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Deficiency Records for Trinidad Rehabilitation and Healthcare Center
A list of the most recent deficiencies for Trinidad Rehabilitation and Healthcare Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Trinidad Rehabilitation and Healthcare Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-02 | 2024-08-30 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2024-07-02 | 2024-08-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-07-02 | 2024-07-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-07-02 | 2024-07-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-07-02 | 2024-07-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-02 | 2024-07-19 | 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 | 2024-07-02 | 2024-07-12 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-07-02 | 2024-07-08 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-06-05 | 2024-07-02 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2024-06-05 | 2024-06-26 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-06-05 | 2024-06-25 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-06-05 | 2024-06-25 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-06-05 | 2024-06-24 | N |
| Establish methods for sharing information. | Fire Safety | 2024-06-05 | 2024-06-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-05 | 2024-06-20 | 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 | 2024-06-05 | 2024-06-20 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-06-05 | 2024-06-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-05 | 2024-06-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-20 | 2022-02-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-20 | 2022-02-15 | Y |
| 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. | Health | 2020-02-05 | 2020-03-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-05 | 2020-03-15 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2020-02-05 | 2020-03-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-02-26 | 2020-03-13 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2020-02-26 | 2020-03-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-02-26 | 2020-03-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-02-26 | 2020-03-13 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-02-05 | 2020-03-06 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2020-02-05 | 2020-03-02 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2020-02-05 | 2020-03-02 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2020-02-05 | 2020-03-02 | N |
| 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 | 2020-02-05 | 2020-03-02 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2020-02-05 | 2020-03-02 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-02-05 | 2020-03-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-05 | 2020-03-02 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2020-02-05 | 2020-03-02 | N |
| Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | Health | 2020-02-05 | 2020-03-02 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2020-02-05 | 2020-03-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-05 | 2020-03-02 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-02-05 | 2020-03-01 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-02-05 | 2020-03-01 | N |
| Provide activities to meet all resident's needs. | Health | 2020-02-05 | 2020-03-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-05 | 2020-03-01 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2020-02-05 | 2020-03-01 | N |
| Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. | Health | 2020-02-05 | 2020-02-05 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-02-07 | 2019-03-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-02-07 | 2019-03-11 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2019-02-07 | 2019-03-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-07 | 2019-03-08 | N |
| 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 | 2019-02-07 | 2019-03-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-07 | 2019-03-08 | N |
| Provide activities to meet all resident's needs. | Health | 2019-02-07 | 2019-03-01 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2019-02-26 | 2019-02-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-02-07 | 2019-02-26 | N |
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