Trellis Chino

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF880Aug 14, 2025

  Based on observation, interview, and record review, the facility failed to ensure that the proper and safe infection control practices were followed when:1. Certified Nursing Assistant (CNA) 1 did not perform hand hygiene in between Residents 33 and 80's rooms. CNA 1 did not disinfect vital signs machine in between Resident 33 and 80. 2. CNA 2 did not perform hand hygiene before and after perineal care (cleaning the genital and anal areas) and did not utilize personal protective equipment (PPE - clothing and gear designed to protect you from hazards at work or during certain activities) in isolation room (room used to keep germs from spreading) for Resident 11. 3. […]

• No harm, potential for more than minimal, patternF604Jan 6, 2023

  Based on observation, interview, and record review, the facility failed to follow the policy and procedure for position change alarm (device place in the bed or wheelchair to alert staff when the person gets out from bed or wheelchair), for three of three residents (Residents 4, 5 and 7) reviewed for falls when position change alarms were used for Residents 4, 5, and 7 without a physician's order. This failure placed Residents 4, 5 and 7 at risk for decreased mobility, sleep disturbances, and agitation in response to the sound of the alarm. Findings: 1. […]

• No harm, potential for more than minimal, isolatedF839Feb 12, 2026

  Based on interview and record review, the facility failed to ensure that one of the three licensed vocational nurses (LVN 1) held a valid and current license to practice when LVN 1 worked with an expired license from [DATE], through [DATE].This failure had the potential to place 59 highly vulnerable residents at risk due to LVN 1's non-compliance with the legal requirement to practice nursing.Findings: During a telephone interview with LVN 1, on February 12, 2026, at 12:08 PM, LVN 1 stated I had been under the impression that I was working with an active license but was unaware that it had expired. LVN 1 stated her license expired on [DATE], and was only renewed on [DATE]. […]

• No harm, potential for more than minimal, isolatedF641Aug 14, 2025

  Based on interview and record review, the facility failed to ensure Minimum Data Set (MDS- a computerized assessment instrument) Assessments were completed accurately for one of two residents reviewed for resident assessment (Resident 43). This failure resulted in an inaccurate assessment, potentially leading to a misidentification of Resident 43's care and support needs.Findings:During a review of Resident 43's admission Record (a document that contains demographic and clinical data), it indicated Resident 43 was admitted to the facility on [DATE], with diagnoses which included fibromyalgia (a long-term condition that involves widespread body pain) and rhabdomyolysis (condition in which damaged skeletal muscle [the main tissue responsible for body posture and movement] breaks down… […]

• No harm, potential for more than minimal, isolatedF692Aug 14, 2025

  Based on observation, interview, and record review, the facility failed to ensure resident food preferences were provided for one of seven residents reviewed for nutrition (Resident 37) when Resident 37 did not receive a fresh fruit cup for breakfast as indicated on meal ticket on August 11, 2025.This failure had the potential to cause nutritional decline and unmet care needs for Resident 37.Findings:During a review of Resident 37's admission Record (contains demographic and medical information), it indicated Resident 37 was admitted to the facility on [DATE], with the diagnoses of osteoarthritis (degeneration of the cartilage in single joint, leading to pain, stiffness and reduced range of motion), metabolic encephalopathy (condition where brain dysfunctions from metabolic imbalances such… […]