TRINITY MISSION HEALTH & REHAB OF PORTLAND

The information listed below provides an in-depth look into the type and quality of care offered at Trinity Mission Health & Rehab of Portland. 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 PORTLAND
10435 SE CORA STREET
PORTLAND, OR 97266
(503) 760-1737

Nursing Home Ratings

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

Overall Rating

Percent of Beds Occupied

85%

Number of Residents and Certified Beds

Residents: 45
Certified Beds: 53

This Facility Accepts

Medicare
Medicaid

Operational Details

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

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Nearby Cities:

Happy Valley | Gresham | Milwaukie

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 "Medium 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 Portland. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident Services

Resident Conditions

Percent of Service Days

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum

Five days any combination of three rehabilitation disciplines

ADL Index Range: 11-16	11.3%
ADL Index Range: 6-10	2.1%
ADL Index Range: 0-5	25.1%
Total Percent:	38.5%

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 - Isolation for active infectious disease	4.2%
Total Percent:	4.2%

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: 15-16 - No Signs of depression	0.4%
ADL Index Range: 6-10 - No Signs of depression	8.4%
Total Percent:	8.8%

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: 0-1 - No Signs of depression	10.9%
Total Percent:	10.9%

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: 2-5 - Less restorative nursing	7.1%
ADL Index Range: 0-1 - Less restorative nursing	22.2%
Total Percent:	29.3%

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: 15-16 - Less restorative nursing	0.4%
ADL Index Range: 0-1 - Less restorative nursing	7.9%
Total Percent:	8.4%

Rating Details For Trinity Mission Health & Rehab of Portland

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 Day	Reported	Expected
Registered Nurse (RN) Hours	36 Minutes	47 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours	46 Minutes	33 Minutes
Certified Nursing Assistant (CNA) Hours	1 Hour and 13 Minutes	2 Hours and 16 Minutes
Total Licensed Nurse Hours	1 Hour and 22 Minutes	1 Hour and 20 Minutes
Total Nurse Hours	2 Hours and 35 Minutes	3 Hours and 37 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 Oregon are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This Facility

Oregon Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	90-100%	83%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season	90-100%	83%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Lose Too Much Weight	4%	9%
Percent of Long-Stay Residents Who Were Physically Restrained	10%	5%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse	8%	9%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores	6%	10%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair	3%	7%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	6%	8%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased	15%	10%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain	3%	5%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder	46%	60%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection	3%	11%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores	-	5%
Percent of Long-Stay Residents Who Are More Depressed or Anxious	6%	13%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season	90-100%	75%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	81%	76%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain	33%	30%
Percent of Short-Stay Residents Who Have Delirium	-	3%

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 07/07/2010.

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 Inspectors

Degree of Harm

Residents Affected

Administration

Give or Get Lab Tests by a Certified Laboratory.

Inspection Date: 08/22/2008
Correction Date: 10/06/2008

Environmental

Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 08/22/2008 Correction Date: 10/06/2008
Have a Program to Keep Infection from Spreading. Inspection Date: 08/07/2009 Correction Date: 09/08/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 08/07/2009 Correction Date: 09/08/2009
Put Firmly Secured Handrails on Each Side of Hallways. Inspection Date: 08/07/2009 Correction Date: 09/08/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 07/07/2010 Correction Date: 08/26/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 08/22/2008 Correction Date: 10/06/2008
Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others. Inspection Date: 07/07/2010 Correction Date: 08/26/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.

Inspection Date: 08/07/2009
Correction Date: 09/08/2009

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: 08/07/2009 Correction Date: 09/08/2009
Give the Right Treatment and Services to Residents Who Have Mental or Social Problems Adjusting. Inspection Date: 07/07/2010 Correction Date: 08/26/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 08/22/2008 Correction Date: 10/06/2008
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 08/07/2009 Correction Date: 09/08/2009
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health. Inspection Date: 08/07/2009 Correction Date: 09/08/2009
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: 08/07/2009 Correction Date: 09/08/2009

Resident Rights

Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 08/07/2009 Correction Date: 09/08/2009
Send and Promptly Deliver Unopened Mail to Residents. Inspection Date: 08/07/2009 Correction Date: 09/08/2009
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. Inspection Date: 07/07/2010 Correction Date: 08/26/2010
Provide Enough Notice Before Discharging or Transferring a Resident. Inspection Date: 07/07/2010 Correction Date: 08/26/2010

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action Taken	Date	Amount
Civil Money Penalty (CMP)	08/07/2009	$975

Deficiencies from Complaints and Incidents

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

Degree of Harm

Residents Affected