A list of the most recent deficiencies for Trinity Place. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Use approved construction type or materials. | Fire Safety | 2023-07-06 | 2023-09-27 | 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 | 2023-07-06 | 2023-09-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-06 | 2023-09-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-06 | 2023-09-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-07-06 | 2023-09-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-06 | 2023-09-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-07-06 | 2023-09-27 | N |
| 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. | Health | 2023-06-08 | 2023-06-23 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-12-16 | 2022-01-13 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-12-16 | 2022-01-13 | N |
| Assess the resident when there is a significant change in condition | Health | 2021-12-16 | 2022-01-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-16 | 2022-01-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-16 | 2022-01-13 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-12-16 | 2022-01-13 | N |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2019-09-25 | 2019-10-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-25 | 2019-10-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-09-25 | 2019-10-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-25 | 2019-10-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-08-22 | 2019-09-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-22 | 2019-09-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-22 | 2019-09-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-08-22 | 2019-09-18 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-08-22 | 2019-09-18 | N |
