All citations for Trinity Elms

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.

Back to Trinity Elms

Last standard health inspection on record

March 19, 2026

Showing 1 to 7 of 7 citations

  1. Immediate jeopardy to resident health or safety

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0580, Resident Rights Deficiencies. Inspection of August 20, 2024. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (August 1, 2024).

  2. Immediate jeopardy to resident health or safety

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

    Isolated (one or a few residents). CMS level J.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of August 20, 2024. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (July 24, 2024).

  3. No harm, with potential for more than minimal harm

    Ensure medication error rates are not 5 percent or greater.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of August 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 18, 2023).

  4. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of August 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 11, 2023).

  5. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 11, 2023).

  6. No harm, with potential for minimal harm

    Install corridor and hallway doors that block smoke.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of August 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 11, 2023).

  7. No harm, with potential for minimal harm

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

    Pattern (more than a few residents). CMS level B.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of August 30, 2023. Found during a standard inspection.

    The home has a plan to correct it (September 18, 2023).

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.