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Deficiency Records for Trinitas Hospital
A list of the most recent deficiencies for Trinitas Hospital. 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 Trinitas Hospital. 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? |
|---|---|---|---|---|
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-09-01 | 2023-09-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-09-01 | 2023-09-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-09-01 | 2023-09-14 | N |
| Report COVID19 data to residents and families. | Health | 2022-12-13 | 2023-01-10 | N |
| 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. | Health | 2022-09-12 | 2022-09-30 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-06-16 | 2022-07-08 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-30 | 2021-07-20 | 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 | 2021-06-30 | 2021-07-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-30 | 2021-07-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-30 | 2021-07-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-06-19 | 2019-08-02 | 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 | 2019-06-19 | 2019-08-02 | N |
| Post nurse staffing information every day. | Health | 2019-06-19 | 2019-08-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-06-19 | 2019-08-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-19 | 2019-08-02 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2019-06-19 | 2019-08-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-06-19 | 2019-08-02 | N |
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