Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

TRINITY WOODS, INC.

TULSA, OK · 84 certified beds · Last Life Safety survey July 3, 2024

CMS Certification Number 375454 · first certified November 2003

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

1
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
1
Inspection & testing records
Of the citations on file

Position within OK

1 citations — more than 3% of the 283 certified nursing homes in OK. Compared within OK rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

When is the next survey likely?

Well past the typical window (August 2025 to November 2025), and past the point by which nine in ten OK facilities have been surveyed. This facility’s last Life Safety survey was July 2024. Facilities in OK are typically surveyed 14–16 months after the last one (median 15), measured over 277 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

Physical environment (health survey)

1 physical-environment citation on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 1 Life Safety citation above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in OK, and nationally. Surveyors differ markedly between states, so the OK figure is the meaningful one.

This facility1OK median8National median11
Citations on file over three years, compared
MeasureCitations
This facility1
Median facility in OK8
Median facility nationally11

Survey history

Citations at each Life Safety survey
12019-1202023-0602024-07
Citations at each Life Safety survey
Survey dateCitations
December 6, 20191
June 15, 20230
July 3, 20240

Most-cited tags

Most-cited tags at this facility
K-07611
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12019-12-06

What the citations cover

Citations by CMS category
  • Miscellaneous Deficiencies 1
Citations by CMS category
CategoryCitations
Miscellaneous Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

December 6, 2019 — 1 citation

Citations issued on December 6, 2019
TagWhat the surveyor checksStatus
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (January 15, 2020)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.