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Trinity Glen

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About Trinity Glen

General Information

Legal Business NameLutheran Home-Winston-Salem, Inc.
Ownership TypeNon Profit - Church Related
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareApril 1, 1973 (44 years)
Capacity117
Residents105
Percent Occupied90%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Trinity Glen

Trinity Glen
was reviewed by Medicare to have a rating of 3 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of North Carolina 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

October 1, 2015 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionProperly working alarms on sprinkler valves.

September 10, 2015 - 15 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionDispose of garbage and refuse properly.
ESomePotential for HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
DFewPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.

October 29, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmFire Safety InspectionAn approved installation, maintenance and testing program for fire alarm systems.
DFewPotential for HarmFire Safety InspectionExits that are accessible at all times.

October 9, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionMake sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed.
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

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 Glen 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.

3hr 10min
2hr 25min
ReportedExpected
CNA
1hr 5min
40min
ReportedExpected
LPN
35min
1hr 5min
ReportedExpected
RN
4hr 50min
4hr 10min
ReportedExpected
Total Nursing

This facility also provides approximately 45min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

95.7%
95.1%
95.1%
93.8%
Q1 2015Q2 2015Q3 2015NC
Assessed and Appropriately Given the Seasonal Influenza Vaccine
98.9%
97.0%
97.8%
92.8%
Q1 2015Q2 2015Q3 2015NC
Assessed and Appropriately Given the Pneumococcal Vaccine
66.7%
61.1%
60.0%
54.9%
Q1 2015Q2 2015Q3 2015NC
Low Risk Residents Who Lose Control of Their Bowel or Bladder
17.8%
14.7%
17.0%
14.5%
Q1 2015Q2 2015Q3 2015NC
Received an Antipsychotic Medication
14.9%
27.2%
16.3%
18.8%
Q1 2015Q2 2015Q3 2015NC
Need for Help with ADLs has Increased
9.6%
9.0%
16.6%
9.2%
Q1 2015Q2 2015Q3 2015NC
Self Report Moderate to Severe Pain
1.1%
1.0%
1.1%
8.9%
Q1 2015Q2 2015Q3 2015NC
Lose Too Much Weight
5.4%
5.6%
7.6%
7.5%
Q1 2015Q2 2015Q3 2015NC
High Risk Residents With Pressure Ulcers
5.6%
1.1%
2.3%
3.8%
Q1 2015Q2 2015Q3 2015NC
Have Depressive Symptoms
13.8%
12.5%
6.7%
5.9%
Q1 2015Q2 2015Q3 2015NC
With a Urinary Tract Infection
2.1%
2.0%
1.1%
3.2%
Q1 2015Q2 2015Q3 2015NC
Experiencing One or More Falls with Major Injury
1.9%
2.0%
1.1%
2.8%
Q1 2015Q2 2015Q3 2015NC
With a Catheter Inserted and Left in Their Bladder
2.1%
2.0%
1.1%
0.7%
Q1 2015Q2 2015Q3 2015NC
Were Physically Restrained

Quality Measures for Short Stay Residents

71.8%
69.4%
70.2%
82.2%
Q1 2015Q2 2015Q3 2015NC
Assessed and Appropriately Given the Pneumococcal Vaccine
72.6%
71.4%
71.4%
82.2%
Q1 2015Q2 2015Q3 2015NC
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
25.0%
31.2%
28.7%
18.3%
Q1 2015Q2 2015Q3 2015NC
Self Report Moderate to Severe Pain
0.0%
0.0%
1.1%
2.2%
Q1 2015Q2 2015Q3 2015NC
Newly Received an Antipsychotic Medication
0.0%
1.7%
1.9%
1.2%
Q1 2015Q2 2015Q3 2015NC
With Pressure Ulcers That Are New or Worsened