Facility profile · CCN 175377
Trinity Manor
15 federal citations on record , including 2 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $29,773.
Record summary
Federal record · Q1 202615
Total citations
5
Last 3 years
2
Actual harm+
2
Federal penalties
$29,773
Total fines
4
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
15 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jan 23, 2025 | F880 | Provide and implement an infection prevention and control program. | F | Complaint |
| Jan 23, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint |
| Jan 23, 2025 | F760 | Ensure that residents are free from significant medication errors. | D | Complaint |
| Jul 15, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Feb 8, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Feb 9, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Feb 9, 2023 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| Feb 9, 2023 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard |
| Jul 15, 2021 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Jul 15, 2021 | F801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Standard |
| Jul 15, 2021 | 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 |
| Jul 15, 2021 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| Jul 15, 2021 | 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 |
| Jul 15, 2021 | F602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Standard |
| Jul 15, 2021 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $29,773 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Jul 15, 2024 | Fine | $17,124 | — |
| Feb 8, 2024 | Fine | $12,649 | — |
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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