Deficiency Records for Trinity Rehabilitation and Healthcare Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Trinity Rehabilitation and Healthcare 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? |
|---|---|---|---|---|
| Provide properly protected cooking facilities. | Fire Safety | 2024-01-30 | 2024-03-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-01-10 | 2024-02-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-10 | 2024-02-01 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-01-10 | 2024-02-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-10 | 2024-02-01 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-01-10 | 2024-02-01 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-01-10 | 2024-02-01 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-01-10 | 2024-02-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-10 | 2024-02-01 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-11-05 | 2023-11-06 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-11-05 | 2023-11-06 | Y |
| 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 | 2023-11-05 | 2023-11-06 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-11-30 | 2022-12-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-11-30 | 2022-12-28 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-11-30 | 2022-12-23 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-11-30 | 2022-12-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-11-30 | 2022-12-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-11-30 | 2022-12-20 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-11-30 | 2022-12-06 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-11-30 | 2022-12-01 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-07-18 | 2022-08-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-18 | 2022-08-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-16 | 2022-04-15 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-02-17 | 2022-02-15 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2022-02-17 | 2022-02-15 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-12-01 | 2021-12-21 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-12-01 | 2021-12-21 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-09-22 | 2021-10-14 | 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 | 2021-09-22 | 2021-10-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-22 | 2021-10-11 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-09-22 | 2021-09-30 | N |
| Keep all essential equipment working safely. | Health | 2021-09-22 | 2021-09-30 | N |
