Trinity Mission Health & Rehab Of Holly

2105 12th Avenue Road
Nampa, ID 83686
Canyon County
Phone: 208-467-5721
Provider Number: 135094
Last Inspection: 04/24/2015

About the Nursing Home About the Staff

Number of Beds
Number of
Beds
120
Number of Residents
Number of
Residents
94
Number of Beds Available
Beds Available
26
Percent Occupancy
Percent Occupancy
78%
Accepts Insurance
Insurance Accepted
Medicare & Medicaid
Types of Councils
Types of Councils
Resident
Type of Ownership
Type of Ownership
For profit - Corporation
Within a Hospital?
Within Hospital?
NO

State Inspection Deficiencies About State Inspection Deficiencies

Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home. We suggest you use our Nursing Home Checklist to help evaluate the nursing homes you plan to visit.


Deficiency Ratings what is a deficiency rating?
By Region


  • Facility
  • County
  • ID
  • USA
  • 66
  • 43
  • 36
  • 20
Lower Numbers are Better

Deficiency Ratings what is a deficiency rating?
By Year


  • 2015
  • 2014
  • 2012
  • 66
  • 42
  • 47
Lower Numbers are Better

Details by Inspection Date

 

4/24/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. Isolated : Minimal 3 5/29/2015
Failed To: Keep residents' personal and medical records private and confidential. Isolated : Minimal 3 5/29/2015
Failed To: Reasonably accommodate the needs and preferences of each resident. Isolated : Minimal 3 5/29/2015
Failed To: Provide activities to meet the interests and needs of each resident. Isolated : Minimal 3 5/29/2015
Failed To: Provide medically-related social services to help each resident achieve the highest possible quality of life. Isolated : Minimal 3 5/29/2015
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 5/29/2015
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 5/29/2015
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 5/29/2015
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 5/29/2015
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 5/29/2015
Failed To: 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. Isolated : Minimal 3 5/29/2015
Failed To: Ensure 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. Isolated : Minimal 3 5/29/2015
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Actual 4 5/29/2015
Failed To: Give each resident enough fluids to keep them healthy and prevent dehydration. Isolated : Minimal 3 5/29/2015
Failed To: Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Isolated : Minimal 3 5/29/2015
Failed To: Ensure 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. Pattern : Minimal 4 5/29/2015
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Pattern : Minimal 4 5/29/2015
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 5/29/2015
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Pattern : Minimal 4 5/29/2015
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 5/29/2015
 

1/17/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep residents' personal and medical records private and confidential. Isolated : Minimal 3 2/17/2014
Failed To: Allow residents to self-administer drugs if determined safe. Isolated : Minimal 3 2/17/2014
Failed To: Keep each resident free from physical restraints, unless needed for medical treatment. Pattern : Minimal 4 2/17/2014
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern : Minimal 4 2/17/2014
Failed To: Provide activities to meet the interests and needs of each resident. Isolated : Minimal 3 2/17/2014
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 2/17/2014
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 2/17/2014
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 2/17/2014
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 2/17/2014
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 2/17/2014
Failed To: Ensure 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. Isolated : Minimal 3 2/17/2014
Failed To: Provide food in a way that meets a resident's needs. Isolated : Minimal 3 2/17/2014
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 2/17/2014
 

11/9/2012 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give residents a notice of rights, rules, services and charges. Isolated : Minimal 3 12/8/2012
Failed To: Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. Isolated : Minimal 3 12/8/2012
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 12/8/2012
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 12/8/2012
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 12/8/2012
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 12/8/2012
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 12/8/2012
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 12/8/2012
Failed To: 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. Isolated : Minimal 3 12/8/2012
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 12/8/2012
Failed To: Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Isolated : Minimal 3 12/8/2012
Failed To: Ensure 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. Isolated : Minimal 3 12/8/2012
Failed To: Provide special eating equipment and utensils for each resident who needs them. Isolated : Minimal 3 12/8/2012
Failed To: Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. Pattern : Minimal 4 12/8/2012
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 12/8/2012


 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

 

2/5/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Isolated : Minimal 3 3/5/2015
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Actual 4 3/5/2015

 

About The Staff About the Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg ID State Avg
Number of Residents 94 60.43 49.13
Registered Nurses 0.88 0.80 1.05
Licensed Practical / Vocational Nurses 1.52 0.99 0.76
Certified Nursing Assistants 3.08 2.68 2.61
Total Staff Hours 5.48 4.47 4.42

About the Residents About the Staff

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% ID State Avg%
High Risk Long Stay Residents With Pressure Ulcers 2 1 3
Long Stay Residents Experiencing One or More Falls with Major Injury 3 3 2
Long Stay Residents Who Have Depressive Symptoms 12 7 5
Long Stay Residents Who Lose Too Much Weight 3 5 5
Long Stay Residents Who Received an Antipsychotic Medication 24 21 16
Long Stay Residents Who Self Report Moderate to Severe Pain 29 13 12
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 1 1 3
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 3 1 3
Long Stay Residents Who Were Physically Restrained 6 1 0
Long Stay Residents Whose Need for Help with ADLs has Increased 19 14 14
Long Stay Residents with a Catheter Inserted and Left in Their Bladder 9 2 3
Long Stay Residents With a Urinary Tract Infection 9 7 5
Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 53 50 47
Short Stay Residents Who Newly Received an Antipsychotic Medication 1 1 1
Short Stay Residents Who Self Report Moderate to Severe Pain 45 29 23
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 5 8 11
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 13 8 13
Short Stay Residents With Pressure Ulcers That Are New or Worsened 2 0 0