Trinity Oaks

Inspection history (15)

• February 24, 2025 · E

  Citation F0584

  Federal surveyors cited this nursing home on 2025-02-24 under CMS tag F0584 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-03-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-24.GOV

• February 24, 2025 · D

  Citation F0600

  Federal surveyors cited this nursing home on 2025-02-24 under CMS tag F0600 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. The deficiency was recorded as corrected on 2025-03-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-24.GOV

• February 24, 2025 · D

  Citation F0607

  Federal surveyors cited this nursing home on 2025-02-24 under CMS tag F0607 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement policies and procedures to prevent abuse, neglect, and theft. The deficiency was recorded as corrected on 2025-03-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-24.GOV

• February 24, 2025 · D

  Citation F0761

  Federal surveyors cited this nursing home on 2025-02-24 under CMS tag F0761 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-03-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-24.GOV

• February 24, 2025 · D

  Citation F0609

  Federal surveyors cited this nursing home on 2025-02-24 under CMS tag F0609 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. The deficiency was recorded as corrected on 2025-03-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-24.GOV

• February 24, 2025 · D

  Citation F0689

  Federal surveyors cited this nursing home on 2025-02-24 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2025-03-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-24.GOV

• October 26, 2023 · E

  Citation F0814

  Federal surveyors cited this nursing home on 2023-10-26 under CMS tag F0814 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Dispose of garbage and refuse properly. The deficiency was recorded as corrected on 2023-11-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-26.GOV

• October 26, 2023 · D

  Citation F0693

  Federal surveyors cited this nursing home on 2023-10-26 under CMS tag F0693 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2023-11-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-26.GOV

• October 26, 2023 · F

  Citation F0851

  Federal surveyors cited this nursing home on 2023-10-26 under CMS tag F0851 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. The deficiency was recorded as corrected on 2023-11-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-26.GOV

• October 26, 2023 · D

  Citation F0761

  Federal surveyors cited this nursing home on 2023-10-26 under CMS tag F0761 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2023-11-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-26.GOV

• October 26, 2023 · D

  Citation F0867

  Federal surveyors cited this nursing home on 2023-10-26 under CMS tag F0867 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. The deficiency was recorded as corrected on 2023-11-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-26.GOV

• October 26, 2023 · E

  Citation F0812

  Federal surveyors cited this nursing home on 2023-10-26 under CMS tag F0812 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2023-11-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-26.GOV

• October 26, 2023 · D

  Citation F0690

  Federal surveyors cited this nursing home on 2023-10-26 under CMS tag F0690 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. The deficiency was recorded as corrected on 2023-11-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-26.GOV

• October 26, 2023 · D

  Citation F0842

  Federal surveyors cited this nursing home on 2023-10-26 under CMS tag F0842 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2023-11-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-26.GOV

• October 26, 2023 · D

  Citation F0550

  Federal surveyors cited this nursing home on 2023-10-26 under CMS tag F0550 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. The deficiency was recorded as corrected on 2023-11-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-26.GOV

Penalties

Total fines on file: $0

Staffing

Latest: 4.85 nurse staffing hours per resident per day (2026-06-01)

Ownership

Non profit - Corporation

1. Parent organization: Lutheran Services For The Aging, INC.

   parent · PAC 8628030715