Facility profile · CCN 365777
Trinity Community
31 federal citations on record , including 1 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $24,453.
Record summary
Federal record · Q1 202631
Total citations
9
Last 3 years
2
Actual harm+
2
Federal penalties
$24,453
Total fines
3
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
31 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Apr 3, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Apr 3, 2025 | F814 | Dispose of garbage and refuse properly. | F | Standard |
| Apr 3, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Apr 3, 2025 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Apr 3, 2025 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| Apr 3, 2025 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard |
| Apr 18, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint |
| Aug 21, 2023 | F761 | 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. | D | Complaint |
| Aug 21, 2023 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Apr 10, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Apr 25, 2022 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard |
| Apr 25, 2022 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Apr 25, 2022 | F810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Standard |
| Apr 25, 2022 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| Apr 25, 2022 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Apr 25, 2022 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| Apr 25, 2022 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Apr 25, 2022 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Apr 25, 2022 | F578 | 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. | D | Standard |
| Apr 25, 2022 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
| Feb 28, 2019 | F773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | Standard |
| Feb 28, 2019 | F758 | 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. | D | Standard |
| Feb 28, 2019 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| Feb 28, 2019 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard |
| Feb 28, 2019 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Feb 28, 2019 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Feb 28, 2019 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard |
| Feb 28, 2019 | F642 | Ensure a qualified health professional conducts resident assessments. | D | Standard |
| Feb 28, 2019 | F640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard |
| Feb 28, 2019 | F638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | Standard |
| Feb 28, 2019 | F636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $24,453 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Apr 18, 2024 | Fine | $9,932 | — |
| Apr 10, 2023 | Fine | $14,521 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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