Brookdale Trinity Towers

In the surveyor’s words

From the most serious findings on record at Brookdale Trinity Towers, in the surveyor’s own words.

• Immediate jeopardy, isolatedF695Dec 2, 2023

  Based on observation, interview, and record review, the facility failed to ensure a resident who needed respiratory care, including tracheostomy care and tracheal suctioning, was provided, consistent with professional standards of practice, the comprehensive person-centered care plan and the residents' goals and preferences for one of one resident (Resident #198) reviewed for tracheostomy care . 1. The facility failed to ensure Resident #198 had suction equipment, emergency supplies, a spare trach or a care plan specific for tracheostomy care. 2. The facility failed to ensure staff could describe steps to take in the event of an emergency dislodgement of Resident #198's trach. 3. The facility failed to ensure staff were competent in trach care and knowledgeable of equipment needed. […]

• No harm, potential for more than minimal, widespreadF812Feb 20, 2025

  Based on observation, interviews and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen (K2) reviewed and 2 of 2 satellite kitchens (SK4 and SK2) for storage, preparation, and sanitation. 1. Satellite Kitchen 4 (SK4) The facility failed to maintain cleanliness of the steam table holding wells and shelf, that a cleaning schedule was followed, personal items were not kept in the dry storage room, and all staff wore a hair and beard net while in SK4. 2.Satellite Kitchen 2 (SK2) The facility failed to maintain cleanliness of the steam table holding wells and shelf, that a cleaning schedule was followed, and personal items were not kept in the server room, in SK2. 3. […]

• No harm, potential for more than minimal, patternF842May 21, 2026

  Based on interview and record review, the facility failed to maintain clinical records on each resident that were complete and accurately documented in accordance with accepted professional standards and practices for 1 of 6 residents (Resident #1) reviewed for medical records.The facility failed to document the amount of food Resident #1 ate during her 3 meals per day for 10 times from March 1st through March 15th, 2026. This failure could place residents at risk of not receiving proper care or having needs met due to inappropriate documentation.The findings included:Record review of Resident #1's face sheet, dated 05/19/26, revealed a [AGE] year-old female, admitted [DATE] and discharged [DATE]. […]

• No harm, potential for more than minimal, patternF880Feb 20, 2025

  Based on observation, interview, and record review the facility failed to maintain an infection control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable disease and infections for 3 of 12 residents (Residents #15, #33, and #152) observed for infection control practices. The facility failed to post Enhanced Barrier Precaution signs outside the rooms of Resident #'s 15, 33 and 152. These failures could place residents, staff, and visitors at risk of cross contamination and/or infection. Findings included: 1. Record review of Resident #15's face sheet dated 02/20/25 revealed a [AGE] year-old-male with an original admitted [DATE] and a current admitted [DATE]. […]

• No harm, potential for more than minimal, patternF908Feb 20, 2025

  Based on observation, interview, and record review, the facility failed to maintain all kitchen equipment in safe operating condition for 1 of 1 kitchen (K2) reviewed and 1 of 2 satellite kitchens (SK2) reviewed for safe operating equipment. The facility failed to maintain a chest type freezer with heavy ice build-up on the inside walls, bottom, and lid in SK2. The facility failed to maintain and remove a 4-foot X 3-foot char broiler that did not work, had no griddle on it, and was connected to the gas line in K2. The facility failed to maintain and remove dented holding pans and dented prep equipment (food mill) in K2. The facility failed to maintain the walk-in freezer by not allowing ice accumulation around the fan and low lighting in K2. […]