All citations for Trinity Community

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

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Last standard health inspection on record

April 3, 2025

Showing 1 to 25 of 44 citations

Harm to a resident
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Isolated (one or a few residents). CMS level G.
Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of April 18, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (April 19, 2024).
No harm, with potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Widespread (many residents). CMS level F.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of April 3, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 1, 2025).
No harm, with potential for more than minimal harm
Dispose of garbage and refuse properly.
Widespread (many residents). CMS level F.
Health citation F-0814, Nutrition and Dietary Deficiencies. Inspection of April 3, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 1, 2025).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0291, Egress Deficiencies. Inspection of April 3, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 1, 2025).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of April 3, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 1, 2025).
No harm, with potential for more than minimal harm
Install a fire alarm system that can be heard throughout the facility.
Widespread (many residents). CMS level F.
Fire safety citation K-0341, Smoke Deficiencies. Inspection of April 25, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (June 20, 2022).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of April 25, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (June 20, 2022).
No harm, with potential for more than minimal harm
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0354, Smoke Deficiencies. Inspection of April 25, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (June 20, 2022).
No harm, with potential for more than minimal harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Widespread (many residents). CMS level F.
Fire safety citation K-0521, Services Deficiencies. Inspection of April 25, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (June 20, 2022).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 25, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (June 20, 2022).
No harm, with potential for more than minimal harm
Establish roles under a Waiver declared by secretary.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0026, Emergency Preparedness Deficiencies. Inspection of February 28, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (April 8, 2019).
No harm, with potential for more than minimal harm
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0223, Egress Deficiencies. Inspection of April 3, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 1, 2025).
No harm, with potential for more than minimal harm
Provide properly protected cooking facilities.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0324, Smoke Deficiencies. Inspection of April 3, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 1, 2025).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of April 3, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 1, 2025).
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0372, Smoke Deficiencies. Inspection of April 3, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 1, 2025).
No harm, with potential for more than minimal harm
Ensure proper usage of power strips and extension cords.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 3, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 1, 2025).
No harm, with potential for more than minimal harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Pattern (more than a few residents). CMS level E.
Health citation F-0883, Infection Control Deficiencies. Inspection of April 25, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (June 20, 2022).
No harm, with potential for more than minimal harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Pattern (more than a few residents). CMS level E.
Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of February 28, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (April 8, 2019).
No harm, with potential for more than minimal harm
Use approved construction type or materials.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0161, Construction Deficiencies. Inspection of February 28, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (April 8, 2019).
No harm, with potential for more than minimal harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0211, Egress Deficiencies. Inspection of February 28, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (April 8, 2019).
No harm, with potential for more than minimal harm
Install corridor and hallway doors that block smoke.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0363, Smoke Deficiencies. Inspection of February 28, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (April 8, 2019).
No harm, with potential for more than minimal harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Isolated (one or a few residents). CMS level D.
Health citation F-0644, Resident Assessment and Care Planning Deficiencies. Inspection of April 3, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 1, 2025).
No harm, with potential for more than minimal harm
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Isolated (one or a few residents). CMS level D.
Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of April 3, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 1, 2025).
No harm, with potential for more than minimal harm
Provide enough food/fluids to maintain a resident's health.
Isolated (one or a few residents). CMS level D.
Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of April 3, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 1, 2025).
No harm, with potential for more than minimal harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Isolated (one or a few residents). CMS level D.
Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of April 3, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 1, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.