A list of the most recent deficiencies for Trinity Grove. 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? |
|---|---|---|---|---|
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-08-11 | 2023-09-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-11 | 2023-09-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-07-13 | 2023-08-15 | 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 | 2023-07-13 | 2023-08-15 | N |
| Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised. | Health | 2023-07-13 | 2023-08-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-13 | 2023-08-15 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-05-09 | 2023-07-13 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-04-28 | 2022-05-20 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-04-28 | 2022-05-19 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-04-28 | 2022-05-19 | N |
| Report COVID19 data to residents and families. | Health | 2022-04-28 | 2022-05-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-11-26 | 2019-12-13 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2019-10-30 | 2019-11-18 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2019-10-30 | 2019-11-18 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-10-30 | 2019-11-18 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-10-30 | 2019-11-18 | N |
| Respond appropriately to all alleged violations. | Health | 2019-10-30 | 2019-11-18 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-10-30 | 2019-11-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-10-30 | 2019-11-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-30 | 2019-11-18 | N |
