D

TRINITY COMMUNITY

3218 INDIAN RIPPLE ROAD, BEAVERCREEK, OH 45440
Score: 49 / 100

CMS data shows Trinity Community earning a D grade with a score of 49/100, placing it below most facilities in Ohio. Prospective residents and families should carefully review the specific areas of concern detailed below.

Staffing levels at Trinity Community exceed national averages, with 4.23 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 0.48 hours per resident per day is near the national average of 0.7 hours.

Recent CMS inspections identified 31 deficiencies at Trinity Community, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards..

Score Breakdown

Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 12 / 20 pts
3 ★ staffing rating
Quality Measures 15 / 15 pts
5 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.23 3.8 Above Average
Registered Nurses (RN) 0.48 0.7 Below Average
Licensed Practical Nurses (LPN) 1.26 0.7 Above Average
Certified Nursing Assistants (CNA) 2.49 2.4 Average
Weekend Total Nursing 3.82 3.8 Average
Weekend RN Hours 0.19 0.7 Below Average

🔍 Inspection & Deficiency History

31
Total Deficiencies
Apr 2, 2025
Most Recent Inspection
🟠 30 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0812 Severity F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Apr 2, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0814 Severity F
    Dispose of garbage and refuse properly.
    Apr 2, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0644 Severity D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    Apr 2, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0655 Severity D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    Apr 2, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0692 Severity D
    Provide enough food/fluids to maintain a resident's health.
    Apr 2, 2025 · Quality of Life and Care Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 3.8% 4.5% Better
Falls with major injury 5.4% 3.0% Worse
On antipsychotic medication 9.3% 14.5% Better
Urinary tract infections 0.8% 2.5% Better
ADL decline (daily activities) 8.4% 14.0% Better
Excessive weight loss 6.4% 7.5% Better
New/worsened incontinence 16.6% 45.0% Better

⚠️ Penalties & Fines

2 penalties recorded by CMS

Total fines: $24,453

How This Grade Was Calculated

This facility's grade of D is based on a score of 49 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 3★ → 24 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 3★ → 12 pts (max 20)
  • Quality Measures Rating: 5★ → 15 pts (max 15)
  • Penalty deductions: -10 pts
  • Fine deductions: -2 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Non profit - Corporation
Certified Beds
95
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Apr 2, 2025
Deficiencies (Cycle 1)
6