All citations for Trinity Hospital Skilled Nursing Facility

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 Hospital Skilled Nursing Facility

Last standard health inspection on record

September 5, 2025

Showing 1 to 25 of 35 citations

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

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Widespread (many residents). CMS level F.

    Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of September 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 30, 2025).

  2. 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 September 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 30, 2025).

  3. 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 September 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 10, 2025).

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

    Ensure proper usage of power strips and extension cords.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 10, 2025).

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

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Widespread (many residents). CMS level F.

    Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of July 31, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 12, 2024).

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

    Properly provide smoke detection systems in areas open to corridors.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0347, Smoke Deficiencies. Inspection of July 31, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 24, 2024).

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

    Ensure each resident receives an accurate assessment.

    Widespread (many residents). CMS level F.

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of July 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 1, 2023).

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

    Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

    Widespread (many residents). CMS level F.

    Health citation F-0711, Nursing and Physician Services Deficiencies. Inspection of July 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 1, 2023).

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

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Widespread (many residents). CMS level F.

    Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of July 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 1, 2023).

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

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Widespread (many residents). CMS level F.

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of July 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 1, 2023).

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

    Provide family notifications of emergency plan.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0035, Emergency Preparedness Deficiencies. Inspection of July 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 2, 2023).

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

    Implement emergency and standby power systems.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of July 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 2, 2023).

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

    Install an approved automatic sprinkler system.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of July 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 2, 2023).

  14. 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 July 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 2, 2023).

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of September 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 30, 2025).

  16. 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 September 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 24, 2025).

  17. 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 July 31, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 24, 2024).

  18. 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 July 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 2, 2023).

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

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

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

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of March 24, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 1, 2026).

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

    Have properly installed hallway dispensers for alcohol-based hand rub.

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

    Fire safety citation K-0325, Smoke Deficiencies. Inspection of September 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 24, 2025).

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

    Meet requirements for the use of electrical equipment.

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

    Fire safety citation K-0919, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 10, 2025).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of July 31, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 24, 2024).

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

    Have proper medical gas storage and administration areas.

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

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 31, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 24, 2024).

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

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

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

    Health citation F-0640, Resident Assessment and Care Planning Deficiencies. Inspection of July 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2023).

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

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of July 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 1, 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.