Trinity Mission Health & Rehabilitation of Comfort

Health Inspections

Health Inspections
3
Health Deficiencies
This Nursing Home: 1
TX State Average: 6
U.S. Average: 6
TX Deficiencies Range: 1–34
Complaints & Incidents: 4
Updated June 19, 2014.

This rating indicates how well this home has complied with standards for food preparation and other health-related activities in state inspections conducted approximately every 15 months. Results from inspections after the latest date shown below may be available at Nursing Home Compare.

August 29, 2013 Health Inspection

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
Low
Some
9/27/2013

September 12, 2012 Health Inspection

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Store, cook, and serve food in a safe and clean way.
Low
Many
10/10/2012
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
Low
Some
10/10/2012
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
Low
Some
9/28/2012
Have a program that investigates, controls and keeps infection from spreading.
Low
Some
10/10/2012
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
Low
Some
10/10/2012
Try to resolve each resident's complaints quickly.
Low
Some
9/28/2012
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.
Low
Few
9/28/2012

August 09, 2011 Health Inspection

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Ensure residents maintain acceptable nutritional status.
Some
Some
8/31/2011
1) review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews.
Low
Some
8/31/2011
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.
Low
Some
8/31/2011
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
Low
Some
8/31/2011
Have a program that investigates, controls and keeps infection from spreading.
Low
Some
8/31/2011
Keep residents' personal and medical records private and confidential.
Low
Some
8/31/2011
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
Low
Some
8/31/2011
Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs.
Low
Few
8/31/2011
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents.
Low
Few
8/31/2011
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
Low
Few
8/31/2011
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Low
Few
8/31/2011
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Very Low
Some
9/7/2011

April 06, 2012 Complaints & Incidents

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Quickly tell the resident's doctor the results of laboratory tests.
Low
Some
5/1/2012
Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.
Low
Some
5/1/2012
Keep residents' personal and medical records private and confidential.
Low
Some
5/1/2012
Keep complete, dated laboratory records in the resident's file.
Low
Some
5/1/2012

Note: Because of differences in calculation, all data may not match those shown on Nursing Home Compare, a website run by the federal Centers for Medicare & Medicaid Services. CMS has approved the U.S. News methodology.

Last updated June 19, 2014.


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