Weaverville, CA

Trinity Hospital Skilled Nursing Facility

4-star overall rating with 5-star inspections with $17,482 in total fines with 3 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

60 Easter Ave, Weaverville, CA

(530) 623-5541

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

13

Certified beds

Average residents

13

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2017-09-26

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Hospital-based

Yes

CMS reports the provider resides in a hospital

Staffing

Hours and turnover

RN hours / resident day

0.39

Registered nurse staffing · state 0.65 · national 0.68

LPN hours / resident day

1.79

Licensed practical nurse staffing · state 1.22 · national 0.87

Aide hours / resident day

3.78

Nurse aide staffing · state 2.64 · national 2.35

Total nurse hours

5.97

All reported nurse hours · state 4.51 · national 3.89

Licensed hours

2.18

RN + LPN hours · state 1.87 · national 1.54

Weekend hours

5.48

Weekend nurse staffing · state 4.08 · national 3.43

Weekend RN hours

0.56

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.36

CMS adjusted RN staffing hours

Adjusted total hours

5.45

CMS adjusted total nurse staffing hours

Case-mix index

1.50

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

36%

Annual nurse turnover · state 38% · national 46%

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission Not Available
10.72%
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure.
Discharge to community Not Available
50.57%
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure.
Medicare spending per beneficiary Not Available
1.02
No data were submitted for this measure.
Drug regimen review with follow-up Not Available
95.27%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Falls with major injury Not Available
0.77%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Pressure ulcers or injuries, new or worsened Not Available
2.29%
Numerator Not Available · Denominator Not Available · Adjusted rate Not Available · No data were submitted for this measure.
Healthcare-associated infections requiring hospitalization Not Available
7.12%
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure.
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 44
Staff flu vaccination coverage 57.97%
42%
16 pts better
Numerator 40 · Denominator 69
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 93.5%
98.5%
5 pts worse
93.4%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 93.5%
Percentage of long-stay residents experiencing one or more falls with major injury 0.0%
1.6%
1.6 pts better
3.3%
3.3 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 2.4%
6.8%
4.4 pts better
11.4%
9 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 2.4%
Percentage of long-stay residents who lose too much weight 2.2%
4.1%
1.9 pts better
5.4%
3.2 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 2.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 13.0%
13.7%
0.7 pts better
19.6%
6.6 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 13.0%
Percentage of long-stay residents who received an antipsychotic medication 18.6%
14.2%
4.4 pts worse
16.7%
1.9 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 18.6% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.4%
0.4 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0%
Percentage of long-stay residents whose need for help with daily activities has increased 16.2%
10.7%
5.5 pts worse
14.9%
1.3 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 16.2% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.9%
1.0%
1.9 pts worse
1.0%
1.9 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 2.9% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 2.2%
1.2%
1 pts worse
1.7%
0.5 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 2.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 38.8%
10.9%
27.9 pts worse
19.8%
19 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 38.8%
Percentage of long-stay residents with pressure ulcers 6.2%
4.7%
1.5 pts worse
5.1%
1.1 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 6.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-05 · Fire 2025-09-05

3 health deficiencies

Top issue: Nursing and Physician Services (1 deficiency)

6 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Cycle 2 Health 2024-07-31 · Fire 2024-07-31

1 health deficiencies

Top issue: Nursing and Physician Services (1 deficiency)

7 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2023-07-21 · Fire 2023-07-21

9 health deficiencies

Top issue: Nursing and Physician Services (2 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-09-05

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-09-10

F · Potential for more than minimal harm 2025-09-05

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-09-10

E · Potential for more than minimal harm 2025-09-05

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-09-24

D · Potential for more than minimal harm 2025-09-05

K325 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-09-24

D · Potential for more than minimal harm 2025-09-05

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2025-09-10

C · Minimal harm 2025-09-05

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-09-23

F · Potential for more than minimal harm 2024-07-31

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2024-09-24

E · Potential for more than minimal harm 2024-07-31

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-09-24

D · Potential for more than minimal harm 2024-07-31

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-09-24

D · Potential for more than minimal harm 2024-07-31

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-09-24

C · Minimal harm 2024-07-31

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-09-24

C · Minimal harm 2024-07-31

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-09-24

C · Minimal harm 2024-07-31

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-09-24

F · Potential for more than minimal harm 2023-07-21

E35 · Emergency Preparedness Deficiencies

Fire Safety

Provide family notifications of emergency plan.

Corrected 2023-08-02

F · Potential for more than minimal harm 2023-07-21

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2023-08-02

F · Potential for more than minimal harm 2023-07-21

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2023-08-02

F · Potential for more than minimal harm 2023-07-21

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-08-02

E · Potential for more than minimal harm 2023-07-21

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-08-02

D · Potential for more than minimal harm 2023-07-21

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-08-02

D · Potential for more than minimal harm 2023-07-21

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-08-02

D · Potential for more than minimal harm 2023-07-21

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-08-02

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-09-05

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2025-09-30

F · Potential for more than minimal harm 2025-09-05

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 2025-09-30

E · Potential for more than minimal harm 2025-09-05

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-09-30

F · Potential for more than minimal harm 2024-07-31

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2024-08-12

F · Potential for more than minimal harm 2023-07-21

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-09-01

F · Potential for more than minimal harm 2023-07-21

F711 · Nursing and Physician Services Deficiencies

Health

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Corrected 2023-09-01

F · Potential for more than minimal harm 2023-07-21

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2023-09-01

F · Potential for more than minimal harm 2023-07-21

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2023-09-01

D · Potential for more than minimal harm 2023-07-21

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2023-08-25

D · Potential for more than minimal harm 2023-07-21

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-09-01

D · Potential for more than minimal harm 2023-07-21

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-09-01

D · Potential for more than minimal harm 2023-07-21

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2023-09-01

D · Potential for more than minimal harm 2023-07-21

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 2023-09-01

Penalties and ownership

What sits behind the stars

$4,196 2023-06-12

Fine

Fine · fine $4,196

Fine

$3,846 2023-06-05

Fine

Fine · fine $3,846

Fine

$9,440 2023-05-15

Fine

Fine · fine $9,440

Fine

Ownership

Brasuell, Gerald

Corporate Director · Individual

0% 1 facilities 2010-12-21
Braxton, Amanda

Corporate Director · Individual

0% 1 facilities 2016-12-02
Cousins, Jerry

Corporate Director · Individual

0% 1 facilities 2007-11-01
Forslund, Dero

Corporate Director · Individual

0% 1 facilities 2014-12-03
Jungwirth, Lynn

Corporate Director · Individual

0% 1 facilities 2012-02-28
Rogers, Aaron

Operational/Managerial Control · Individual

0% 1 facilities 2015-02-10
Rogers, Aaron

Corporate Officer · Individual

0% 1 facilities 2015-02-10
Rogers, Aaron

W-2 Managing Employee · Individual

0% 1 facilities 2015-02-10
Simpson, Kelly

W-2 Managing Employee · Individual

0% 1 facilities 2009-11-09

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