Holy Trinity Nursing and Rehabilitation Center

Holy Trinity Nursing and Rehabilitation Center

MI Elder Abuse Free Legal ConsultationDid someone you love suffer elder abuse or neglect at Holy Trinity Nursing and Rehabilitation Center? Our lawyers can help.

Abuse of the elderly is not acceptable and we fight hard in these types of cases. If you suspect a nursing home or caregiver has caused harm to your loved one in someone elses’ care, contact our law firm today for a free legal consultation.

Talking to us does not obligate you to anything, but we may be able to tell you if you have a claim and the value of your case. If we accept your case, you pay no fee unless we recover for you.

About Holy Trinity Nursing and Rehabilitation Center

Holy Trinity Nursing and Rehabilitation Center is a non-profit, 113-bed Medicare/Medicaid certified skilled nursing facility that provides services to the residents of Worcester, Shrewsbury, Holden, Leicester, Millbury, Grafton, Northborough, Westborough, Sutton, Spencer, Clinton, Northbridge, Oxford, Marlborough, Hudson, and the other towns in and surrounding Worcester County, Massachusetts.

Holy Trinity Nursing and Rehabilitation Center
300 Barber Ave,
Worcester, MA 01606

Phone: (508) 852-1000
Website: https://www.htnr.net/

CMS Star Quality Rating

Holy Trinity Nursing and Rehabilitation CenterThe Centers for Medicare and Medicaid (CMS) rates all nursing homes that accept medicare or medicaid benefits. CMS created a 5 Star Quality Rating System—1 star is the lowest rating and 5 stars is the highest—that look at three areas.

As of 2018, Holy Trinity Nursing and Rehabilitation Center in Worcester, Massachusetts received a rating of 2 out of 5 stars.

Performance Area Rating
Overall Rating 2 out of 5 (Below Average)
State Health Inspections 1 out of 5 (Much Below Average)
Staffing 4 out of 5 (Above Average)
Quality Measures 4 out of 5 (Above Average)

Fines Against Holy Trinity Nursing and Rehabilitation Center

The Federal Government fined Holy Trinity Nursing and Rehabilitation Center $15,373 on 10/22/2015, $49,659 on 10/25/2016, $47,320 on 04/26/2017, and $91,104 on 08/29/2017 for health and safety violations.

Fines and Penalties

Our Nursing Home Accident Lawyers inspected government records and discovered Holy Trinity Nursing and Rehabilitation Center committed the following offenses:

Failed to make sure services provided by the nursing facility meet professional standards of quality.

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility staff failed to assure that services being provided met professional standards of quality for 2 residents (#19 and Non-Sampled #1) in a total sample of 22 residents .

Findings include:

1. For Resident #19, the facility staff failed to obtain a dosage for [MEDICATION NAME] (pain reliever) that was being administered every morning. Review of the facility’s Medication Orders Policy, undated, indicated the following; -Medication orders specify the strength of the medication where indicated and the dose. Resident #19 was admitted to the facility in 10/2017 with [DIAGNOSES REDACTED]. Review of the resident’s Hospital Discharge Medication List, dated 10/28/17, indicated the following; [MEDICATION NAME], 500 milligrams (mg) by mouth daily and 250 mg by mouth nightly.

Review of the 10/2017 admission physician’s orders [REDACTED]. Review of the 10/2017 and 11/2017 Medication Administration Records indicated 1 tablet of [MEDICATION NAME] was administered daily at 9:00 A.M. from 10/28/17 through 11/9/17. The dose was not documented. During an interview on 11/10/17 at 10:25 A.M. , Nurse #1 said she administers 325 milligrams (mg) of [MEDICATION NAME] to resident in the morning. During an interview on 11/10/17 at 10:30 A.M., Unit Manager (UM) #1 said the morning dose of [MEDICATION NAME] did not indicate a dosage but should have. He said the order would be clarified.

2. For Non-Sampled Resident #1 (NS #1), facility staff failed to utilize a needle sheath after withdrawing up insulin to administer to a resident. Review of the facility Subcutaneous Injection Medication Administration Policy, dated 9/1/04, indicated that after withdrawing the prescribed amount of medication into a syringe, the needle of the syringe needs to be covered with a needle sheath. NS #1 was admitted to the facility in 4/2017 with [DIAGNOSES REDACTED]. Review of the 11/10/2017 Medication Review Report indicated an order for [REDACTED]. During an observation of the medication pass on 11/9/17 at 7:25 A.M., Nurse #2 withdrew 3 units of Humalog Insulin into a syringe at the medication cart. She did not cover the needle of the syringe with a needle sheath after drawing up the insulin. She then administered the insulin to NS #1 at the bedside. During an interview on 11/10/17 at 11:00 A.M., Nurse #2 said she said she could not fully recall but might not have activated the needle sheath after withdrawing the insulin.

Failed to properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review, the facility staff failed to ensure the necessary care and treatment, including medical and nursing care, for respiratory services was provided for 1 resident (#19) in a total sample of 22 residents.

Findings include:

For Resident #19, the facility staff failed to obtain a physician’s orders [REDACTED]. Review of the facility’s Oxygen Administration Policy, dated 1/17/17, indicated the following;

-In the skilled nursing facility setting, oximetry monitoring and clinical examinations determine the adequacy of O2 therapy.

-Monitor the resident’s response to oxygen therapy using physical assessment and pulse oximetry.

Resident #19 was admitted to the facility in 10/2017 with [DIAGNOSES REDACTED]. Review of a Nurse’s Note, dated 10/29/17 at 14:08 P.M., indicated the resident continued on O2 at 3 liters (L)/minute (m) and a note, dated 10/30/17 at 8:42 A.M., indicated the resident was compliant with the O2. Review of the 10/2017 physician’s orders [REDACTED]. Review of Nurse’s note, dated 11/1/17 at 16:49 P.M., indicated the resident was non-compliant to O2 and was redirected with effect, and a note, dated 11/6/17 at 15:42 P.M., indicated O2 was applied at 3 L/m via nasal cannula (n/c) Review of the 11/2017 physician’s orders [REDACTED].

Review of the 10/2017 and 11/2017 Treatment Administration Record did not indicate daily monitoring of respiratory status and/or response to O2 therapy, and did not indicate the regular monitoring of the O2 equipment. Additionally, review of the Nurse’s notes since admission did not indicate daily documentation of the resident’s respiratory status and/or response to the administration of O2. During an observation on 11/10/17 at 9:00 A.M., the resident was seated in a wheel chair in the unit dining room. He/she was wearing O2 via N/C, and the portable O2 tank was set at 3 L. During an interview on 11/10/17, Unit Manager #1 said there was not a physician’s orders [REDACTED]. He said there should have been orders for the O2 administration and nursing should have monitored the O2 equipment.

Failed to maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, policy review and staff interview, the facility staff failed to ensure that medications and biologicals were of current date to provide reliability of strength and accuracy of dosage in 2 of 3 units.

Findings include:

Review of the undated Medication Storage Policy indicated that outdated, contaminated , or deteriorated medications and those in containers that are cracked, soiled, or without secure closures are immediately removed from stock, disposed of according to procedure for medication destruction, and reordered from the pharmacy, if current order exists.

1. During an inspection of the Courtyard East medication cart on [DATE] at 8:50 A.M., one bottle of Melatonin (medication used to help with sleep) was found with an illegible expiration date. During an interview on [DATE] at 8:55 A. M, Nurse #3 said the expiration date on the Melatonin bottle was illegible and removed the bottle from the medication cart.

2. During an inspection of the Hillside West medication cart on [DATE] at 10:00 A.M., one bottle of Fish Oil Gel Caps( vitamin supplement) was found with an expiration date of ,[DATE].

During an interview on [DATE] at 10:05 A.M., Nurse #4 said the Fish Oil Gel Caps were expired and removed the bottle from the medication cart.

Failed to have a program that investigates, controls and keeps infection from spreading.

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation and interview, the facility staffed failed to ensure infection control practices were being maintained to minimize the risk of infection for 1 resident (#16) in a total sample of 22 residents.

Findings include:

For Resident #16, the facility staff failed to ensure infection control practices were being maintained relative to a Foley catheter (to drain urine from the bladder) drainage bag and distilled water used for a Continuous Positive Airway Pressure (CPAP) device. Review of the facility’s Infection Control Policy, dated 9/1/04, indicated the following;

-The infection control program is designed to identify and reduce the risk of acquiring and transmitting infections among residents, staff, volunteers, students and visitor.
-The program incorporates a broad range of education, surveillance, prevention, and infection control practices involving all departments. Resident #16 was admitted to the facility in 8/2016 with [DIAGNOSES REDACTED].

Review of the 11/2017 physician’s orders [REDACTED].

-Foley catheter to bedside drainage, Foley to be changed monthly on the 28th with 24 French/30 cubic centimeter balloon.

-May use CPAP machine during the daytime as well as bedtime with similar settings at bedtime, 7:00 A.M.-3:00 P.M. empty water chamber if CPAP is utilized.

On 11/10/17 at 8:40 A.M., Surveyor #1 observed the resident in bed with his/her eyes closed. An uncovered Foley catheter drainage bag and some of the attached tubing were lying directly on the floor under the bed.

On 11/10/17 at 8:45 A.M., Surveyor #2 observed the uncovered catheter drainage bag lying on the floor and a bottle of distilled water stored directly on the floor.

On 11/10/17 at 9:15 A.M., Surveyor #1 and Unit Manager (UM) #1 observed the resident in bed feeding him/herself breakfast. The uncovered catheter bag and some tubing were still lying directly on the floor. UM #1 said the catheter bag and tubing should not be on the floor and it would be covered and correctly hung on the bedside railing.

On 11/10/17 at 10:00 A.M., Surveyor #2 and UM #1 observed the resident lying in bed. The Foley catheter bag was in a dignity cover and no longer on the floor. The distilled water bottle remained stored directly on the floor. UM #1 said the water should not be the floor because of infection control concerns and it would be corrected immediately.

Holy Trinity Nursing and Rehabilitation Center, Nursing Home Neglect and Elder Abuse Lawyers

If someone you love has suffered neglect or elder abuse by a senior caregiver, nursing home, or other care facility, our lawyers may be able to help. Regardless of whether or not criminal charges are filed against an alleged abuser, you may still be able to pursue compensation in a civil claim. Compensation in elder abuse cases may be awarded if someone in the care of another suffers harm due to intentional or negligent actions (including failure to take action).

Abuse of the elderly is not acceptable and we fight hard in these types of cases. If you suspect a nursing home or caregiver has caused harm to your loved one in someone elses’ care, contact our law firm today for a free legal consultation. Talking to us does not obligate you to anything, but we may be able to tell you if you have a claim and the value of your case. If we accept your case, you pay no fee unless we recover for you.

Oftentimes, victims of abuse either cannot or will not speak up for themselves out of fear. If you notice any warning signs or symptoms of neglect of abuse an an elderly person, it is important you contact an elder abuse lawyer immediately. Not only are there statute of limitations on filing a claim, but the sooner we start helping you, the easier it will be to collect evidence and talk to any witnesses before important details are lost, hidden, or forgotten.

Boston Personal Injury Lawyers for Elder Abuse Cases

We offer a free, no-obligation legal consultation to help you understand your rights and the value of your case. Our personal injury law firm takes cases involving elder abuse and neglect. We offer legal service to clients in Massachusetts, Rhode Island and New Hampshire.


Sources:

Medicare Nursing Home Profiles and Reports – Holy Trinity Nursing and Rehabilitation Center

Inspection Report for Holy Trinity Nursing and Rehabilitation Center– 11/10/2017

Page Last Updated: August 14, 2018