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Deficiency Records for Trinity Rehabilitation and Healthcare Center

View the most recent health deficiencies and inspection results for Trinity Rehabilitation and Healthcare Center. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Trinity Rehabilitation and Healthcare Center. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Provide behavior health training consistent with the requirements and as determined by a facility assessment. Health 2026-04-15 2026-05-08 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 2026-04-15 2026-05-08 N
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. Health 2026-04-15 2026-05-08 N
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Health 2026-04-15 2026-05-08 N
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. Health 2026-04-15 2026-05-08 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2026-04-15 2026-05-08 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 2026-04-15 2026-05-08 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2026-04-15 2026-05-08 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2026-04-15 2026-05-08 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2026-04-15 2026-05-08 N
Provide and implement an infection prevention and control program. Health 2026-04-15 2026-05-08 N
Develop, implement, and/or maintain an effective training program for all new and existing staff members. Health 2026-04-15 2026-05-08 N
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. Health 2026-04-15 2026-05-08 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2026-04-15 2026-05-06 N
Employ staff that are licensed, certified, or registered in accordance with state laws. Health 2026-04-15 2026-05-06 N
Provide properly protected cooking facilities. Fire Safety 2026-04-15 2026-04-29 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2026-03-04 2026-04-10 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2026-03-04 2026-04-10 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2026-03-04 2026-04-01 Y
Provide and implement an infection prevention and control program. Health 2026-03-04 2026-04-01 Y
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 2026-03-04 2026-04-01 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2026-01-28 2026-02-27 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2026-01-28 2026-02-27 Y
Ensure that residents are free from significant medication errors. Health 2026-01-28 2026-02-27 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2026-01-28 2026-02-27 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2026-01-28 2026-02-27 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2025-12-17 2025-12-18 Y
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2025-12-17 2025-12-18 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2025-11-26 2025-12-15 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2025-11-26 2025-12-15 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2025-11-12 2025-12-08 Y
Provide and implement an infection prevention and control program. Health 2025-11-12 2025-12-08 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 2025-11-12 2025-12-08 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2025-11-12 2025-12-05 Y
Ensure that residents are free from significant medication errors. Health 2025-11-12 2025-11-20 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2025-11-12 2025-11-20 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2025-11-12 2025-11-20 Y
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2025-07-27 2025-08-12 Y
Provide behavior health training consistent with the requirements and as determined by a facility assessment. Health 2025-02-27 2025-03-24 N
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. Health 2025-02-27 2025-03-24 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 2025-02-27 2025-03-24 N
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. Health 2025-02-27 2025-03-24 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2025-02-27 2025-03-17 N
Provide and implement an infection prevention and control program. Health 2025-02-27 2025-03-14 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2025-02-27 2025-03-14 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2025-02-27 2025-03-14 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2025-02-27 2025-03-14 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2025-02-27 2025-03-13 N
Keep all essential equipment working safely. Health 2025-02-27 2025-03-13 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2025-02-27 2025-02-28 Y
Protect each resident from the wrongful use of the resident's belongings or money. Health 2025-02-27 2025-02-28 Y
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2025-02-27 2025-02-28 N
Establish staff and initial training requirements. Fire Safety 2025-02-27 2025-02-28 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 2025-02-27 2025-02-28 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2025-02-27 2025-02-28 N
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 2025-02-27 2025-02-28 N
Have restrictions on the use of portable space heaters. Fire Safety 2025-02-27 2025-02-28 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 2025-02-27 2025-02-28 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2025-02-27 2025-02-28 N
Provide and implement an infection prevention and control program. Health 2024-08-28 2024-09-24 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-08-28 2024-09-24 Y
Provide properly protected cooking facilities. Fire Safety 2024-01-10 2024-03-01 N
Provide and implement an infection prevention and control program. Health 2024-01-10 2024-02-01 Y
Ensure each resident?s drug regimen must be free from unnecessary drugs. 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
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
Provide safe and appropriate respiratory care for a resident when needed. 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 care and assistance to perform activities of daily living for any resident who is unable. Health 2024-01-10 2024-02-01 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-01-10 2024-02-01 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 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
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

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