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Inspection visit

Inspection

TRINITY HOSPITAL SKILLED NURSING FACILITYCMS #5559078 citations on this visit
8 citations recorded

Citations

8 citations recorded*CMS

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0345GeneralS&S Cno actual harm

    Have approved installation, maintenance and testing program for fire alarm systems.

  • 0353GeneralS&S Cno actual harm

    Inspect, test, and maintain automatic sprinkler systems.

  • 0363GeneralS&S Dpotential for harm

    Install corridor and hallway doors that block smoke.

  • 0918GeneralS&S Cno actual harm

    F918 - Bathroom Facilities

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

  • 0920GeneralS&S Epotential for harm

    F920 - Dining and Resident Activities

    Ensure proper usage of power strips and extension cords.

  • 0923GeneralS&S Dpotential for harm

    F923 - Have adequate outside ventilation by means of windows, or mechanical

    Have proper medical gas storage and administration areas.

  • 0727GeneralS&S Fpotential for harm

    F727 - Except when waived under paragraph (f) or (g) of this section, the

    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.

  • 0347GeneralS&S Fpotential for harm

    Properly provide smoke detection systems in areas open to corridors.

FAQ · About this visit

Common questions about this visit

What happened during the July 31, 2024 survey of TRINITY HOSPITAL SKILLED NURSING FACILITY?

This was a inspection survey of TRINITY HOSPITAL SKILLED NURSING FACILITY on July 31, 2024. The surveyor cited 8 deficiencies, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at TRINITY HOSPITAL SKILLED NURSING FACILITY on July 31, 2024?

Yes, 8 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Have approved installation, maintenance and testing program for fire alarm systems."

What type of survey was this?

This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.

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Next steps

Concerned about a resident’s care?Find your local ombudsman through the Eldercare Locatoror file a complaint with your state survey agency.

Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.

Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.