Trellis Centennial

In the surveyor’s words

From the most serious findings on record at Trellis Centennial, in the surveyor’s own words.

• Actual harm, isolatedF740May 9, 2025

  Based on observation, interview, record review, and document review, the facility failed to develop a care plan, monitor behaviors, and provide behavioral health services for 1 of 19 sampled residents (Resident 215). Specifically, the facility failed to document the resident's hospital-diagnosed anxiety as an active medical condition, develop a baseline care plan addressing behavioral health interventions for anxiety, and implement timely interventions until after the resident expressed suicidal ideation. […]

• Actual harm, isolatedF760Aug 2, 2023

  Based on observation, interview, record review, and document review, the facility failed to ensure discontinued blood pressure medications were administered, resulting in resident hospitalization for 1 of 6 sampled residents (Resident 5). This deficient practice could potentially result in serious harm or adverse health outcomes, other potential health complications, and even be life-threatening to the resident and other residents. Findings include: Resident 5 (R5) R5 was admitted on [DATE], with diagnoses including hypotension and heart disease. The Nursing Admission Note dated 01/05/2023, documented R5 had arrived and been admitted to the facility, as the attending physician was made aware. The orders given to follow the discharge summary and medication reconciliation from the hospital. […]

• No harm, potential for more than minimal, widespreadF880May 9, 2025

  Based on observation, interview, record review, and document review, the facility failed to ensure: 1) The shared glucometer device was disinfected using Environmental Protection Agency (EPA)-approved disinfectant wipes for 1 of 19 sampled residents (Resident 171). 2) Handwashing with soap and water was performed before and after entering the room of a resident on contact isolation for Clostridium difficile (C. diff) for 1 of 19 sampled residents (Resident 166) and required personal protective equipment (PPE) was donned when entering rooms in contact isolation precautions in 2 of 2 units. This deficient practice had the potential to expose residents to bloodborne pathogens and other infectious agents, increasing the risk of cross-contamination and facility-acquired infections. […]

• No harm, potential for more than minimal, widespreadF761Sep 30, 2021

  Based on observation, interview and document review, the facility failed to store medications safely and appropriately by not keeping track of the room and refrigerator temperatures where medications were being stored. Findings include: The facility policy titled Medication Storage in the Facility revised November 2011, documented the facility should maintain a temperature log and record temperatures at least once a day for the medication storage room and at least twice a day (am/pm) for the medication refrigerator where vaccines are stored per center for disease control (CDC) guidelines. […]

• No harm, potential for more than minimal, widespreadF812Sep 30, 2021

  Based on observation, interview, and document review, the facility failed to ensure 1) expired item in the walk-in refrigerator was discarded, and 2) all food and beverage items on the meal trays were covered during meal distribution. Findings include: 1) Expired item On [DATE] at 8:11 AM, during the initial tour of the kitchen, a plastic bottle of lemon juice located in the walk-in refrigerator had a sticker labeled opened [DATE] and use by [DATE]. The manufacturer had Use buy [DATE] printed on the plastic bottle. On [DATE] at 8:18 AM, the Lead Cook indicated the juices were good for a month after opening or based on the manufacturer's expiration date depending on which date came first. The Lead Cook confirmed the lemon juice had expired and should have been discarded. […]