Trinity Health Care of Logan

In the surveyor’s words

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

• Immediate jeopardy, widespreadF600Jun 5, 2024

  Based on record review, resident observations and staff interviews the facility failed to ensure Resident #91 was free from nonconsensual sexual contact. In addition the facility failed to ensure Resident #75 was free from verbal abuse. The occurances with Resident #91 and Resident #75 both constituted an Immediate jeopardy (IJ) situation. The state agency (SA) determined the failure to protect Resident #75 from verbal abuse caused Resident #75 fear and anxiety due to verbal abuse from Licensed Practical Nurse (LPN) #28. At the time of the incident Resident #75 was unable to verbalize how this made her feel due to thinking the Facility administration would retaliate against them. Emotional and psychological abuse can have severe short- and long-term effects. […]

• Immediate jeopardy, widespreadF689Jan 28, 2021

  Based on record review, staff interview and resident interview, the facility failed to ensure the resident environment over which it had control was as free from accident hazards as possible. On 01/15/21 Resident #84 was involved in an accident involving a vape (electronic smoking device) in which Resident #84 sustained facial and respiratory burns. In addition Resident #13, #40, #61, #72, #24, #80, #11, #10, #15 and #77 were all provided electronic cigarettes by the facility to use in their room during the COVID-19 outbreak. The state agency determined these failures placed all residents currently residing in an immediate jeopardy situation due to the risk of fire. […]

• Immediate jeopardy, patternF689Jun 5, 2024

  Based on observation, record review, and staff interview, the facility failed to ensure the resident environment, over which it had control, was as free of accident hazards as possible, by leaving the Central Supply room door open, and the cabinet inside the Central Supply room unlocked, exposing residents to hazards that could potentially cause serious injury or death. This was a random opportunity for discovery. Resident identifier: 91, 73, 95, 106, 70, 30 and 65. Facility census: 111. […]

• Actual harm, isolatedF600Oct 23, 2025

  Based on record review, staff interview, the facility failed to ensure residents were free from physical abuse when Resident#12 physically assaulted another resident , resulting in actual physical injury. This failure resulted in actual harm and had the potential to affect all residents residing in the Long Term Care facility. Residetn Identifier: #11 and #12 Facility Census: 111This failed practice was consider to be at past non-compliance, as the facility identified and corrected the failed practice prior to surveyors entering the building. […]

• No harm, potential for more than minimal, widespreadF880Dec 7, 2022

  Based on observation and staff interview, the facility failed to establish and maintain an infection prevention and control program designed to help prevent the development and transmission of communicable diseases and infections. The signage for residents on transmission-based precautions (TBP) did not indicate the specific type of precaution and the personal protective equipment (PPE) needed. Additionally, PPE was not readily available at the entrance to the room of a resident in TBP. Also, the facility failed to have a water management program designed to prevent the growth of Legionella and other opportunistic waterborne pathogens in building water systems. These deficient practices had the potential to affect all residents residing in the facility. Resident identifiers: #46, #52, #32. […]