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Trinity Elms
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Ratings Deep Dive
5 Deficiencies found in last inspections
2 Penalties in last 3 years
2 Fines issued
| Citation | Date | Description | Severity |
|---|---|---|---|
| — | Apr 30, 2025 | Ensure that residents are free from significant medication errors. | D |
| — | Jan 17, 2025 | Provide safe and appropriate respiratory care for a resident when needed. | D |
| — | Jan 17, 2025 | 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. | D |
| — | Jan 17, 2025 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F |
| — | Jan 17, 2025 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D |
0.6 RN Hours / Resident / Day
4.3 Total Nurse Hours / Resident / Day
73.3% RN Turnover Rate
1.0 Long-Stay QM Rating
1.0 Short-Stay QM Rating
85.7 Avg Residents Per Day
| Measure | Score | Type |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | — | Long Stay |
| Percentage of long-stay residents who lose too much weight | — | Long Stay |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | — | Long Stay |
| Percentage of long-stay residents with a urinary tract infection | — | Long Stay |
| Percentage of long-stay residents who have depressive symptoms | — | Long Stay |
| Percentage of long-stay residents who were physically restrained | — | Long Stay |
| Percentage of long-stay residents experiencing one or more falls with major injury | — | Long Stay |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | — | Long Stay |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | — | Short Stay |
| Percentage of short-stay residents who newly received an antipsychotic medication | — | Short Stay |
Ownership & Compliance
Ownership Info
OPERATIONAL/MANAGERIAL CONTROL LSA MANAGEMENT, INC.
OPERATIONAL/MANAGERIAL CONTROL LUTHERAN SERVICES FOR THE AGING, INC.
OPERATIONAL/MANAGERIAL CONTROL GOINS, TED
OPERATIONAL/MANAGERIAL CONTROL MCCOY, CYNTHIA
OPERATIONAL/MANAGERIAL CONTROL OWENS-WATTERSON, DAWN
OPERATIONAL/MANAGERIAL CONTROL SMITH, KESHA
CORPORATE DIRECTOR SMITH, KESHA
CORPORATE OFFICER MADDRY, KAREN
CORPORATE OFFICER NICKERSON, KIRBY
Recent Penalties
| Date | Type | Fine |
|---|---|---|
| Aug 20, 2024 | Fine | $7,823 |
| Aug 20, 2024 | Fine | $7,823 |
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