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Deficiency Records for Trinity Manor
View the most recent health deficiencies and inspection results for Trinity Manor. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Trinity Manor. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-01-23 | 2025-03-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-01-23 | 2025-03-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-01-23 | 2025-02-28 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-01-23 | 2025-02-28 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-01-23 | 2025-02-28 | Y |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-01-23 | 2025-02-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-01-23 | 2025-02-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-01-23 | 2025-02-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-01-23 | 2025-02-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-23 | 2025-02-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-01-23 | 2025-02-15 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2025-01-23 | 2025-02-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-15 | 2024-07-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-08 | 2024-02-05 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-09 | 2023-03-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-02-09 | 2023-03-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-02-09 | 2023-03-29 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-02-09 | 2023-03-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-09 | 2023-03-29 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-02-09 | 2023-03-29 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-02-09 | 2023-02-28 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-02-09 | 2023-02-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-09 | 2023-02-28 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-07-15 | 2021-08-26 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-07-15 | 2021-08-26 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-07-15 | 2021-08-24 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-07-15 | 2021-08-24 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-07-15 | 2021-08-24 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-07-15 | 2021-08-24 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2021-07-15 | 2021-08-24 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-07-15 | 2021-08-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-15 | 2021-08-24 | N |