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TRINITY MISSION HEALTH AND REHAB OF PORTLAND - PORTLAND, OR

 



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Address
10435 SE CORA STREET
PORTLAND, OR, 97266
Phone (make sure to verify first before calling): (503) 760-1737

Number of Certified Beds: 53
Total Number of Residents: 50
Percent of Occupied Beds: 94%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Corporation
Located Within a Hospital?: No
Multi Nursing Home Ownership?: Yes
Resident and Family Councils: Resident
Continuing Care Retirement Community?: No
Quality Indicator Survey?: Yes
Special Focus Facility?: No
Type: Skilled Nursing Facilities


Overall Star Rating: 3 Stars
Health Inspections Star Rating: 2 Stars
Nurse Staffing Star Rating: 4 Stars
Quality Measures Star Rating: 2 Stars
RN Only Star Rating: 3 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 3.57
Certified Nurse Aides - Full Time: 17.20
Certified Nurse Aides - Part Time: 2.00
Dietitians - Under Contract: 0.11
Food Service Personnel - Full Time: 5.01
Food Service Personnel - Part Time: 1.90
Housekeeping Personnel - Full Time: 1.27
Licensed Practical/ Vocational Nurses - Full Time: 2.11
Medical Directors - Under Contract: 0.04
Mental Health Services Personnel - Under Contract: 0.06
Nurses With Administrative Duties - Full Time: 2.29
Persons Not Included In Any Other Categories - Full Time: 5.19
Physical Therapists - Under Contract: 0.24
Registered Nurses - Full Time: 1.76
Rn Director Of Nursing - Full Time: 1.14
Social Workers - Full Time: 1.23
Activities Professionals - Full Time: 1.01
Dentists - Under Contract: 0.03
Occupational Therapists - Under Contract: 0.26
Pharmacists - Under Contract: 0.11
Podiatrists - Under Contract: 0.03
Speech Pathologists - Under Contract: 0.11
Other Physicians - Under Contract: 0.03
Registered Nurses - Under Contract: 0.11
Persons Not Included In Any Other Categories - Part Time: 1.04
Housekeeping Personnel - Part Time: 2.24
Licensed Practical/ Vocational Nurses - Under Contract: 0.23
Certified Nurse Aides - Under Contract: 4.71
Medication Aides/ Technicians - Part Time: 0.89
Medication Aides/ Technicians - Full Time: 2.60

Provided Services

  • Activities Services Are Provided Onsite To Residents
  • Clinical Laboratory Services Are Provided Onsite To Residents
  • Dental Services Are Provided Onsite To Residents
  • Diagnostic Xray Services Are Provided Onsite To Residents
  • Dietary Services Are Provided Onsite To Residents
  • Housekeeping Services Are Provided Onsite To Residents
  • Mental Health Services Are Provided Onsite To Residents
  • Nursing Services Are Provided Onsite To Residents
  • Occupational Therapy Services Are Provided Onsite To Residents
  • Pharmacy Services Are Provided Onsite To Residents
  • Physical Therapy Services Are Provided Onsite To Residents
  • Physician Extender Services Are Provided Onsite To Residents
  • Physician Services Are Provided Onsite To Residents
  • Podiatry Services Are Provided Onsite To Residents
  • Social Work Services Are Provided Onsite To Residents
  • Speech/Language Pathology Services Are Provided Onsite To Residents

Staff Information

Number of Registered Nurses Hours Per Resident Per Day
This Nursing Home:

0.500
State:

0.887
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
This Nursing Home:

0.810
State:

0.560
Total Number of Licensed Staff Hours Per Resident Per Day
This Nursing Home:

1.320
Oregon:

1.443
Number of ,Certified Nurse Assistant Hours Per Resident Per Day
This Nursing Home:

0.130
State:

0.157
Number Therapy Hours Per Resident Per Day
Here:

0.130
State:

0.182

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased
This Nursing Home:

20.5%
Oregon:

12.2%
Percent of long-stay residents who lose too much weight
This Nursing Home:

9.5%
State:

7.8%
Percent of long-stay residents with a urinary tract infection
This Nursing Home:

9.5%
State:

8.1%
Percent of long-stay residents who were physically restrained
This Nursing Home:

4.7%
Oregon:

1.7%
Percent of long-stay residents experiencing one or more falls with major injury
This Nursing Home:

9.3%
Oregon:

3.0%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
This Nursing Home:

97.6%
State:

94.9%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
Here:

97.7%
Oregon:

96.5%
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
This Nursing Home:

80.0%
State:

89.3%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Here:

74.2%
State:

85.4%
Percent of long-stay residents who received an antipsychotic medication
This Nursing Home:

50.0%
Oregon:

19.6%

Complaint Deficiency

Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death: Few (Immediate jeopardy to resident health or safety)

Exits that are accessible at all times: Some (Minimal harm or potential for actual harm)

Exits that are accessible at all times: Some (Minimal harm or potential for actual harm)

Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death: Few (Minimal harm or potential for actual harm)

A properly installed and maintained dumbwaiter or escalator: Few (Minimal harm or potential for actual harm)

Automatic sprinkler systems that have been maintained in working order: Few (Minimal harm or potential for actual harm)

Properly hold, secure and manage each resident's personal money which is deposited with the nursing home: Some (Potential for minimal harm)

Send and promptly deliver unopened mail to residents: Some (Potential for minimal harm)

Conduct initial and periodic assessments of each resident's functional capacity: Few (Minimal harm or potential for actual harm)

Review or revise the resident's care plan after any major change in a resident's physical or mental health: Few (Minimal harm or potential for actual harm)

Make sure each resident receives an accurate assessment by a qualified health professional: Some (Minimal harm or potential for actual harm)

Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function: Few (Immediate jeopardy to resident health or safety)

Store, cook, and serve food in a safe and clean way: Many (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: Many (Minimal harm or potential for actual harm)

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public: Some (Minimal harm or potential for actual harm)

Put firmly secured handrails on each side of hallways: Many (Minimal harm or potential for actual harm)

Approved construction type or materials: Few (Minimal harm or potential for actual harm)

Corridor and hallway doors that block smoke: Many (Minimal harm or potential for actual harm)

Large enough exits: Few (Minimal harm or potential for actual harm)

Resident room doors of proper design and width: Some (Minimal harm or potential for actual harm)

Emergency lighting that can last at least 1 1/2 hours: Many (Minimal harm or potential for actual harm)

Did not have a written emergency evacuation plan: Many (Minimal harm or potential for actual harm)

An approved installation, maintenance and testing program for fire alarm systems: Many (Minimal harm or potential for actual harm)

An approved automatic sprinkler system connected to the fire alarm system: Some (Minimal harm or potential for actual harm)

Automatic sprinkler systems that have been maintained in working order: Many (Minimal harm or potential for actual harm)

Portable fire extinguishers: Many (Minimal harm or potential for actual harm)

Heating and ventilation systems that have been properly installed according to the manufacturer's instructions: Many (Minimal harm or potential for actual harm)

Properly protected cooking facilities: Many (Minimal harm or potential for actual harm)

Exits that are free from obstructions and can be used at all times: Many (Minimal harm or potential for actual harm)

Restrictions on the use of highly flammable materials: Some (Minimal harm or potential for actual harm)

Properly installed electrical wiring and equipment: Many (Minimal harm or potential for actual harm)

Back-up procedures in place for a faulty automatic sprinkler system: Many (Minimal harm or potential for actual harm)

An approved back-up procedure for a faulty fire alarm system: Many (Minimal harm or potential for actual harm)

Give each resident a notice of rights, rules, services and charges. Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for: Some (Potential for minimal harm)

Provide enough notice before discharging or transferring a resident: Few (Minimal harm or potential for actual harm)

Protect each resident from all abuse, physical punishment, and being separated from others: Few (Minimal harm or potential for actual harm)

Give the right treatment and services to residents who have mental or psychosocial problems adjusting: Few (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Some (Minimal harm or potential for actual harm)

Record of quarterly fire drills for each shift under varying conditions: Many (Minimal harm or potential for actual harm)

An approved installation, maintenance and testing program for fire alarm systems: Many (Minimal harm or potential for actual harm)

Automatic sprinkler systems that have been maintained in working order: Many (Minimal harm or potential for actual harm)

Properly protected cooking facilities: Few (Minimal harm or potential for actual harm)

Properly installed electrical wiring and equipment: Few (Minimal harm or potential for actual harm)

Give each resident a notice of rights, rules, services and charges. Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for: Many (Minimal harm or potential for actual harm)

Limit the charges against the personal funds of a resident for items or services for which payment is made under Medicare or Medicaid: Some (Minimal harm or potential for actual harm)

Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality: Few (Minimal harm or potential for actual harm)

Provide necessary care and services to maintain the highest well being of each resident : Few (Minimal harm or potential for actual harm)

Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function: Few (Minimal harm or potential for actual harm)

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