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Trinidad Inn Nursing Home
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409 Benedicta Avenue
Trinidad, CO 81082
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Details
| Type of Ownership | Government - State |
| Participates in Medicare? | Yes |
| Participates in Medicaid? | Yes |
| Certified Beds | 119 |
| Continuing Care? | No |
| Resident Council? | Yes |
| Family Council? | Yes |
| Multi-Home Chain? | No |
| Located in a Hospital? | No |
| Special Focus Facility? | No |
View: Health Inspections | Quality Measures | Staffing | Fire Inspections
Health Inspections
Most Recent Inspection: 05/06/2010
| Date of last standard health inspection: | 05/06/2010 |
| Quality Indicator Survey | No |
| Dates of Complaint Investigations: | 12/01/2010 - 11/30/2011 |
| Total number of Health Deficiencies for this nursing home: | 29 |
| Average number of Health Deficiencies in CO: | 12 |
| Average number of Health Deficiencies in US: | 8 |
| Range of Health Deficiencies in CO: | 0 - 49 |
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give or get lab tests to meet the needs of residents. | 04/13/2011 | 05/06/2011 | Minimal harm or potential for actual harm | Isolated |
| Keep complete, dated lab records in the resident's file. | 04/13/2011 | 05/06/2011 | Minimal harm or potential for actual harm | Isolated |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure that the nursing home area is free of dangers that cause accidents. | 04/13/2011 | 05/06/2011 | Actual harm | Isolated |
Nutrition and Dietary Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Store, cook, and give out food in a safe and clean way. | 04/13/2011 | 05/06/2011 | Minimal harm or potential for actual harm | Pattern |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give each resident care and services to get or keep the highest quality of life possible. | 04/13/2011 | 05/06/2011 | Actual harm | Isolated |
| Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. | 04/13/2011 | 05/06/2011 | Minimal harm or potential for actual harm | Isolated |
| Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. | 04/13/2011 | 05/06/2011 | Minimal harm or potential for actual harm | Pattern |
| Make sure that each resident's nutritional needs were met. | 04/13/2011 | 05/06/2011 | Minimal harm or potential for actual harm | Isolated |
| Give each resident enough fluids to keep them healthy and prevent dehydration. | 04/13/2011 | 05/06/2011 | Minimal harm or potential for actual harm | Isolated |
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | 04/13/2011 | 05/06/2011 | Minimal harm or potential for actual harm | Isolated |
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give or get lab tests by a certified laboratory. | 05/06/2010 | 06/18/2010 | Minimal harm or potential for actual harm | Widespread |
| Give or get Medicare tests or x-rays. | 05/06/2010 | 06/18/2010 | Minimal harm or potential for actual harm | Widespread |
| Set up or keep a group of people to review and ensure quality. | 05/06/2010 | 06/18/2010 | Minimal harm or potential for actual harm | Widespread |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure that the nursing home area is free of dangers that cause accidents. | 05/06/2010 | 06/18/2010 | Immediate jeopardy to resident health or safety | Pattern |
| Have a program to keep infection from spreading. | 05/06/2010 | 06/18/2010 | Minimal harm or potential for actual harm | Pattern |
Mistreatment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 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. | 05/06/2010 | 06/18/2010 | Minimal harm or potential for actual harm | Pattern |
| Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | 05/06/2010 | 06/18/2010 | Minimal harm or potential for actual harm | Widespread |
Pharmacy Service Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. | 05/06/2010 | 06/18/2010 | Minimal harm or potential for actual harm | Isolated |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | 05/06/2010 | 06/18/2010 | Minimal harm or potential for actual harm | Isolated |
| Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. | 05/06/2010 | 06/18/2010 | Minimal harm or potential for actual harm | Pattern |
| Properly mark drugs and other similar products. | 05/06/2010 | 06/18/2010 | Minimal harm or potential for actual harm | Pattern |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide activities to meet the needs of each resident. | 05/06/2010 | 06/18/2010 | Minimal harm or potential for actual harm | Isolated |
| Provide social services for related medical problems to help each resident achieve the highest possible quality of life. | 05/06/2010 | 06/18/2010 | Minimal harm or potential for actual harm | Pattern |
| Give professional services that meet a professional standard of quality. | 05/06/2010 | 06/18/2010 | Minimal harm or potential for actual harm | Isolated |
| Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. | 05/06/2010 | 06/18/2010 | Minimal harm or potential for actual harm | Isolated |
| Make sure that each resident's nutritional needs were met. | 05/06/2010 | 06/18/2010 | Minimal harm or potential for actual harm | Isolated |
Resident Rights Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help. | 05/06/2010 | 06/18/2010 | Minimal harm or potential for actual harm | Pattern |
| Provide care in a way that keeps or builds each resident's dignity and self respect. | 05/06/2010 | 06/18/2010 | Potential for minimal harm | Pattern |
| Make sure each resident has the right to choose activities, schedules and health care according to his or her interests, assessment, and plan of care. | 05/06/2010 | 06/18/2010 | Minimal harm or potential for actual harm | Pattern |
Inspection, 09/16/2009
Mistreatment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 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. | 09/16/2009 | 12/29/2009 | Minimal harm or potential for actual harm | Pattern |
Pharmacy Service Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. | 09/16/2009 | 12/29/2009 | Minimal harm or potential for actual harm | Widespread |
| Properly mark drugs and other similar products. | 09/16/2009 | 12/29/2009 | Minimal harm or potential for actual harm | Widespread |
Inspection, 01/30/2009
Environmental Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Have a program to keep infection from spreading. | 01/30/2009 | 03/11/2009 | Minimal harm or potential for actual harm | Pattern |
Mistreatment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | 01/30/2009 | 03/11/2009 | Minimal harm or potential for actual harm | Isolated |
Nutrition and Dietary Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | 01/30/2009 | 03/11/2009 | Minimal harm or potential for actual harm | Pattern |
| Store, cook, and give out food in a safe and clean way. | 01/30/2009 | 03/11/2009 | Minimal harm or potential for actual harm | Widespread |
Pharmacy Service Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. | 01/30/2009 | 03/11/2009 | Minimal harm or potential for actual harm | Isolated |
| Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. | 01/30/2009 | 03/11/2009 | Minimal harm or potential for actual harm | Isolated |
| At least once a month, have a licensed pharmacist check the drugs that each resident takes. | 01/30/2009 | 03/11/2009 | Minimal harm or potential for actual harm | Isolated |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide social services for related medical problems to help each resident achieve the highest possible quality of life. | 01/30/2009 | 03/11/2009 | Minimal harm or potential for actual harm | Isolated |
| Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. | 01/30/2009 | 03/11/2009 | Minimal harm or potential for actual harm | Isolated |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | 01/30/2009 | 03/11/2009 | Minimal harm or potential for actual harm | Isolated |
| Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. | 01/30/2009 | 03/11/2009 | Minimal harm or potential for actual harm | Isolated |
| Make sure that each resident's nutritional needs were met. | 01/30/2009 | 03/11/2009 | Minimal harm or potential for actual harm | Isolated |
| Give each resident enough fluids to keep them healthy and prevent dehydration. | 01/30/2009 | 03/11/2009 | Minimal harm or potential for actual harm | Isolated |
Resident Assessment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. | 01/30/2009 | 03/11/2009 | Minimal harm or potential for actual harm | Isolated |
| Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | 01/30/2009 | 03/11/2009 | Minimal harm or potential for actual harm | Isolated |
Resident Rights Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Properly hold, secure and manage each resident's personal money which is deposited with the nursing home. | 01/30/2009 | 03/11/2009 | Minimal harm or potential for actual harm | Isolated |
| Provide care in a way that keeps or builds each resident's dignity and self respect. | 01/30/2009 | 03/11/2009 | Minimal harm or potential for actual harm | Pattern |
Nursing Home Staffing
Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.
| National Average | Average in CO | Golden Living Center, Asheville | |
| RN Staff Only1 | N/A | N/A | 5 out of 5 stars |
| Total Number of Residents | 86 | 74 | 88 |
|
Total, Licensed Nurse Staff Hours per Resident per Day |
1 hour 29 minutes | 1 hour 37 minutes | 1 hour 34 minutes |
|
RN Hours per Resident per Day |
40 minutes | 51 minutes | 57 minutes |
|
LPN/LVN Hours per Resident per Day |
49 minutes | 45 minutes | 37 minutes |
|
CNA Hours per Resident per Day |
2 hours 25 minutes | 2 hours 18 minutes | 2 hours 25 minutes |
1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.
Quality Measures
Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.
Long-Term Residents
| Percent of high-risk long-stay residents who have pressure sores | 11% |
| Percent of long-stay residents given influenza vaccination during the flu season | 52% |
| Percent of long-stay residents who are more depressed or anxious | 5% |
| Percent of long-stay residents who had a urinary tract infection | 6% |
| Percent of long-stay residents who have moderate to severe pain | 11% |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder | 10% |
| Percent of long-stay residents who spend most of their time in bed or in a chair | 0% |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination | 89% |
| Percent of long-stay residents who were physically restrained | 5% |
| Percent of long-stay residents whose ability to move about in and around their room got worse | 4% |
| Percent of long-stay residents whose need for help with daily activities has increased | 9% |
| Percent of low-risk long-stay residents who have pressure sores | 0% |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder | 34% |
Short-Term Residents
| Percent of long-stay residents who lose too much weight | 9% |
| Percent of short-stay residents given influenza vaccination during the flu season | Not Available |
| Percent of short-stay residents who had moderate to severe pain | 30% |
| Percent of short-stay residents who have delirium | 8% |
| Percent of short-stay residents who have pressure sores | Not Available |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination | 63% |
Fire Safety Inspections
Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.
Most Recent Inspection: 06/02/2010
| Automatic Sprinkler Systems in all required areas | fully sprinklered |
| Date of last standard fire safety inspection: | 06/02/2010 |
| Dates of Complaint Investigations: | 12/01/2010 - 11/30/2011 |
| Total number of Fire Safety Deficiencies for this nursing home: | 3 |
| Average number of Fire Safety Deficiencies in CO: | 7 |
| Average number of Fire Safety Deficiencies in US: | 4 |
| Range of Fire Safety Deficiencies in CO: | 0 - 13 |
Corridor Walls and Doors Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| corridor and hallway doors that block smoke. | 06/02/2010 | 07/09/2010 | Minimal harm or potential for actual harm | Isolated |
Electrical Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| weekly inspections and monthly testing of generators. | 06/02/2010 | 07/22/2010 | Minimal harm or potential for actual harm | Isolated |
Fire Alarm Systems Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| a fire alarm system that can be heard throughout the facility. | 06/02/2010 | 07/01/2010 | Minimal harm or potential for actual harm | Isolated |
Inspection, 02/19/2009
Automatic Sprinkler Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| automatic sprinkler systems that have been maintained in working order. | 02/19/2009 | 04/17/2009 | Minimal harm or potential for actual harm | Isolated |
Miscellaneous Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| fire safety features required by current fire safety codes. | 02/19/2009 | 03/31/2009 | Minimal harm or potential for actual harm | Isolated |
