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Deficiency Records for Trinity Hill Care Center
View the most recent health deficiencies and inspection results for Trinity Hill Care Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Trinity Hill Care Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-04-14 | 2025-05-26 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2025-05-20 | 2025-05-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-05-20 | 2025-05-24 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-05-20 | 2025-05-24 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-05-20 | 2025-05-24 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-10-29 | 2024-11-27 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-10-29 | 2024-11-27 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-10-29 | 2024-11-27 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-10-29 | 2024-11-27 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-10-29 | 2024-11-27 | 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 | 2024-10-29 | 2024-11-27 | N |
| Provide or obtain dental services for each resident. | Health | 2024-10-29 | 2024-11-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-10-29 | 2024-11-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-10-29 | 2024-11-27 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-10-29 | 2024-11-27 | Y |
| Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | Health | 2024-10-29 | 2024-11-27 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-10-29 | 2024-11-27 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-10-29 | 2024-11-27 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-10-29 | 2024-11-27 | Y |
| 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 | 2024-10-29 | 2024-11-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-10-29 | 2024-11-15 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-10-29 | 2024-11-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-10-29 | 2024-11-15 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2024-10-29 | 2024-11-15 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-10-29 | 2024-11-15 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2024-10-29 | 2024-11-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-10-29 | 2024-11-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-29 | 2024-11-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-10-29 | 2024-11-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-10-29 | 2024-11-15 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-10-29 | 2024-11-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-10-29 | 2024-11-15 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2024-10-29 | 2024-11-15 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-10-29 | 2024-11-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-01-23 | 2024-03-05 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-11-30 | 2024-01-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-28 | 2023-09-21 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-04-14 | 2022-05-26 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-04-14 | 2022-05-26 | N |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2022-04-14 | 2022-05-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-14 | 2022-05-26 | 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 | 2022-04-14 | 2022-05-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-14 | 2022-03-31 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2022-04-14 | 2022-03-31 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-04-14 | 2022-03-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-01-09 | 2019-03-29 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2019-01-09 | 2019-02-20 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-01-09 | 2019-02-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-01-09 | 2019-02-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-01-09 | 2019-02-20 | N |
| Respond appropriately to all alleged violations. | Health | 2019-01-09 | 2019-02-20 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-01-09 | 2019-02-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-01-09 | 2019-02-20 | 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 | 2019-01-09 | 2019-02-20 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2019-01-09 | 2019-02-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-01-09 | 2019-02-20 | N |