| Trinity Woods, Inc. | |
| 4134 East 31st Street, Tulsa, Oklahoma 74135 | |
| (918) 743-2565 | |
| Name | Trinity Woods, Inc. |
|---|---|
| Location | 4134 East 31st Street, Tulsa, Oklahoma |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 84 |
| Occupancy Rate | 63.81% |
| Medicare ID (CCN) | 375454 |
| Legal Business Name | Trinity Woods |
| Ownership Type | Non Profit - Corporation |
| NPI Number | 1700821493 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Trinity Woods |
| Address | 4134 E 31st St, Tulsa, OK 74135 |
| Phone Number | 918-743-2565 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 5.57 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.73 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.45 | 0.86 |
| Nurse aide hours per resident per day | 3.4 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 5 | 3.42 |
| RN hours per resident per day on the weekend | 0.51 | 0.48 |
| Physical therapist hours per resident per day | 0.03 | 0.07 |
| Total nursing staff turnover | 36.5% | 45.8% |
| Registered nurse turnover | 12.5% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Jun 15, 2023 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Jul 17, 2023 |
| Dec 6, 2019 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Feb 6, 2020 |
| Dec 6, 2019 | 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. F0625, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Feb 6, 2020 |
| Dec 6, 2019 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Feb 6, 2020 |
| Dec 6, 2019 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Feb 6, 2020 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 23.08 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 2.82 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 0 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.08 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 71.51 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 68.79 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 26.59 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.23 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 91.07 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 62.3 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 3.4 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.58 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 3.64 | 15.38 |
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