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Deficiency Records for Trinity Village Medical Center
View the most recent health deficiencies and inspection results for Trinity Village Medical Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Trinity Village Medical Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-07-24 | 2025-08-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-07-24 | 2025-08-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-07-24 | 2025-08-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-07-24 | 2025-08-15 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2025-01-16 | 2025-02-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-01-16 | 2025-02-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-01-16 | 2025-02-17 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2025-01-16 | 2025-02-17 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2025-01-16 | 2025-02-17 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2025-01-16 | 2025-02-17 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-01-16 | 2025-02-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-01-16 | 2025-02-17 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2025-01-16 | 2025-02-17 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2025-01-16 | 2025-02-17 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-01-16 | 2025-02-17 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2025-01-16 | 2025-02-17 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2025-01-16 | 2025-02-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-16 | 2025-02-17 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2025-01-16 | 2025-02-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-18 | 2024-08-16 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2024-07-18 | 2024-08-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-18 | 2024-08-16 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-07-18 | 2024-08-16 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-07-18 | 2024-08-16 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-07-18 | 2024-08-16 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2024-07-18 | 2024-08-16 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-07-18 | 2024-08-16 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-07-18 | 2024-08-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-18 | 2024-08-16 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-07-18 | 2024-08-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-18 | 2024-08-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-18 | 2024-08-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-18 | 2024-08-16 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-07-18 | 2024-08-16 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-07-18 | 2024-08-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-07-18 | 2024-08-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-07-18 | 2024-08-16 | N |