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Trinity Care Center
400 SAYLES ST
Brenham, TX 77833
(979) 836-9770
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 108 |
| Number of Residents: | 84 |
| Percent of Occupied Beds: | 78% |
| Sprinkler Status: | Fully Sprinklered |
| Program Participation: | Medicare and Medicaid |
| Type of Ownership: | Non profit - Corporation |
| Located Within a Hospital? | No |
| Multi Nursing Home Ownership? | No |
| Resident and Family Councils? | Resident |
| Continuing Care Retirement Community? | No |
| Quality Indicator Survey? | No |
| Special Focus Facility? | No |
| Overall: |  |
| Health Inspection: | |
| Nurse Staffing: |  |
| Quality Measures: |  |
| RN Only: | |
| Date | Type | Category | Deficiency | Scope | Level of Harm | Date of Correction |
| 20090813 | Health | Resident Rights Deficiencies | Provide care in a way that keeps or builds each resident's dignity and self respect. | Pattern | Minimal harm or potential for actual harm | 20090913 |
| 20090813 | Health | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | Pattern | Minimal harm or potential for actual harm | 20090913 |
| 20090813 | Health | Quality Care Deficiencies | Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. | Pattern | Minimal harm or potential for actual harm | 20090913 |
| 20090813 | Health | Environmental Deficiencies | Have a program to keep infection from spreading. | Pattern | Minimal harm or potential for actual harm | 20090913 |
| 20090813 | Health | Environmental Deficiencies | Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Pattern | Minimal harm or potential for actual harm | 20090913 |
| 20090813 | Health | Administration Deficiencies | 1) Review the work of each nurse aide every year; or 2) give regular training for the nurse aides. | Pattern | Minimal harm or potential for actual harm | 20090913 |
| 20090813 | Health | Administration Deficiencies | Make sure that nurse aides show they have the skills to be able to care for residents. | Pattern | Minimal harm or potential for actual harm | 20090913 |
| 20090813 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Pattern | Minimal harm or potential for actual harm | 20090913 |
| 20090925 | Health | Administration Deficiencies | Be administered in a way that leads to the highest possible level of well being for each resident. | Pattern | Immediate jeopardy to resident health or safety | 20091025 |
| 20090925 | Health | Mistreatment Deficiencies | 1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Pattern | Immediate jeopardy to resident health or safety | 20091025 |
| 20090925 | Health | Mistreatment Deficiencies | Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | Pattern | Immediate jeopardy to resident health or safety | 20091025 |
| 20090925 | Health | Mistreatment Deficiencies | Protect each resident from all abuse, physical punishment, and being separated from others. | Pattern | Immediate jeopardy to resident health or safety | 20091025 |
| 20091016 | Health | Mistreatment Deficiencies | Protect residents from mistreatment, neglect, and/or theft of personal property. | Pattern | Actual harm | 20091118 |
| 20091016 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Pattern | Actual harm | 20091118 |
| 20100309 | Health | Resident Rights Deficiencies | Provide care in a way that keeps or builds each resident's dignity and self respect. | Isolated | Minimal harm or potential for actual harm | 20100407 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 96 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 93 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 20 | |
| Percent of long-stay residents who have moderate to severe pain: | 6 | |
| Percent of high-risk long-stay residents who have pressure sores: | 15 | |
| Percent of low-risk long-stay residents who have pressure sores: | 3 | |
| Percent of long-stay residents who were physically restrained: | 0 | |
| Percent of long-stay residents who are more depressed or anxious: | 22 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 47 | |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 1 | |
| Percent of long-stay residents who spend most of their time in bed or in a chair: | 3 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | 12 | |
| Percent of long-stay residents who had a urinary tract infection: | 7 | |
| Percent of long-stay residents who lose too much weight: | 7 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 80 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 87 | |
| Percent of short-stay residents who have delirium: | 3 | |
| Percent of short-stay residents who had moderate to severe pain: | 29 | |
| Percent of short-stay residents who have pressure sores: | 28 | |
| # of Residents: | 84 |
| # RN Hours per Resident: | 0.38 |
| # LPN Hours per Resident: | 0.8 |
| # CNA Hours per Resident: | 2.36 |
| Total Staff Hours per Resident: | 1.18 |
