Trinity Oaks

Certification

Medicare-certified.

Ratings

Inspection history (15)

Records from October 2023 to February 2025.

• February 24, 2025

  Tag F0584

  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 6, 2025.

• February 24, 2025

  Tag F0600

  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 6, 2025.

• February 24, 2025

  Tag F0607

  Develop and implement policies and procedures to prevent abuse, neglect, and theft.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 6, 2025.

• February 24, 2025

  Tag F0761

  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.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 13, 2025.

• February 24, 2025

  Tag F0609

  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 20, 2025.

• February 24, 2025

  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 March 14, 2025.

• October 26, 2023

  Tag F0814

  Dispose of garbage and refuse properly.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 17, 2023.

• October 26, 2023

  Tag F0693

  Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 17, 2023.

• October 26, 2023

  Tag F0851

  Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected November 17, 2023.

• October 26, 2023

  Tag F0761

  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.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 17, 2023.

• October 26, 2023

  Tag F0867

  Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 17, 2023.

• October 26, 2023

  Tag F0812

  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 17, 2023.

• October 26, 2023

  Tag F0690

  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 17, 2023.

• October 26, 2023

  Tag F0842

  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 17, 2023.

• October 26, 2023

  Tag F0550

  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 17, 2023.

Penalties

CMS lists no fines or payment denials for this nursing home in the last three years.

Staffing

4.39 nurse hours per resident per day in Q2 2026, down from 4.85 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

Non profit