TRINITY MISSION HEALTH & REHAB OF HOLLY

The information listed below provides an in-depth look into the type and quality of care offered at Trinity Mission Health & Rehab of Holly. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

TRINITY MISSION HEALTH & REHAB OF HOLLY
2105 12TH AVENUE ROAD
NAMPA, ID 83686
(208) 467-5721

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

80%

Number of Residents and Certified Beds

  • Residents: 96
  • Certified Beds: 120

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Limited Liability Company
  • Offers Both Resident and Family Counseling Services
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Caldwell | Meridian | Boise

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Trinity Mission Health & Rehab of Holly. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation Plus Extensive Services

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-101.8%
Total Percent:1.8%
 

Very High Rehabilitation Plus Extensive Services

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-164.9%
Total Percent:4.9%
 

High Rehabilitation Plus Extensive Services

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-160.3%
Total Percent:0.3%
 

Medium Rehabilitation Plus Extensive Services

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-162.1%
Total Percent:2.1%
 

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-1613.0%
ADL Index Range: 6-1030.7%
ADL Index Range: 0-510.6%
Total Percent:54.2%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-162.8%
ADL Index Range: 6-1011.7%
Total Percent:14.4%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-101.6%
ADL Index Range: 0-52.3%
Total Percent:3.9%
 

Extensive Services

  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-16
- Tracheostomy care and ventilator/respirator
1.0%
Total Percent:1.0%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-14
- Signs of depression
0.2%
ADL Index Range: 6-10
- Signs of depression
1.8%
ADL Index Range: 2-5
- No Signs of depression
1.5%
Total Percent:3.4%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 6-10
- Signs of depression
1.0%
ADL Index Range: 2-5
- No Signs of depression
1.8%
Total Percent:2.8%
 

Behavioral Symptoms and Cognitive Performance

  • Cognitive impairment BIMS score less than or equal to 9
  • CPS great than or equal to 3
  • Hallucinations or delusions
  • Physical or verbal behavioral symptoms toward others
  • Other behavioral symptoms
  • Rejection of care or wandering
  • Activities of Daily Living (ADL) score of 5 or less
ADL Index Range: 0-1
- Less restorative nursing
2.3%
Total Percent:2.3%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 11-14
- Less restorative nursing
7.6%
ADL Index Range: 6-10
- Less restorative nursing
1.3%
Total Percent:8.9%
 

Rating Details For Trinity Mission Health & Rehab of Holly

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours47 Minutes1 Hour and 19 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 26 Minutes47 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 60 Minutes2 Hours and 30 Minutes
Total Licensed Nurse Hours2 Hours and 13 Minutes2 Hours and 6 Minutes
Total Nurse Hours5 Hours and 13 Minutes4 Hours and 35 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Idaho are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityIdaho Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%93%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%92%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse11%11%
Percent of Long-Stay Residents Who Were Physically Restrained4%5%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain3%5%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder7%7%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair11%4%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder64%55%
Percent of Long-Stay Residents Who Are More Depressed or Anxious14%18%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores3%8%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection7%9%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased15%14%
Percent of Long-Stay Residents Who Lose Too Much Weight8%8%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%87%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%88%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium4%4%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain40%28%
Percent of Short-Stay Residents Who Have Pressure Sores4%11%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 07/16/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 05/22/2009
  • Correction Date: 06/24/2009
Train All Employees on What to Do in an Emergency.
  • Inspection Date: 05/22/2009
  • Correction Date: 06/24/2009

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 05/09/2008
  • Correction Date: 05/28/2008
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 05/09/2008
  • Correction Date: 05/28/2008
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 05/22/2009
  • Correction Date: 06/24/2009
Keep Temperature Levels Comfortable and Safe.
  • Inspection Date: 05/22/2009
  • Correction Date: 06/24/2009
Keep Sound Levels Comfortable.
  • Inspection Date: 05/22/2009
  • Correction Date: 06/24/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 05/22/2009
  • Correction Date: 06/24/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 05/22/2009
  • Correction Date: 06/24/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 07/16/2010
  • Correction Date: 08/18/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 05/09/2008
  • Correction Date: 05/28/2008
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 07/16/2010
  • Correction Date: 08/18/2010

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 05/22/2009
  • Correction Date: 06/24/2009
Make Sure That the Attending Doctor Orders Special Diets.
  • Inspection Date: 05/22/2009
  • Correction Date: 06/24/2009
1) Provide 3 Meals Daily at Regular Times; or 2) Serve Breakfast Within 14 Hours After Dinner; or 3) Offer a Snack at Bedtime Each Day.
  • Inspection Date: 05/22/2009
  • Correction Date: 06/24/2009

Pharmacy Service

Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 05/09/2008
  • Correction Date: 05/28/2008
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 05/22/2009
  • Correction Date: 06/24/2009
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 07/16/2010
  • Correction Date: 08/18/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 05/09/2008
  • Correction Date: 05/28/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 05/09/2008
  • Correction Date: 05/28/2008
Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 05/22/2009
  • Correction Date: 06/24/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 05/22/2009
  • Correction Date: 06/24/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 05/22/2009
  • Correction Date: 06/24/2009
Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 07/16/2010
  • Correction Date: 08/18/2010
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 07/16/2010
  • Correction Date: 08/18/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 07/16/2010
  • Correction Date: 08/18/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 07/16/2010
  • Correction Date: 08/18/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 05/09/2008
  • Correction Date: 05/28/2008
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Inspection Date: 05/09/2008
  • Correction Date: 05/28/2008
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 05/22/2009
  • Correction Date: 06/24/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 05/22/2009
  • Correction Date: 06/24/2009
Provide a Final Summary of the Resident's Health Status and a Summary of the Resident's Stay, when the Resident is Ready to Leave the Nursing Home.
  • Inspection Date: 05/22/2009
  • Correction Date: 06/24/2009
Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record.
  • Inspection Date: 05/22/2009
  • Correction Date: 06/24/2009
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 07/16/2010
  • Correction Date: 08/18/2010
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Inspection Date: 07/16/2010
  • Correction Date: 08/18/2010

Resident Rights

Let Residents Give Themselves Their Drugs if They Are Able.
  • Inspection Date: 05/09/2008
  • Correction Date: 05/28/2008
Make Sure That Private Space is Available in the Nursing Home for Resident Groups or Residents' Families to Meet.
  • Inspection Date: 05/09/2008
  • Correction Date: 05/28/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 05/22/2009
  • Correction Date: 06/24/2009
Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care.
  • Inspection Date: 05/22/2009
  • Correction Date: 06/24/2009
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 05/22/2009
  • Correction Date: 06/24/2009
Let the Resident or the Resident's Representative Look at All Records.
  • Inspection Date: 07/16/2010
  • Correction Date: 08/18/2010
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home.
  • Inspection Date: 07/16/2010
  • Correction Date: 08/18/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 07/16/2010
  • Correction Date: 08/18/2010
Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care.
  • Inspection Date: 07/16/2010
  • Correction Date: 08/18/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Trinity Mission Health & Rehab of Holly, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Mistreatment

1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Complaint Filed: 10/27/2009
  • Correction Date: 11/23/2009

Pharmacy Service

Make Sure That Residents Are Safe from Serious Medication Errors.
  • Complaint Filed: 12/23/2009
  • Correction Date: 01/11/2010

Quality Care

Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Complaint Filed: 10/27/2009
  • Correction Date: 11/23/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Complaint Filed: 12/23/2009
  • Correction Date: 01/11/2010

Resident Rights

Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Complaint Filed: 09/02/2008
  • Correction Date: 09/16/2008
Quickly Give a Resident's Personal Money to the Heads of His or Her Estate After the Resident's Death.
  • Complaint Filed: 10/27/2009
  • Correction Date: 11/23/2009

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Trinity Mission Health & Rehab of Holly had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 06/01/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 06/01/2010
  • Correction Date: 06/15/2010

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 06/01/2010
  • Correction Date: 06/15/2010

Exits and Egress

Corridors or Aisles That Are Unobstructed and Are at Least 8 Feet in Width.
  • Inspection Date: 06/01/2010
  • Correction Date: 06/15/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 06/01/2009
  • Correction Date: 06/10/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 06/01/2010
  • Correction Date: 06/15/2010
Source: Medicare Nursing Home Compare; Idaho Department of Health and Welfare - Retrieved 2011