Deficiency Records for Trinity Nursing and Rehab of Granbury
Updated as of March 01, 2020
This is not the most recent data for Trinity Nursing and Rehab of Granbury. For the most recent information, click here.
A list of the most recent deficiencies for Trinity Nursing and Rehab of Granbury. 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? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-29 | 2019-11-15 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-05-10 | 2019-06-03 | Y |
| Establish emergency prep training and testing. | Fire Safety | 2019-05-14 | 2019-05-31 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-05-14 | 2019-05-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-05-14 | 2019-05-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-05-14 | 2019-05-31 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-06-26 | 2018-08-09 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-06-26 | 2018-08-09 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-06-26 | 2018-08-09 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2018-06-26 | 2018-08-09 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2018-06-26 | 2018-08-09 | 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 | Health | 2018-06-28 | 2018-08-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-06-28 | 2018-08-09 | 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 ne | Health | 2018-06-28 | 2018-08-09 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2018-06-28 | 2018-08-09 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2018-06-28 | 2018-08-09 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-06-13 | 2017-07-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-06-13 | 2017-07-28 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-06-13 | 2017-07-28 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2017-06-13 | 2017-07-28 | N |
| Use a registered nurse at least 8 hours a day, 7 days a week. | Health | 2017-06-16 | 2017-07-21 | N |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2017-06-16 | 2017-07-21 | N |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-06-16 | 2017-07-11 | N |
| 1) Hire only people with 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. | Health | 2017-06-16 | 2017-07-06 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-06-16 | 2017-07-06 | N |
