Trinity Regional Rehab Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Feb 12, 2026

  Based on observations, interviews and record review, the facility failed to protect the residents' right to be free from neglect by failing to respond to an exit door alarm and provide supervision to prevent an elopement for one (Resident #1) out of three residents sampled. On 1/11/26, approximately 2:15 p.m., Staff F, Certified Nursing Assistant (CNA), discovered Resident #1 was not in his room. At 2:15 p.m., a Dr. Walker (code announced overhead to indicate a potential missing resident) was called in the facility. Resident #1 exited the facility without staff knowledge from the second-floor hallway next to the Maintenance Directors office into the stairwell leading to the first floor. Resident #1 proceeded down the stairs to the first floor through an unlocked door with no alarm. […]

• Immediate jeopardy, isolatedF689Feb 12, 2026

  Based on observations, interviews and record review, the facility failed to provide adequate supervision to one resident (Resident #1) who was cognitively impaired and identified as an elopement risk, from exiting the facility out of three residents sampled. On 1/11/26, approximately 2:15 p.m., Staff F, Certified Nursing Assistant (CNA), discovered Resident #1 was not in his room. At 2:15 p.m., a Dr. Walker (code announced overhead to indicate a potential missing resident) was called in the facility. Resident #1 exited the facility without staff knowledge from the second-floor hallway next to the Maintenance Directors office into the stairwell leading to the first floor. Resident #1 proceeded down the stairs to the first floor through an unlocked door with no alarm. […]

• Actual harm, isolatedF622May 1, 2025

  Based on interview and record review, the facility failed to honor a resident's right to a safe, orderly, and planned discharge for one (#1) of one resident discharged while an appeal was pending. Findings Included: During a telephone interview on 05/01/2025 at 2:32 p.m., Resident #1 stated she was discharged from the facility on 04/29/2025 while awaiting a hearing discharge. She stated she called to file the appeal on what she thought was the 10th day, but the facility told her she filed the appeal on the 11th day and would still be discharged home. The resident stated she was not ready to come home and could not afford to pay her portion of the bill. She stated she could not go home without a sit- to stand lift which she required for transfers. […]

• No harm, potential for more than minimal, widespreadF812Nov 21, 2024

  Based on observation, record review and interviews the facility failed to ensure four kitchen staff members (Certified Dietary Manager, A, B, and C) wore hairnets, beard guards and gloves in accordance with professional standards for food service safety, in one of one kitchen observed. Findings included: During the initial tour of the kitchen on 11/18/24 at 9:05 a.m., Staff A, [NAME] was observed with uncovered facial hair, standing over a pot on the stove stirring the contents with no beard guard in place. An additional observation at this time revealed the Certified Dietary Manager (CDM) standing at a prep table with no hairnet in place. During an interview on 11/18/24 at 9:05 a.m. the CDM stated she was just at morning meeting and she came straight to the kitchen and began working. […]

• No harm, potential for more than minimal, patternF585Nov 21, 2024

  Based on observation, interview and record review, the facility did not ensure prompt efforts were made to resolve grievances for Resident Council for four months (June, July, October and November 2024) of six months reviewed. Findings included: Review of the Resident Council Meeting Minutes, dated June 4, 2024 revealed: Old Business a concern relating to CNAs (Certified Nursing Assistant) wanting more aides on the floor during mealtimes, especially weekends. Under the section New Business, the following was documented: CNA - weekends aids [sic] need to be on the floor more - call light takes more time during the lunch time. Review of the Resident Council Meeting Minutes, dated July 2, 2024, revealed: Old Business a concern relating to call lights take more time during the lunch time. […]