CCN 375454
Trinity Woods, INC.
4134 EAST 31ST STREET, Tulsa, OK 74135 · Tulsa County
- Ownership
- Non profit - Corporation
- Certified beds
- 84
- Residents per day
- 53.6
- Health citations
- 4
- Penalties
- 0
- Fines
- 0 · $0
Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Staffing hours
Reported hours per resident per day come from the Payroll-Based Journal figures in the Provider Information file. Case-mix and adjusted hours account for how much care CMS expects given the residents’ needs. State and U.S. figures are averages from the same release.
- Measure
- This home
- State
- U.S.
- Nurse aide
- 3.40
- 2.54
- 2.32
- LPN/LVN
- 1.45
- 0.92
- 0.86
- Registered nurse
- 0.73
- 0.34
- 0.69
- Total nurse staff
- 5.57
- 3.79
- 3.86
- Weekend total
- 5.00
- 3.44
- 3.42
- Weekend RN
- 0.51
- 0.28
- 0.48
Adjusted total nurse hours: 6.39. Adjusted RN hours: 0.84. Case-mix total: 3.35. Case-mix index: 1.224.
Total nursing staff turnover: 36.5%. RN turnover: 12.5%. Administrators who left: 0.
How to read staffing hours
Payroll-Based Journal figures in Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Fines and penalties
CMS reports 0 fines totaling $0, and 0 payment denials.
The Penalties file has no individual penalty rows for this CCN.
Cycle 1 standard survey: June 4, 2026. Health deficiencies counted in cycle 1: 3. Cycle 1 total health score: 24.
Cycle 2 standard survey: July 3, 2024. Cycle 2/3 health deficiencies: 0. Total weighted health survey score: 18.
Penalties file and Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Health inspection citations
The Health Deficiencies file lists 4 citations for this home, including 0 at immediate jeopardy and 0 at actual harm. CMS may display some citations here that are not used in the health inspection rating, including citations under dispute.
June 4, 2026
3 citations
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Standard survey · Cycle 1 | F: widespread, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · August 1, 2026 |
| F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Standard survey · Cycle 1 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · July 21, 2026 |
| F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Standard survey · Cycle 1 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · July 21, 2026 |
June 15, 2023
1 citation
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Standard survey · Cycle 3 | E: pattern, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · July 17, 2023 |
Health Deficiencies. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections