CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Trinity Elms
View the most recent health deficiencies and inspection results for Trinity Elms. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Trinity Elms. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-03-19 | 2026-03-31 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2026-03-19 | 2026-03-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2026-03-19 | 2026-03-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-03-19 | 2026-02-04 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2026-03-19 | 2026-02-04 | Y |
| Install proper backup exit lighting. | Fire Safety | 2025-01-17 | 2025-05-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-01-17 | 2025-05-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-17 | 2025-05-02 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2025-01-17 | 2025-05-02 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-04-30 | 2025-04-30 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2025-01-17 | 2025-02-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-01-17 | 2025-02-06 | 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 | 2025-01-17 | 2025-01-20 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2025-01-17 | 2024-11-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-08-20 | 2024-08-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-20 | 2024-07-24 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-30 | 2023-11-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-30 | 2023-11-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-30 | 2023-11-11 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-08-30 | 2023-09-18 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-30 | 2023-09-18 | Y |