Trinitas Hospital

In the surveyor’s words

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

• Immediate jeopardy, isolatedF761Sep 12, 2022

  C # NJ 843 Based on interview and review of medical records including facility surveillance camera footage for 9/4/22 and 9/5/22, it was determined that 2 of 3 facility staff (Licensed Practical Nurse [LPN #1] and Registered Nurse [RN #1]) on the 4th floor South unit, failed to ensure that medications which could cause significant harm if ingested, were stored, secured, in locked compartments and inaccessible to high-risk residents with wandering behaviors. The facility also failed to follow their policies Administering Medications, Medication Storage, and General Medication Administration Guidelines of Oral Preparations. This deficient practice was identified for 1 of 3 sampled residents (Resident #1). […]

• No harm, potential for more than minimal, widespreadF577Jan 16, 2025

  Based on observation and interviews, it was determined that the facility failed to maintain the most recent State of New Jersey inspection results in a place readily accessible to the residents, families, and the public. The deficient practice was identified on 3 of 3 units. This deficient practice was evidenced by the following: During the Resident Council Meeting on 01/15/2025 at 10:00 AM, five of five alert and oriented residents said they were not aware of the location of the State Survey results and that the facility had not spoken to them about the results. During a tour of each unit, the surveyor had to ask at the nurse's station where the State survey results binder was kept. […]

• No harm, potential for more than minimal, widespreadF812Jun 30, 2021

  Based on observation, interview and review of facility documentation it was determined that the facility failed to a.) properly handle and store potentially hazardous foods in a manner that is intended to prevent the spread of food borne illnesses and b.) maintain equipment and kitchen areas in a manner to prevent microbial growth and cross contamination. This deficient practice was observed and evidenced by the following: On [DATE] at 09:49 AM, the surveyor toured the kitchen in the presence of the Food Service Director (FSD) and the Executive Chef (EC) and observed the following: 1. In the production area, there was one bag of kaiser rolls with no identification on the bag, no opened or use by dates. 2. […]

• No harm, potential for more than minimal, patternF584Jan 16, 2025

  Based on observation, interview, and review of pertinent facility documentation, it was determined that the facility failed to maintain a clean, safe, and sanitary environment for 2 of 3 units (South and North Units). This deficient practice was evidenced by the following: On 01/12/2025 at 10:28 AM, Surveyor #1 observed the baseboard trim in room [ROOM NUMBER] detached from the wall on the North Unit. On 01/13/2025 at 10:35 AM, Surveyor #1 observed water stains on the ceiling tiles in the shower room on the North Nursing Unit. On 01/13/2025 at 10:43 AM, Surveyor #1 observed the shower room on the North Nursing Unit, which including a portable commode, three commode buckets, a commode lid, and a non-stick food placement mat placed on a chair in the corner. […]

• No harm, potential for more than minimal, patternF880Jan 16, 2025

  Based on observation, interview, record review, and review of pertinent facility documents it was determined that the facility failed to use appropriate infection control practices, such as hand hygiene and Personal Protective Equipment (PPE) when providing care and other high-contact care activities to 3 of 3 residents (Resident #23, #52, #84) reviewed under the Infection Control Task. The deficient practices were evidenced by the following: 1. On 1/14/2025 at 10:24 AM, surveyor #1 observed Licensed Practical Nurse (LPN#1) perform tracheostomy (a small surgical opening that is made through the front of the neck into the windpipe) care, which was identified as requiring aseptic techniques (a set of practices that prevent the spread of infection) on Resident #52 and observed the… […]