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Trinity Mission Health/Rehab Of Charlottesville

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About Trinity Mission Health/Rehab Of Charlottesville

General Information

Legal Business NameTrinity Mission Of Charlottesville, LLC
Ownership TypeFor Profit - Partnership
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareFebruary 27, 1998 (19 years)
Capacity180
Residents155
Percent Occupied86%
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 Charlottesville

Trinity Mission Health/Rehab Of Charlottesville
was reviewed by Medicare to have a rating of 1 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Virginia 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

August 18, 2015 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionProper medical gas storage and administration areas.
ESomePotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.
DFewPotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.

August 13, 2015 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaint+InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.

October 7, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
ESomePotential for HarmFire Safety InspectionCorridors or aisles that are unobstructed and are at least 8 feet in width.

August 28, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaint+InspectionEnsure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.
ESomePotential for HarmComplaint+InspectionHave enough nurses to care for every resident in a way that maximizes the resident's well being.
ESomePotential for HarmHealth InspectionGive the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances.
ESomePotential 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 HarmComplaint+InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionMake sure that special or therapeutic diets are ordered by the attending doctor.
DFewPotential for HarmComplaint+InspectionEnsure services provided by the nursing facility meet professional standards of quality.
BSomePotential for Minimal HarmHealth InspectionProvide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.

August 29, 2013 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$1,950 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 Charlottesville 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 30min
2hr 20min
ReportedExpected
CNA
55min
40min
ReportedExpected
LPN
20min
1hr 10min
ReportedExpected
RN
3hr 45min
4hr 10min
ReportedExpected
Total Nursing

This facility also provides approximately 25min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

99.3%
99.4%
99.4%
93.8%
Q1 2015Q2 2015Q3 2015VA
Assessed and Appropriately Given the Seasonal Influenza Vaccine
99.3%
99.3%
97.3%
92.0%
Q1 2015Q2 2015Q3 2015VA
Assessed and Appropriately Given the Pneumococcal Vaccine
27.3%
31.5%
30.4%
52.4%
Q1 2015Q2 2015Q3 2015VA
Low Risk Residents Who Lose Control of Their Bowel or Bladder
9.0%
8.0%
8.7%
17.3%
Q1 2015Q2 2015Q3 2015VA
Received an Antipsychotic Medication
15.8%
16.2%
10.8%
17.6%
Q1 2015Q2 2015Q3 2015VA
Need for Help with ADLs has Increased
10.5%
12.6%
7.1%
9.2%
Q1 2015Q2 2015Q3 2015VA
Self Report Moderate to Severe Pain
4.1%
6.3%
2.8%
7.9%
Q1 2015Q2 2015Q3 2015VA
Lose Too Much Weight
4.0%
8.2%
6.4%
6.2%
Q1 2015Q2 2015Q3 2015VA
High Risk Residents With Pressure Ulcers
0.7%
0.0%
0.0%
2.9%
Q1 2015Q2 2015Q3 2015VA
Have Depressive Symptoms
2.7%
4.2%
1.4%
6.1%
Q1 2015Q2 2015Q3 2015VA
With a Urinary Tract Infection
2.0%
2.1%
1.4%
3.5%
Q1 2015Q2 2015Q3 2015VA
Experiencing One or More Falls with Major Injury
0.6%
3.2%
2.1%
2.8%
Q1 2015Q2 2015Q3 2015VA
With a Catheter Inserted and Left in Their Bladder
0.7%
0.0%
0.0%
0.6%
Q1 2015Q2 2015Q3 2015VA
Were Physically Restrained

Quality Measures for Short Stay Residents

90.9%
80.2%
62.9%
81.6%
Q1 2015Q2 2015Q3 2015VA
Assessed and Appropriately Given the Pneumococcal Vaccine
91.7%
89.8%
89.8%
81.9%
Q1 2015Q2 2015Q3 2015VA
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
21.1%
24.4%
20.7%
17.4%
Q1 2015Q2 2015Q3 2015VA
Self Report Moderate to Severe Pain
1.9%
1.9%
1.6%
2.1%
Q1 2015Q2 2015Q3 2015VA
Newly Received an Antipsychotic Medication
1.5%
0.9%
0.0%
1.0%
Q1 2015Q2 2015Q3 2015VA
With Pressure Ulcers That Are New or Worsened