| Trinity Village Medical Center | |
| 6400 Trinity Drive, Pine Bluff, Arkansas 71603 | |
| (870) 879-3117 | |
| Name | Trinity Village Medical Center |
|---|---|
| Location | 6400 Trinity Drive, Pine Bluff, Arkansas |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 94 |
| Occupancy Rate | 79.89% |
| Medicare ID (CCN) | 045438 |
| Legal Business Name | Trinity Village, Inc. |
| Ownership Type | Non Profit - Corporation |
| NPI Number | 1558405993 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Trinity Village, Inc. |
| Doing Business As | Trinity Village Medical Center |
| Address | 6400 Trinity Dr, Pine Bluff, AR 71603 |
| Phone Number | 870-879-3117 |
| NPI Number | 1932236767 |
| Match | Possible same name, address or phone number |
| Organization Name | Trinity Village,inc. Doing Business As Trinity Village Medical Center |
| Address | 6400 Trinity Dr, Pine Bluff, AR 71603 |
| Phone Number | 870-879-3113 |
| 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 | 4.18 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.34 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.35 | 0.86 |
| Nurse aide hours per resident per day | 2.5 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.56 | 3.42 |
| RN hours per resident per day on the weekend | 0.26 | 0.48 |
| Physical therapist hours per resident per day | 0.11 | 0.07 |
| Total nursing staff turnover | 46.1% | 45.8% |
| Registered nurse turnover | 54.5% | 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 |
|---|---|---|---|
| Jul 24, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Aug 15, 2025 |
| Jul 24, 2025 | 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 Aug 15, 2025 |
| Jul 24, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Aug 15, 2025 |
| Jul 24, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Aug 15, 2025 |
| Jan 16, 2025 | Keep residents' personal and medical records private and confidential. F0583, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Feb 17, 2025 |
| Jan 16, 2025 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Feb 17, 2025 |
| Jan 16, 2025 | 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. F0700, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Feb 17, 2025 |
| Jan 16, 2025 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Feb 17, 2025 |
| Jan 16, 2025 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Feb 17, 2025 |
| Jan 16, 2025 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Feb 17, 2025 |
| Jan 16, 2025 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. F0803, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Feb 17, 2025 |
| Jan 16, 2025 | 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 17, 2025 |
| Jan 16, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Feb 17, 2025 |
| Jan 16, 2025 | 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. F0688, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Feb 17, 2025 |
| Jan 16, 2025 | 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. F0758, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Feb 17, 2025 |
| Jan 16, 2025 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. F0805, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Feb 17, 2025 |
| Jul 18, 2024 | 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, widespread | Corrected by Aug 16, 2024 |
| Jul 18, 2024 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Aug 16, 2024 |
| Jul 18, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Aug 16, 2024 |
| Jul 18, 2024 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Aug 16, 2024 |
| Jul 18, 2024 | 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. F0726, Nursing and Physician Services, Standard inspection | Potential for harm, pattern | Corrected by Aug 16, 2024 |
| Jul 18, 2024 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Aug 16, 2024 |
| Jul 18, 2024 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Aug 16, 2024 |
| Jul 18, 2024 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. F0803, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Aug 16, 2024 |
| Jul 18, 2024 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. F0805, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Aug 16, 2024 |
| Jul 18, 2024 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. F0806, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Aug 16, 2024 |
| Jul 18, 2024 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. F0847, Administration, Standard inspection | Potential for harm, pattern | Corrected by Aug 16, 2024 |
| Jul 18, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Aug 16, 2024 |
| Jul 18, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Aug 16, 2024 |
| Jul 18, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Aug 16, 2024 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 5.47 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 5.51 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.53 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 3.72 | 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 | 4.3 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 72.04 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 24.07 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.29 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 15.72 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.01 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.72 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 87.72 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 4.39 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 15.55 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 2.9 | 15.38 |
Pine Bluff Transitional Care Location: 6810 South Hazel Street, Pine Bluff, Arkansas 71603 Phone: (870) 541-0342 |
The Springs of Pine Bluff Location: 6301 South Hazel Street, Pine Bluff, Arkansas 71603 Phone: (870) 534-8153 |