TRINITY MISSION HEALTH & REHAB OF BURLESON

The information listed below provides an in-depth look into the type and quality of care offered at Trinity Mission Health & Rehab of Burleson. 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 BURLESON
600 MAPLE ST
BURLESON, TX 76028
(817) 295-8118

Nursing Home Ratings

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

Percent of Beds Occupied

100%

Number of Residents and Certified Beds

  • Residents: 104
  • Certified Beds: 104

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:

Crowley | Fort Worth | Kennedale

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 Burleson. 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

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: 2-101.2%
Total Percent:1.2%
 

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: 11-1610.9%
ADL Index Range: 0-530.9%
Total Percent:41.8%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-165.0%
ADL Index Range: 6-103.9%
ADL Index Range: 0-513.9%
Total Percent:22.8%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-164.5%
ADL Index Range: 0-57.4%
Total Percent:11.9%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 6-102.6%
ADL Index Range: 0-52.9%
Total Percent:5.5%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-14
- No Signs of depression
0.2%
ADL Index Range: 2-5
- No Signs of depression
4.3%
Total Percent:4.4%
 

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: 11-14
- No Signs of depression
6.6%
ADL Index Range: 6-10
- No Signs of depression
1.6%
ADL Index Range: 0-1
- No Signs of depression
0.9%
Total Percent:9.1%
 

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
- Two or more restorative nursing on 6+ days/wk
0.3%
ADL Index Range: 11-14
- Less restorative nursing
2.7%
ADL Index Range: 0-1
- Less restorative nursing
0.3%
Total Percent:3.2%
 

Rating Details For Trinity Mission Health & Rehab of Burleson

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) Hours25 Minutes1 Hour and 12 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours49 Minutes41 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 16 Minutes2 Hours and 20 Minutes
Total Licensed Nurse Hours1 Hour and 14 Minutes1 Hour and 52 Minutes
Total Nurse Hours3 Hours and 29 Minutes4 Hours and 12 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 Texas are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityTexas Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%88%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%91%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder5%5%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores17%12%
Percent of Long-Stay Residents Who Were Physically Restrained-4%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder40%46%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair4%6%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse9%12%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased11%18%
Percent of Long-Stay Residents Who Lose Too Much Weight4%6%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection17%9%
Percent of Long-Stay Residents Who Are More Depressed or Anxious5%13%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain2%4%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores2%3%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%84%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%79%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium1%3%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain5%16%
Percent of Short-Stay Residents Who Have Pressure Sores14%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 03/04/2011.

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

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 03/04/2011
  • Correction Date: 04/04/2011

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.
  • Inspection Date: 02/20/2009
  • Correction Date: 04/06/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 02/20/2009
  • Correction Date: 04/06/2009

Nutrition and Dietary

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: 02/20/2009
  • Correction Date: 04/06/2009

Pharmacy Service

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: 02/20/2009
  • Correction Date: 04/06/2009
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 02/20/2009
  • Correction Date: 04/06/2009
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 03/04/2011
  • Correction Date: 04/04/2011
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 03/04/2011
  • Correction Date: 04/04/2011

Quality Care

Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 02/20/2009
  • Correction Date: 04/06/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 03/04/2011
  • Correction Date: 04/04/2011

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Trinity Mission Health & Rehab of Burleson, 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

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 02/20/2009
  • Correction Date: 04/06/2009

Mistreatment

Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property.
  • Complaint Filed: 02/20/2009
  • Correction Date: 04/06/2009
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: 11/17/2010
  • Correction Date: 12/17/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 11/17/2010
  • Correction Date: 12/17/2010

Quality Care

Develop/Implement Required Procedures for the Administration of Immunizations.
  • Complaint Filed: 02/20/2009
  • Correction Date: 04/06/2009

Resident Rights

Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help.
  • Complaint Filed: 02/20/2009
  • Correction Date: 04/06/2009
Provide Written Records when a Resident is Transferred or Discharged.
  • Complaint Filed: 06/08/2010
  • Correction Date: 07/12/2010

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 Burleson 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 03/02/2011.

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: 02/18/2009
  • Correction Date: 04/04/2009
Properly Working Alarms on Sprinkler Valves.
  • Inspection Date: 03/18/2010
  • Correction Date: 04/30/2010
Portable Fire Extinguishers.
  • Inspection Date: 03/18/2010
  • Correction Date: 04/30/2010

Building Service Equipment

An Externally Vented Heating System.
  • Inspection Date: 03/18/2010
  • Correction Date: 04/30/2010
Properly Protected Cooking Facilities.
  • Inspection Date: 03/18/2010
  • Correction Date: 04/30/2010
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 03/02/2011
  • Correction Date: 01/01/1900

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 03/18/2010
  • Correction Date: 04/30/2010
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 03/02/2011
  • Correction Date: 04/04/2011

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 03/18/2010
  • Correction Date: 04/30/2010

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 02/18/2009
  • Correction Date: 04/04/2009
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 03/18/2010
  • Correction Date: 04/30/2010
A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 03/02/2011
  • Correction Date: 04/04/2011

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 02/18/2009
  • Correction Date: 04/04/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 02/18/2009
  • Correction Date: 04/04/2009

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 03/18/2010
  • Correction Date: 04/30/2010
Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 03/02/2011
  • Correction Date: 04/04/2011

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 02/18/2009
  • Correction Date: 04/04/2009
No-Smoking Signs Where Oxygen is Used.
  • Inspection Date: 03/18/2010
  • Correction Date: 04/30/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 02/18/2009
  • Correction Date: 04/04/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 03/18/2010
  • Correction Date: 04/30/2010
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 03/02/2011
  • Correction Date: 04/04/2011

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 03/18/2010
  • Correction Date: 04/30/2010
Source: Medicare Nursing Home Compare; Department of Aging and Disability Services - Retrieved 2011