5%
86.8%
80.1%
Q1 2015Q2 2015Q3 2015OR
Assessed and Appropriately Given the Pneumococcal Vaccine
75.8%
69.4%
69.4%
78.8%
Q1 2015Q2 2015Q3 2015OR
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
62.5%
41.4%
44.4%
23.6%
Q1 2015Q2 2015Q3 2015OR
Self Report Moderate to Severe Pain
-
-
-
1.5%
Q1 2015Q2 2015Q3 2015OR
* The data for this facility for some quarters is unavailable.
Newly Received an Antipsychotic Medication
0.0%
0.0%
0.0%
1.4%
Q1 2015Q2 2015Q3 2015OR
With Pressure Ulcers That Are New or Worsened