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Trinity Village

1265 21 Street Ne, Hickory, NC 28601
8283282006
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Overall CMS Rating

5.0/5

vs State Average: 2.9 stars

4.0/5

Health Inspections

vs State Average: 2.9/5

5.0/5

Staffing Level

vs State Average: 2.7/5

3.0/5

Quality Measures

vs State Average: 3.2/5

1 penalties in last 3 years
Penalties
vs State Average: 1.6 penalties

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Ratings Deep Dive

Score
4.0
State Average
2.9
National Average
2.8
3 Deficiencies found in last inspections
1 Penalties in last 3 years
1 Fines issued
Citation Date Description Severity
Apr 23, 2024 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. G
Apr 23, 2024 Develop and implement policies and procedures to prevent abuse, neglect, and theft. D
Apr 28, 2022 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D
Score
5.0
State Average
2.7
National Average
2.9
1.1 RN Hours / Resident / Day
6.6 Total Nurse Hours / Resident / Day
22.2% RN Turnover Rate
Score
3.0
State Average
3.2
National Average
3.6
2.0 Long-Stay QM Rating
4.0 Short-Stay QM Rating
97.8 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 HOME HICKORY WEST PROPERTY, INC.
OPERATIONAL/MANAGERIAL CONTROL LUTHERAN SERVICES FOR THE AGING, INC.
OPERATIONAL/MANAGERIAL CONTROL DESANTIS, MICHAEL
OPERATIONAL/MANAGERIAL CONTROL GOINS, TED
OPERATIONAL/MANAGERIAL CONTROL HENDREN, KENDRA
OPERATIONAL/MANAGERIAL CONTROL NELSON, DOUGLAS
OPERATIONAL/MANAGERIAL CONTROL NICKERSON, KIRBY
OPERATIONAL/MANAGERIAL CONTROL SMITH, KESHA
CORPORATE DIRECTOR SMITH, KESHA
Recent Penalties
Date Type Fine
Apr 23, 2024 Fine $8,512

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