TRINITY MANOR

The information listed below provides an in-depth look into the type and quality of care offered at Trinity Manor. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

TRINITY MANOR
510 W FRONTVIEW ST
DODGE CITY, KS 67801
(620) 227-8551

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

90%

Number of Residents and Certified Beds

  • Residents: 53
  • Certified Beds: 59

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Non Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Fort Dodge | Cimarron | Jetmore

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Trinity Manor. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1614.5%
ADL Index Range: 6-1014.5%
ADL Index Range: 0-59.0%
Total Percent:38.0%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1617.5%
ADL Index Range: 6-100.9%
ADL Index Range: 0-529.8%
Total Percent:48.2%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-163.6%
Total Percent:3.6%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 11-14
- No Signs of depression
4.2%
ADL Index Range: 0-1
- No Signs of depression
1.8%
Total Percent:6.0%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 0-1
- Less restorative nursing
4.2%
Total Percent:4.2%
 

Rating Details For Trinity Manor

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours19 Minutes60 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours51 Minutes37 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 40 Minutes2 Hours and 25 Minutes
Total Licensed Nurse Hours1 Hour and 10 Minutes1 Hour and 37 Minutes
Total Nurse Hours3 Hours and 50 Minutes4 Hours and 2 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Kansas are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityKansas Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination72%91%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season79%93%

Long-Term Stay Deficiencies

Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder37%44%
Percent of Long-Stay Residents Who Are More Depressed or Anxious28%17%
Percent of Long-Stay Residents Who Lose Too Much Weight5%8%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder7%6%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores7%10%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased26%14%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain4%4%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-4%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse24%11%
Percent of Long-Stay Residents Who Were Physically Restrained-3%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair2%3%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection16%10%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination30%82%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season62%86%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores10%10%
Percent of Short-Stay Residents Who Have Delirium1%4%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain32%20%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 09/13/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Set Up or Keep a Group of People to Review and Ensure Quality.
  • Inspection Date: 05/18/2009
  • Correction Date: 06/18/2009

Environmental

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 05/18/2009
  • Correction Date: 06/18/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 05/18/2009
  • Correction Date: 06/18/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 09/13/2010
  • Correction Date: 10/12/2010
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area.
  • Inspection Date: 09/13/2010
  • Correction Date: 10/12/2010

Mistreatment

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.
  • Inspection Date: 05/18/2009
  • Correction Date: 06/18/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 06/16/2008
  • Correction Date: 09/09/2008

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 09/13/2010
  • Correction Date: 10/12/2010

Quality Care

Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 05/18/2009
  • Correction Date: 06/18/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 05/18/2009
  • Correction Date: 06/18/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 09/13/2010
  • Correction Date: 10/12/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 09/13/2010
  • Correction Date: 10/12/2010
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
  • Inspection Date: 09/13/2010
  • Correction Date: 10/12/2010
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 09/13/2010
  • Correction Date: 10/12/2010

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 06/16/2008
  • Correction Date: 09/09/2008
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 05/18/2009
  • Correction Date: 06/18/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 05/18/2009
  • Correction Date: 06/18/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 09/13/2010
  • Correction Date: 10/12/2010
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Inspection Date: 09/13/2010
  • Correction Date: 10/12/2010

Resident Rights

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.
  • Inspection Date: 06/16/2008
  • Correction Date: 07/24/2008
Provide Written Records when a Resident is Transferred or Discharged.
  • Inspection Date: 06/16/2008
  • Correction Date: 07/24/2008
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 05/18/2009
  • Correction Date: 06/18/2009

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Trinity Manor, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Environmental

Keep Safe, Clean and Homelike Surroundings.
  • Complaint Filed: 06/16/2008
  • Correction Date: 07/15/2008
Have a Program to Keep Infection from Spreading.
  • Complaint Filed: 06/16/2008
  • Correction Date: 07/15/2008

Quality Care

Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being.
  • Complaint Filed: 06/16/2008
  • Correction Date: 07/15/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 06/16/2008
  • Correction Date: 06/30/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 06/16/2008
  • Correction Date: 06/30/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Complaint Filed: 06/16/2008
  • Correction Date: 07/15/2008
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Complaint Filed: 05/18/2009
  • Correction Date: 06/17/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 03/16/2011
  • Correction Date: 04/15/2011

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Complaint Filed: 06/16/2008
  • Correction Date: 07/07/2008
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Complaint Filed: 06/16/2008
  • Correction Date: 07/07/2008

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Trinity Manor had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 09/13/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 05/13/2008
  • Correction Date: 06/11/2008
Properly Protected Cooking Facilities.
  • Inspection Date: 05/19/2009
  • Correction Date: 06/19/2009

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
  • Inspection Date: 05/19/2009
  • Correction Date: 06/19/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 05/19/2009
  • Correction Date: 06/19/2009

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 05/13/2008
  • Correction Date: 06/11/2008
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 05/19/2009
  • Correction Date: 06/19/2009

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 05/13/2008
  • Correction Date: 05/15/2008
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 05/19/2009
  • Correction Date: 06/19/2009

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 05/13/2008
  • Correction Date: 06/11/2008
Exits That Are Accessible at All Times.
  • Inspection Date: 05/19/2009
  • Correction Date: 06/19/2009
Corridors or Aisles That Are Unobstructed and Are at Least 8 Feet in Width.
  • Inspection Date: 05/19/2009
  • Correction Date: 06/19/2009

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 05/13/2008
  • Correction Date: 06/11/2008

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 05/13/2008
  • Correction Date: 05/27/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 05/19/2009
  • Correction Date: 06/19/2009

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 05/13/2008
  • Correction Date: 06/11/2008
Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 05/19/2009
  • Correction Date: 06/19/2009

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 05/13/2008
  • Correction Date: 06/11/2008

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 05/13/2008
  • Correction Date: 06/11/2008

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 05/13/2008
  • Correction Date: 06/11/2008

Vertical Openings

Proper Stairway Enclosures and Vertical Shafts.
  • Inspection Date: 05/13/2008
  • Correction Date: 05/22/2008
Source: Medicare Nursing Home Compare; Kansas Department on Aging - Retrieved 2011