Deficiency Index

Trinity Care Center

Farmington, Minnesota · CCN 245250

17 surveys since 2012. The first finding at harm level was recorded in 2018.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
40
Surveys
17
Harm or worse
3
Immediate jeopardy
1
The record, 2012–2026
’12’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy1

Findings at the most serious level CMS records.

Beyond CMS’s monthly file12/17

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
90
Ownership
Non profit - Corporation
Chain
ST. FRANCIS HEALTH SERVICES
County
Dakota
Medicare-certified since
1982

CMS ratings

Overall
5
Health inspection
3
Staffing
5
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded fewer weighted findings than most of its peer group.

Weighted by harm level, against 52 not-for-profit facilities of 66–99 beds in Minnesota.

Last survey on record

Apr 30, 2026

193 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day5.114.39
Registered-nurse hours per resident day0.98—
Annual nurse turnover19.8%37.0%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG214.3%H—I—
No harm, potential for more than minimalD964.3%E321.4%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 14 of the 40 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6892×

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F8802×

    Provide and implement an infection prevention and control program.

  • F5801×

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  • F6401×

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

  • F6561×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

In the surveyor’s words

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

  • Actual harm, isolatedF689Dec 9, 2025

    Based on document review and interviews, the facility failed to provide safe transfers for 1 of 3 residents (R1) who required the use of a stand lift for transfers. This resulted in actual harm when a nursing assistant failed to use the right size sling, apply the waist buckle, and a loop on the sling came off of the stand. The resident fell, hit her head and sustained a mild concussion with stitches. The facility implemented corrective action prior to the investigation, so the deficiency was issued at Past Noncompliance. Findings include: R1's face sheet dated 12/8/25 indicated R1 had diagnoses of multiple sclerosis, age related osteoporosis without current pathological fracture, and depression. […]

  • Actual harm, isolatedF689Jul 11, 2024

    Based on interview and document review, the facility failed to implement care planned fall precautions for 1 of 3 residents (R1) reviewed for fall safety. This resulted in harm when R1 fell out of bed and sustained a fractured humerus and tibia. The facility implemented corrective action prior to the investigation, so the deficiency was issued at past noncompliance. Findings include: R1's annual Minimum Data Set (MDS) dated [DATE], indicated R1 was moderately cognitively impaired, and was dependent on staff for activities of daily living (ADLs) and transfers. R1's Face Sheet dated 7/11/24, indicated R1 had diagnoses of muscle weakness, heart failure and chronic respiratory failure. […]

  • No harm, potential for more than minimal, patternF761Jul 24, 2024

    Based on observation and interview and policy review, the facility failed to ensure medications were securely stored safely in 2 of 6 medication carts observed. Findings include: During observation and interview on 7/22/24 at 1:37 p.m., an unattended and unlocked medication cart was observed outside a nursing station of the long-term care unit named, The Cottages. The unattended and unlocked medication cart was adjacent to the courtyard/dining room with several residents present. Registered nurse (RN)-A verified the medication cart was unlocked and stated, I am responsible for the unlocked medication cart. RN-A stated unattended medication carts should always be locked to protect medications from unauthorized staff, residents, and visitors. […]

  • No harm, potential for more than minimal, patternF880Jul 24, 2024

    Based on observation, interview and document review, the facility failed to ensure personal protective equipment (PPE) practices were implemented by staff during a COVID-19 outbreak at the facility. This had the potential to affect all residents residing in one unit (Chateau Unit) of the facility. Findings include: Review of CDC guidance updated, 3/14/24 , Interim Infection Prevention and Control Recommendations for Healthcare Personnel During the Coronavirus Disease 2019 (COVID-19) Pandemic indicated when a facility is in COVID-19 outbreak status Source control is recommended more broadly as described in CDC ' s Core IPC Practices in the following circumstances: By those residing or working on a unit or area of the facility experiencing a SARS-CoV-2 or other outbreak of respiratory… […]

  • No harm, potential for more than minimal, patternF883Jul 24, 2024

    Based on interview and document review, the facility failed to ensure that recommended pneumococcal vaccinations, as outlined by the Centers for Disease Control (CDC), were offered and/or provided to reduce the risk of severe disease for 5 of 5 residents (R6, R8, R19, R45, R48) reviewed for immunizations. Findings include: A CDC Pneumococcal Vaccine Timing for Adults chart dated 3/15/2023, identified various tables when each (or all) of the pneumococcal vaccinations should be obtained for adults [AGE] years and older. […]

Read 21 findings in full →The most serious and the most recent: 21 of 40 on record.

Every survey on record

FindingsAt actual harm or above

  • Apr 30, 2026Standard3 findings
  • Dec 9, 2025Complaint1 finding · 1 harm
  • May 14, 2025Standard2 findings
  • Jul 24, 2024Standard7 findings
  • Jul 11, 2024Complaint1 finding · 1 harm
  • Aug 24, 2023Standard5 findings
  • Apr 28, 2022Standard3 findings
  • Aug 17, 2020Infection control1 finding
Show the 9 earlier surveys
  • Feb 11, 2020Complaint2 findings
  • Oct 17, 2019Standard and complaint1 finding
  • Dec 19, 2018Standard4 findings
  • Dec 6, 2018Complaint1 finding · 1 harm
  • Nov 16, 2017Standard2 findings
  • Dec 22, 2016Standard1 finding
  • Oct 29, 2015Standard2 findings
  • Dec 11, 2014Standard1 finding
  • Nov 15, 2012—3 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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