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Trinity Nursing & Rehabilitation Center Inc

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About Trinity Nursing & Rehabilitation Center Inc

General Information

Legal Business NameTrinity Nursing & Rehab Center Inc.
Ownership TypeNon Profit - Church Related
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareFebruary 1, 1981 (36 years)
Capacity120
Residents93
Percent Occupied78%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Trinity Nursing & Rehabilitation Center Inc

Trinity Nursing & Rehabilitation Center Inc
was reviewed by Medicare to have a rating of 4 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Kansas Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

July 30, 2015 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .

April 22, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
DFewPotential for HarmComplaintMake sure that residents receive treatments/services to maintain or improve their ability to care for themselves.

March 9, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaintEnsure that residents are safe from serious medication errors.

September 3, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmComplaint+InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmComplaint+InspectionMake sure that a working call system is available in each resident's room or bathroom and bathing area.
DFewPotential for HarmComplaint+InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmComplaint+InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmComplaint+InspectionEnsure 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.

February 11, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionExits that are accessible at all times.
FManyPotential for HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
ESomePotential for HarmFire Safety InspectionProper backup exit lighting.
ESomePotential for HarmFire Safety InspectionEmergency lighting that can last at least 1 1/2 hours.
ESomePotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
DFewPotential for HarmFire Safety InspectionProper fire barriers, ventilation and signs for the transfilling of oxygen.
DFewPotential for HarmFire Safety InspectionProperly protected cooking facilities.
DFewPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
DFewPotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.

July 17, 2013 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$4,906 fine

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Trinity Nursing & Rehabilitation Center Inc require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 50min
2hr 25min
ReportedExpected
CNA
45min
40min
ReportedExpected
LPN
50min
1hr
ReportedExpected
RN
4hr 25min
4hr 10min
ReportedExpected
Total Nursing

This facility also provides approximately 50min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

98.8%
98.8%
98.8%
96.5%
Q1 2015Q2 2015Q3 2015KS
Assessed and Appropriately Given the Seasonal Influenza Vaccine
91.4%
86.0%
84.3%
93.5%
Q1 2015Q2 2015Q3 2015KS
Assessed and Appropriately Given the Pneumococcal Vaccine
73.0%
57.1%
57.8%
40.2%
Q1 2015Q2 2015Q3 2015KS
Low Risk Residents Who Lose Control of Their Bowel or Bladder
10.5%
8.4%
12.8%
19.9%
Q1 2015Q2 2015Q3 2015KS
Received an Antipsychotic Medication
16.2%
21.2%
13.4%
17.5%
Q1 2015Q2 2015Q3 2015KS
Need for Help with ADLs has Increased
2.8%
3.3%
3.5%
11.0%
Q1 2015Q2 2015Q3 2015KS
Self Report Moderate to Severe Pain
11.1%
10.6%
9.1%
7.4%
Q1 2015Q2 2015Q3 2015KS
Lose Too Much Weight
12.7%
15.1%
9.8%
5.3%
Q1 2015Q2 2015Q3 2015KS
High Risk Residents With Pressure Ulcers
6.8%
3.6%
3.6%
7.1%
Q1 2015Q2 2015Q3 2015KS
Have Depressive Symptoms
4.9%
9.4%
8.0%
6.6%
Q1 2015Q2 2015Q3 2015KS
With a Urinary Tract Infection
0.0%
3.5%
5.6%
5.0%
Q1 2015Q2 2015Q3 2015KS
Experiencing One or More Falls with Major Injury
3.6%
4.2%
2.2%
3.0%
Q1 2015Q2 2015Q3 2015KS
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
1.1%
0.3%
Q1 2015Q2 2015Q3 2015KS
Were Physically Restrained

Quality Measures for Short Stay Residents

81.9%
85.6%
83.3%
77.6%
Q1 2015Q2 2015Q3 2015KS
Assessed and Appropriately Given the Pneumococcal Vaccine
82.3%
80.9%
80.9%
77.9%
Q1 2015Q2 2015Q3 2015KS
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
22.9%
27.7%
30.6%
21.2%
Q1 2015Q2 2015Q3 2015KS
Self Report Moderate to Severe Pain
1.3%
1.4%
1.6%
2.7%
Q1 2015Q2 2015Q3 2015KS
Newly Received an Antipsychotic Medication
1.7%
4.8%
5.1%
1.5%
Q1 2015Q2 2015Q3 2015KS
With Pressure Ulcers That Are New or Worsened