Deficiency Records for Trinity Health and Rehabilitation Center
Updated as of September 01, 2019
This is not the most recent data for Trinity Health and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Trinity Health and Rehabilitation Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-03-22 | 2019-04-23 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-04-30 | 2018-07-03 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2018-04-30 | 2018-07-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-04-30 | 2018-05-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-04-30 | 2018-05-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-04-30 | 2018-05-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-30 | 2018-05-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-04-30 | 2018-05-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-04-30 | 2018-05-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-04-30 | 2018-05-30 | 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 | 2018-04-30 | 2018-05-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-04-30 | 2018-05-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-30 | 2018-05-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-07-27 | 2017-08-15 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-03-01 | 2017-03-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-02-24 | 2017-03-18 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-03-01 | 2017-03-09 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-03-01 | 2017-03-07 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2016-12-29 | 2017-01-23 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-12-29 | 2017-01-23 | Y |
