CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Trinity Community
View the most recent health deficiencies and inspection results for Trinity Community. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Trinity Community. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-04-03 | 2025-05-01 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2025-04-03 | 2025-05-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-04-03 | 2025-05-01 | N |
| Dispose of garbage and refuse properly. | Health | 2025-04-03 | 2025-05-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-04-03 | 2025-05-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-04-03 | 2025-05-01 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-04-03 | 2025-05-01 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-04-03 | 2025-05-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-04-03 | 2025-05-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-04-03 | 2025-05-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-04-03 | 2025-05-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-04-03 | 2025-05-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-04-03 | 2025-05-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-18 | 2024-04-19 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-21 | 2023-09-11 | Y |
| 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 | 2023-08-21 | 2023-09-11 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-04-25 | 2022-06-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-25 | 2022-06-20 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2022-04-25 | 2022-06-20 | 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 | 2022-04-25 | 2022-06-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-25 | 2022-06-20 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-04-25 | 2022-06-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-25 | 2022-06-20 | N |
| 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 | 2022-04-25 | 2022-06-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-04-25 | 2022-06-20 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-04-25 | 2022-06-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-25 | 2022-06-20 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-04-25 | 2022-06-20 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-04-25 | 2022-06-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-04-25 | 2022-06-20 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-04-25 | 2022-06-20 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2019-02-28 | 2019-04-08 | 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 | 2019-02-28 | 2019-04-08 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-02-28 | 2019-04-08 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-02-28 | 2019-04-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-28 | 2019-04-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-28 | 2019-04-08 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-02-28 | 2019-04-08 | N |
| Ensure a qualified health professional conducts resident assessments. | Health | 2019-02-28 | 2019-04-08 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-02-28 | 2019-04-08 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-02-28 | 2019-04-08 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-02-28 | 2019-04-08 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-02-28 | 2019-04-08 | N |
| Use approved construction type or materials. | Fire Safety | 2019-02-28 | 2019-04-08 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-02-28 | 2019-04-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-02-28 | 2019-04-08 | N |