Trinity Mission Health And Rehab Of Rocky Mount

Nursing Homes Details and Grades

Quality Measures

Staffing

Health Inspections

Overall Grade

Addreess: 300 HATCHER STREET, ROCKY MOUNT, VA , 24151
Sprinkler Status:Yes
Category Description: Medicare and Medicaid
Type of ownership: For profit - Limited Liability company
Phone: (540) 483-9261
Total Number of Residents: 149
Certified Number of Beds: 180
Percentage of Occupied Bed: 83%
  • Quality Measures
  • Staffing Information
  • Health Inspections
  • Fire Inspections
Long Stay Residents
For the following measures, higher percentages are better
National Average
VA
Average
Trinity Mission Health And Rehab Of Rocky Mount
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine.
92.9
93.5
96.8
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine.
94.2
94.9
99
For the following measures, lower percentages are better
National Average
VA
Average
Trinity Mission Health And Rehab Of Rocky Mount
Percent of long-stay residents whose need for help with daily activities has increased.
NR
NR
22.3
Percent of long-stay residents who self-report moderate to severe pain.
8
9.7
0.7
Percent of long-stay high-risk residents with pressure ulcers.
6
6.9
8.7
Percent of long-stay residents who lose too much weight.
7.1
8.5
5
Percent of long-stay low-risk residents who lose control of their bowels or bladder
44.2
40.2
32.9
Percent of long-stay residents who have/had a catheter inserted and left in their bladder.
3.2
3.7
4.4
Percent of long-stay residents with a urinary tract infection.
6
7.4
10.7
Percent of long-stay residents who have depressive symptoms.
6.2
6.9
0
Percent of long-stay residents who were physically restrained.
1.3
1.5
0
Percent of long-stay residents experiencing one or more falls with major injury.
3.2
4.8
0.5
Short Stay Residents
For the following measures, higher percentages are better
National Average
VA
Average
Trinity Mission Health And Rehab Of Rocky Mount
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine.
83.1
81.4
93.4
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine.
82.4
82.2
94.3
For the following measures, lower percentages are better
National Average
VA
Average
Trinity Mission Health And Rehab Of Rocky Mount
Percent of short-stay residents who self-report moderate to severe pain.
19.1
22.3
2
Percent of short-stay residents with Pressure ulcers that are new or worsened.
1.1
1.4
0.5
 
VA Average
Trinity Mission Health And Rehab Of Rocky Mount
Total Number of Residents
0
149
Total Number of Licensed Nurse Staff Hours per Resident per Day
1.69
1.19
RN Hours per Resident per Day
0.79
0.42
LPN/LVN Hours per Resident per Day
0.89
0.77
CNA Hours per Resident per Day
2.14
2.37
Date of last standard health inspection: Thursday, 8th August 2013
Quality Indicator Survey: NR
Total number of Health Deficiencies for this nursing home: 17
Average number of Health Deficiencies in the United States: 8
Administration Deficiencies
Inspectors determined that the nursing home failed to:
Inspection Date
Date Of Correction
Level of Harm
Residents Affected
Keep accurate, complete and organized clinical records on each resident that meet professional standards.
7/14/2011
7/29/2013
Minimal harm or potential for actual harm
NR
Operate and provide services according to Federal, State, and local laws and professional standards.
7/14/2011
NR
Potential for minimal harm
NR
Train all employees on what to do in an emergency, and carry out unannounced staff drills.
NR
4/30/2012
NR
NR
Give or get x-rays and other tests in a timely manner to meet the needs of residents.
NR
3/7/2014
NR
NR

Environmental Deficiencies
Inspectors determined that the nursing home failed to:
Inspection Date
Date Of Correction
Level of Harm
Residents Affected
Provide housekeeping and maintenance services.
8/8/2013
7/11/2014
Minimal harm or potential for actual harm
NR
Have a program that investigates, controls and keeps infection from spreading.
8/8/2013
NR
Minimal harm or potential for actual harm
NR
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
8/8/2013
NR
Minimal harm or potential for actual harm
NR
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
9/27/2012
11/1/2013
Minimal harm or potential for actual harm
NR

Quality Care Deficiencies
Inspectors determined that the nursing home failed to:
Inspection Date
Date Of Correction
Level of Harm
Residents Affected
Ensure 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.
7/14/2011
8/12/2011
Minimal harm or potential for actual harm
NR
Ensure residents maintain acceptable nutritional status.
9/27/2012
10/26/2012
Minimal harm or potential for actual harm
NR
Provide medically-related social services to help each resident achieve the highest possible quality of life.
7/14/2011
8/12/2011
Minimal harm or potential for actual harm
NR
Ensure services provided by the nursing facility meet professional standards of quality.
7/14/2011
8/12/2011
Minimal harm or potential for actual harm
NR
Provide necessary care and services to maintain or improve the highest well being of each resident.
7/14/2011
6/20/2014
Minimal harm or potential for actual harm
NR

Resident Assessment Deficiencies
Inspectors determined that the nursing home failed to:
Inspection Date
Date Of Correction
Level of Harm
Residents Affected
Maintain 15 months of resident assessments in the resident's active clinical record.
8/8/2013
NR
Minimal harm or potential for actual harm
NR
Allow residents the right to participate in the planning or revision of care and treatment.
NR
8/1/2012
NR
NR

Resident Rights Deficiencies
Inspectors determined that the nursing home failed to:
Inspection Date
Date Of Correction
Level of Harm
Residents Affected
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
8/8/2013
NR
Minimal harm or potential for actual harm
NR
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
NR
5/9/2014
NR
NR

Automatic Sprinkler Systems in all required areas: Yes
Date of last standard fire safety inspection: Friday, 9th August 2013
Total number of Fire Safety Deficiencies for this nursing home: 12
Average number of Fire Safety Deficiencies in the United States: 4
Automatic Sprinkler Systems Deficiencies
Inspectors determined that the building did not have:
Inspection Date
Date Of Correction
Level of Harm
Residents Affected
Automatic sprinkler systems that have been maintained in working order.
10/4/2012
8/8/2011
Minimal harm or potential for actual harm
NR
Back-up procedures in place for a faulty automatic sprinkler system.
NR
3/27/2012
NR
NR
Portable fire extinguishers.
NR
8/27/2013
NR
NR

Building Construction Deficiencies
Inspectors determined that the building did not have:
Inspection Date
Date Of Correction
Level of Harm
Residents Affected
Approved construction type or materials.
8/9/2013
NR
Minimal harm or potential for actual harm
NR

Building Service Equipment Deficiencies
Inspectors determined that the building did not have:
Inspection Date
Date Of Correction
Level of Harm
Residents Affected
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
8/9/2013
NR
Minimal harm or potential for actual harm
NR

Corridor Walls and Doors Deficiencies
Inspectors determined that the building did not have:
Inspection Date
Date Of Correction
Level of Harm
Residents Affected
Corridor and hallway doors that block smoke.
10/4/2012
NR
Minimal harm or potential for actual harm
NR

Electrical Deficiencies
Inspectors determined that the building did not have:
Inspection Date
Date Of Correction
Level of Harm
Residents Affected
Weekly inspections and monthly testing of generators.
10/4/2012
NR
Minimal harm or potential for actual harm
NR
Properly installed electrical wiring and equipment.
10/4/2012
NR
Minimal harm or potential for actual harm
NR

Emergency Plans and Fire Drills Deficiencies
Inspectors determined that the building did not have:
Inspection Date
Date Of Correction
Level of Harm
Residents Affected
A written emergency evacuation plan.
8/9/2013
NR
Minimal harm or potential for actual harm
NR

Fire Alarm Systems Deficiencies
Inspectors determined that the building did not have:
Inspection Date
Date Of Correction
Level of Harm
Residents Affected
An approved installation, maintenance and testing program for fire alarm systems.
8/9/2013
NR
Minimal harm or potential for actual harm
NR

Medical Gases and Anesthetizing Areas Deficiencies
Inspectors determined that the building did not have:
Inspection Date
Date Of Correction
Level of Harm
Residents Affected
Proper medical gas storage and administration areas.
NR
7/12/2012
NR
NR

Smoke Compartmentation and Control Deficiencies
Inspectors determined that the building did not have:
Inspection Date
Date Of Correction
Level of Harm
Residents Affected
Smoke barrier doors that can resist smoke for at least 20 minutes.
10/4/2012
NR
Minimal harm or potential for actual harm
NR

Map of Retirement Home

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