Oneonta, AL

Tlc Nursing Center

4-star overall rating with 4-star inspections with 4 fire-safety deficiencies in the latest cycle

212 Ellen Street, Oneonta, AL

(205) 625-3520

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

103

Certified beds

Average residents

92

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Trinity Management, Inc.

Operator or chain grouping

Approved since

1993-02-04

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.61

Registered nurse staffing

LPN hours / resident day

0.73

Licensed practical nurse staffing

Aide hours / resident day

2.54

Nurse aide staffing

Weekend hours

3.33

Weekend nurse staffing

RN turnover

25%

Annual RN turnover

Total nurse turnover

31%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.8
2.0
0.2 pts better
1.9
0.1 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 1.6
1.8
0.2 pts better
1.8
0.2 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.4%
91.3%
8.1 pts better
93.4%
6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
94.8%
5.2 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 4.8%
3.4%
1.4 pts worse
3.3%
1.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 0.0%
1.3%
1.3 pts better
11.4%
11.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 2.7%
5.3%
2.6 pts better
5.4%
2.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 20.0%
24.9%
4.9 pts better
19.6%
0.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 9.9%
22.8%
12.9 pts better
16.7%
6.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.6%
0.6 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 7.7%
14.8%
7.1 pts better
16.3%
8.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 8.0%
13.4%
5.4 pts better
14.9%
6.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.8%
1.3%
0.5 pts better
1.0%
0.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 1.6%
2.6%
1 pts better
1.7%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 8.3%
13.5%
5.2 pts better
19.8%
11.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 3.2%
5.7%
2.5 pts better
5.1%
1.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 96.0%
84.3%
11.7 pts better
81.7%
14.3 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 7.3%
11.5%
4.2 pts better
12.0%
4.7 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
2.1%
2.1 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 90.7%
80.3%
10.4 pts better
79.7%
11 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 28.5%
24.5%
4 pts worse
23.9%
4.6 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2019-10-24 · Fire 2019-10-24

0 health deficiencies

No concentrated health issue counts in this cycle.

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2018-09-13 · Fire 2018-09-13

3 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2017-08-10 · Fire 2017-08-10

10 health deficiencies

Top issue: Environmental (3 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2019-10-24

K232 · Egress Deficiencies

Fire Safety

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

Corrected 2019-11-25

D · Potential for more than minimal harm 2019-10-24

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2019-11-25

D · Potential for more than minimal harm 2019-10-24

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2019-11-25

D · Potential for more than minimal harm 2019-10-24

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-11-25

D · Potential for more than minimal harm 2017-08-10

K325 · Smoke Deficiencies

Fire Safety

Have properly installed hallway dispensers for alcohol-based hand rub.

Corrected 2017-08-28

D · Potential for more than minimal harm 2017-08-10

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2017-08-28

D · Potential for more than minimal harm 2017-08-10

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2017-08-28

Inspection history

Recent health citations

F · Potential for more than minimal harm 2018-09-13

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2018-10-05

D · Potential for more than minimal harm 2018-09-13

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2018-09-19

D · Potential for more than minimal harm 2018-09-13

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2018-10-05

F · Potential for more than minimal harm 2017-08-10

F371 · Nutrition and Dietary Deficiencies

Health

Store, cook, and serve food in a safe and clean way.

Corrected 2017-09-01

F · Potential for more than minimal harm 2017-08-10

F372 · Environmental Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2017-09-01

E · Potential for more than minimal harm 2017-08-10

F428 · Pharmacy Service Deficiencies

Health

At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.

Corrected 2017-09-01

D · Potential for more than minimal harm 2017-08-10

F164 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2017-09-01

D · Potential for more than minimal harm 2017-08-10

F241 · Resident Rights Deficiencies

Health

Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

Corrected 2017-09-01

D · Potential for more than minimal harm 2017-08-10

F278 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment by a qualified health professional.

Corrected 2017-09-01

D · Potential for more than minimal harm 2017-08-10

F280 · Resident Assessment and Care Planning Deficiencies

Health

Allow residents the right to participate in the planning or revision of care and treatment.

Corrected 2017-09-01

D · Potential for more than minimal harm 2017-08-10

F323 · Environmental Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

Corrected 2017-09-01

D · Potential for more than minimal harm 2017-08-10

F333 · Pharmacy Service Deficiencies

Health

Ensure that residents are safe from serious medication errors.

Corrected 2017-09-01

D · Potential for more than minimal harm 2017-08-10

F441 · Environmental Deficiencies

Health

Have a program that investigates, controls and keeps infection from spreading.

Corrected 2017-09-01

Penalties and ownership

What sits behind the stars

Ownership

Sims, Mark

5% Or Greater Direct Ownership Interest · Individual

100% 5 facilities 2022-05-01
Trintiy Management, Inc.

5% Or Greater Indirect Ownership Interest · Organization

100% 5 facilities 2002-01-01
Quality Care Rehab Inc

Operational/Managerial Control · Organization

0% 7 facilities 2023-01-10
Sims, Mark

Corporate Director · Individual

0% 5 facilities 2022-05-01
Sims, Mark

Corporate Officer · Individual

0% 5 facilities 2022-05-01
Smith, John

Operational/Managerial Control · Individual

0% 2 facilities 2018-01-10
Trintiy Management, Inc.

Operational/Managerial Control · Organization

0% 5 facilities 2002-01-01
White, Madison

Operational/Managerial Control · Individual

0% 1 facilities 2023-04-09
Yeomans, Martin

Operational/Managerial Control · Individual

0% 1 facilities 2019-07-15

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