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 Services

Resident Conditions

Percent of Service Days

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 11-16	14.5%
ADL Index Range: 6-10	14.5%
ADL Index Range: 0-5	9.0%
Total Percent:	38.0%

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 11-16	17.5%
ADL Index Range: 6-10	0.9%
ADL Index Range: 0-5	29.8%
Total Percent:	48.2%

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum

Five days any combination of three rehabilitation disciplines

ADL Index Range: 11-16	3.6%
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 Day	Reported	Expected
Registered Nurse (RN) Hours	19 Minutes	60 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours	51 Minutes	37 Minutes
Certified Nursing Assistant (CNA) Hours	2 Hours and 40 Minutes	2 Hours and 25 Minutes
Total Licensed Nurse Hours	1 Hour and 10 Minutes	1 Hour and 37 Minutes
Total Nurse Hours	3 Hours and 50 Minutes	4 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 Facility

Kansas Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	72%	91%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season	79%	93%

Long-Term Stay Deficiencies

Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder	37%	44%
Percent of Long-Stay Residents Who Are More Depressed or Anxious	28%	17%
Percent of Long-Stay Residents Who Lose Too Much Weight	5%	8%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	7%	6%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores	7%	10%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased	26%	14%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain	4%	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 Worse	24%	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 Chair	2%	3%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection	16%	10%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	30%	82%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season	62%	86%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores	10%	10%
Percent of Short-Stay Residents Who Have Delirium	1%	4%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain	32%	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 Inspectors

Degree of Harm

Residents 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 Complaints

Degree of Harm

Residents Affected