Trinity Community

Certification

Medicare-certified.

Ratings

Inspection history (30)

Records from February 2019 to April 2025.

• February 28, 2019

  Tag F0636

  Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 8, 2019.

• February 28, 2019

  Tag F0758

  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 l….

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 8, 2019.

• February 28, 2019

  Tag F0657

  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 8, 2019.

• February 28, 2019

  Tag F0642

  Ensure a qualified health professional conducts resident assessments.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 8, 2019.

• February 28, 2019

  Tag F0689

  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 8, 2019.

• February 28, 2019

  Tag F0638

  Assure that each resident’s assessment is updated at least once every 3 months.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 8, 2019.

• February 28, 2019

  Tag F0757

  Ensure each resident’s drug regimen must be free from unnecessary drugs.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 8, 2019.

• February 28, 2019

  Tag F0773

  Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 8, 2019.

• February 28, 2019

  Tag F0640

  Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 8, 2019.

• February 28, 2019

  Tag F0698

  Provide safe, appropriate dialysis care/services for a resident who requires such services.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 8, 2019.

Penalties (1)

Total fines: $9,932

• April 18, 2024 · Fine

  CMS recorded a civil money penalty of $9,932 against this nursing home on April 18, 2024.

Staffing

3.78 nurse hours per resident per day in Q2 2026, up from 3.62 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

Non profit - Corporation