Provider Name: TRINITY TRACE COMMUNITY CARE CENTER
Address: 612 HOLY TRINITY DRIVE, COVINGTON, LA 70433
Phone: (985) 643-5630
County: St. Tammany (510)
Ownership Type: Non profit - Corporation
Certified Beds: 116
Average Residents Per Day: 106. ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: Legal Business Name Not Available
First Approved Date: December 1, 1994
Affiliated Entity: COMMCARE CORPORATION (150)
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 1 ()
Health Inspection Rating: 1 ()
QM Rating: 3 ()
Long Stay QM Rating: 3 ()
Short Stay QM Rating: 4 ()
Staffing Rating: 2 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.34950, LPN Staff Hours Per Day: 1.1798, RN Staff Hours Per Day: 0.3024, Licensed Staff Hours Per Day: 1.4823
Total Nurse Staff Hours Per Day, per resident: 3.83185
Weekend Nurse Staff Hours: 3.17800, Weekend RN Staff Hours: 0.1890
PT Staff Hours Per Day, per resident: 0.0838
Nurse Staff Turnover: 75.9, Nurse Turnover Note:
RN Turnover: 70.0, RN Turnover Note:
Admin Left Number: 1, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 1.9555, Case Mix LPN Hours Per Day: 0.7634, Case Mix RN Hours Per Day: 0.3927
Adjusted Nurse Aide Hours Per Day, per resident: 2.44764, Adjusted LPN Hours Per Day: 1.1404, Adjusted RN Hours Per Day: 0.2901
Total Adjusted Nurse Hours Per Day, per resident: 3.88141
Adjusted Weekend Nurse Hours Per Day, per resident: 3.21911
Health Survey Dates and Scores: Cycle 1: 2023-08-30 (Score: 8), Cycle 2: 2022-09-23 (Score: 225), Cycle 3: 2021-06-17 (Score: 8)
Total Weighted Health Score: 80.333
Reported Incidents: 0, Substantiated Complaints: 1
Infection Control Citations: 0
Fines and Penalties: Number of Fines: 1, Total Fines in Dollars: 187356.00, Payment Denials Number: 0, Total Penalties Number: 1
Location and GPS: 612 HOLY TRINITY DRIVE,COVINGTON,LA,70433 (30.4113, -90.072)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-11-20
Type: Health, Deficiency: Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-09-18
Type: Health, Deficiency: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-09-18
Type: Health, Deficiency: Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Severity: K - Level 4: Immediate jeopardy to resident health or safety. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-09-30
Type: Health, Deficiency: Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Severity: K - Level 4: Immediate jeopardy to resident health or safety. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-09-30
Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-06-28
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Fire Safety, Tag: 0321, Version: New
Description: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-10-21
Type: Fire Safety, Tag: 0321, Version: New
Description: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-06-28
Type: Fire Safety, Tag: 0379, Version: New
Description: Have proper openings in smoke barrier doors.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-06-28