Trinity Manor
Dodge City, Kansas · CCN 175377
20 surveys since 2010, 9 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 108
- Surveys
- 20
- Harm or worse
- 9
- Immediate jeopardyall corrected before survey
- 5
Findings at the most serious level CMS records. All were recorded as past non-compliance — corrected before the survey.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 46
- Ownership
- For profit - Limited Liability company
- Chain
- FRONTLINE MANAGEMENT
- County
- Ford · rural
- Medicare-certified since
- 1996
CMS ratings
- Overall
- 4
- Health inspection
- 4
- Staffing
- 4
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Not shown for this facility: too few citations in window (n=16, floor 20).
Last survey on record
Jan 23, 2025
655 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.69 | 3.78 |
| Registered-nurse hours per resident day | 1.04 | — |
| Annual nurse turnover | 40.5% | 50.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $29,773 across 2 penalties
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J213.3% | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D853.3% | E— | F533.3% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F8123×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F6892×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F7572×
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- F5821×
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- F6021×
Protect each resident from the wrongful use of the resident's belongings or money.
In the surveyor’s words
From the most serious findings on record at Trinity Manor, in the surveyor’s own words.
- Immediate jeopardy, isolatedF689Jul 15, 2024
The facility census totaled 41 residents with one resident sampled for accidents. Based on observation, interview, and record review, the facility failed to provide adequate supervision and ensure a safe and secure environment as free from accident hazards as possible when Housekeeping/Laundry Staff C failed to report a malfunctioning basement door. About six weeks later, on 07/01/24, cognitively impaired Resident (R)1 opened the same malfunctioning, key coded basement door and fell down seven steps to the landing, in her wheelchair. R1 sustained major injuries including a lump to the back of her head and three fractured ribs. This deficient practice placed R1 in immediate jeopardy and at risk for personal injury. […]
- Immediate jeopardy, isolatedF689Feb 8, 2024
The facility reported a census of 41 residents with three residents sampled for safety related to transportation outside the facility. Based on observation, interview, and record review, the facility failed to ensure staff provided a safe environment as free of accident hazards as possible, when Social Services Designee (SSD) C failed to ensure the lap belt was snug on Resident (R)1 prior to transport in the facility van while traveling on the highway. R1 fell out of the wheelchair onto the floor of the facility van, landing on his knees. SSD C failed to notify 911 or activate EMS for assistance. SSD C assisted R1 to lay on the floor of the van and then drove R1 back to the facility (approximately 20 miles), unsecured, and laying on the floor of the wheelchair van. […]
- No harm, potential for more than minimal, widespreadF812Jan 23, 2025
The facility had a census of 40 residents. Based on observation, interview, and record review the facility failed to store, prepare, and serve food in a sanitary manner for the 40 residents who received meals from the facility kitchen. Findings included: - On 01/21/25 at 07:48 AM, observation in the facility kitchen revealed: A refrigerator with an opened, partially used, undated plastic quart container of macaroni salad, undated, opened, and partially used bags of diced ham, and pre-cooked chicken pieces. The walk-in freezer had three boxes of food stored on the floor. […]
- No harm, potential for more than minimal, widespreadF880Jan 23, 2025
The facility had a census of 40 residents. Based on observation, record review and interview, the facility failed to implement a water management program for Legionella disease (Legionella is a bacterium spread through mist, such as air-conditioning units in large buildings. Adults over the age of 50 and people with weak immune systems, chronic lung disease, or heavy tobacco use are most at risk of developing pneumonia caused by legionella) which placed the residents at risk of contracting infectious processes. Findings included: - On 01/22/25 at 04:50 PM, Administrative Staff A reported the facility lacked a waterborne pathogen/Legionella program. […]
- No harm, potential for more than minimal, widespreadF812Feb 9, 2023
The facility reported a census of 43 residents. Based on observation, interview, and record review, the facility failed to provide sanitary food storage to prevent the spread of food borne illness to the residents of the facility. Findings included: - On 02/07/03 at 07:52 AM initial tour of the kitchen with Dietary Staff CC revealed the following concerns: In the main refrigerator: 1. A large bag of shredded cheese, open and undated. 2. A container of sliced tomatoes, lacked preparation or expiration date. 3. A large bag of shredded lettuce, open and undated. 4. […]
Read 26 findings in full →The most serious and the most recent: 26 of 108 on record.
Every survey on record
FindingsAt actual harm or above
- Jan 23, 2025Standard and complaint3 findings
- Jul 15, 2024Complaint1 finding · 1 harm
- Feb 8, 2024Complaint1 finding · 1 harm
- Feb 9, 2023Standard3 findings
- Jul 15, 2021Standard and complaint7 findings
- Mar 12, 2021Complaint1 finding
- Oct 10, 2019Standard and complaint4 findings · 1 harm
- Oct 29, 2018Standard7 findings · 1 harm
Show the 12 earlier surveys
- Jan 25, 2018Complaint2 findings · 1 harm
- Sep 26, 2017Complaint4 findings
- May 10, 2017Complaint3 findings
- Mar 9, 2017Standard4 findings
- Jul 31, 2015Standard and complaint7 findings · 1 harm
- Apr 9, 2014Standard and complaint35 findings · 2 harm
- Oct 29, 2013—3 findings · 1 harm
- Apr 10, 2013—3 findings
- Apr 12, 2012—1 finding
- Dec 19, 2011—9 findings
- Mar 16, 2011—1 finding
- Sep 13, 2010—9 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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